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Blood pressure is the force created by the blood against the arteries and blood vessels as it is pumped by the heart. If the blood pressure is too low circulation is impaired or even stopped. This occurs most often when an injury causes a large blood loss. When pressure is too high, it places a strain on the arteries and even the heart. This can lead to serious problems throughout the body (like stroke). Of all the risk factors for cardiovascular disease, hypertension (high blood pressure) is the biggest. This becomes even more critical over the age of 65, the age group most likely to suffer from heart disease.

Since high blood pressure is so common everyone needs to have their blood pressure checked at least once a year. When the doctor checks it they will have the patient stand for one reading and sit for another. If the blood pressure is high the first time the doctor may ask the patient comeback for a follow-up before initiating treatment. This is done because many factors affect blood pressure including the normal feelings of worry during the office visit to the doctor.

The blood pressure reading is given as two numbers. Both are important. The larger number is seen when the heart contracts and pumps the blood. This is called the systolic pressure. It indicates how hard the heart is pumping to get the blood through the arteries. When the heart relaxes between beats the pressure falls. This is the second number, the diastolic blood pressure.

While blood pressure does vary among people the average (normal) blood pressure is considered to be 120/80. Blood pressure varies throughout the day in response to stress, physical activity, and other factors.

About 90% of people diagnosed with high blood pressure have essential or primary hypertension. This is blood pressure with no obvious underlying cause. The rest have high blood pressure do to another medical condition such as kidney disease or thyroid problems.

Many things combine together to cause high blood pressure. Diet, alcohol consumption, smoking, stimulant use, drug abuse, high sodium and caffeine consumption, obesity, oral, contraceptives, stress, and pregnancy.

For mild hypertension doctors may suggest some lifestyle changes, weight loss, aerobic exercise, low salt diet, and lower alcohol consumption. These changes may bring the blood pressure down to the normal range. If high blood pressure control can not be obtained through these changes then the doctor may ad medications.

Once their blood pressure is down many people think they no longer need treatment and stop. When lifestyle changes or medications bring down the blood pressure the patient needs to understand that these are controlling the blood pressure problem but they do not cure it. It is important to understand these changes need to be continued for the rest of the patients life. It is a lifelong commitment.

AMA Essential Guide to Hypertension, The
AMA / Paperback / 256 pages / 1998

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High blood pressure, or hypertension, affects about one in four Americans -- but this potentially life-threatening condition can exist virtually without symptoms. Now, the latest medical advances that can help prevent the damaging effects of hypertension are compiled in a convenient reference under the authority of the American Medical Association. Here is clear, concise information that can help you to: Understand all aspects of hypertension: what it is, who is at risk, how it affects the body, and how it is diagnosed Learn about your cardiovascular system -- and how your body controls blood pressure Discover the treatable causes of hypertension -- from certain physical disorders and illnesses to side effects of common medications Safely monitor your blood pressure, with tips for more accurate readings Take control of your health with current lifestyle recommendations and nutritional guidelines Work with your doctor to maintain a drug therapy program, and select the best treatment options Recognize and deal with hypertensive emergencies. Also included is information about hypertension among pregnant women, African-Americans, children, seniors, and people with diabetes; answers to commonly asked questions; a glossary of related terms; and a directory of addresses and Web sites for up-to-the-minute medical news. You'll find everything you need to help manage your blood pressure in the American Medical Association Essential Guide to Hypertension.

Last modified: August 27, 2000

 

 


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Information on this site is provided for informational purposes and is not meant to substitute for the advice provided by your own physician or other medical professional. You should not use the information contained herein for diagnosing or treating a health problem or disease, or prescribing any medication. You should read carefully all product packaging. If you have or suspect that you have a medical problem, promptly contact your health care provider. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease.

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