Health & Medical Hypertension

Get High and Die With Hypertension

What's the ideal blood pressure? That's difficult to answer since blood pressure varies from person to person depending on age, sex, race and the environment.
At birth, "normal" blood pressure is about 80/46 and gets higher as you grow older.
In adults, the normal blood pressure is about 120/80.
If you have a reading between 140 and 159 systolic over 90 and 94 diastolic, you have mild or borderline hypertension.
But don't rely on one reading to tell you this.
Since blood pressure can be affected by several factors, the doctor has to take several readings to accurately assess your condition.
If your readings are consistently elevated regardless of what you're doing, only then can a definite diagnosis of high blood pressure be made.
"Your blood pressure changes from minute to minute, depending on where you are, what you are doing, whether or not you have eaten, how you feel, the time of the day, whether you are sitting, standing, or lying down - and who's taking it.
My patients are often surprised when my nurse invariably obtains readings lower than I do.
That's because she is a charming woman, while I wear a white coat," said Dr.
Isadore Rosenfeld of the New York Hospital in "Doctor, What Should I Eat?" "The diagnosis of hypertension should not be made on the basis of a single measurement by anyone.
Get three or four readings before you accept the hypertensive label.
And equally important, a normal reading at any time is no guarantee that it's going to stay normal.
You've got to keep checking regularly to detect an elevation as soon as it occurs," Rosenfeld added.
Hypertension is known as the silent killer because it often has no obvious symptoms.
While some people may experience headaches, fatigue, dizziness and frequent nosebleeds (which can occur in other diseases), others may have hypertension for years without feeling anything.
"Most people don't feel it.
Some may complain of headaches or a strange feeling but they don't always happen in hypertensives.
That's why regular blood pressure measurement is important even in an apparently normal individual because we might discover something there," said Dr.
Gianfranco Parati, a member of the Blood Pressure Group and the Italian Society of Hypertension.
The absence of symptoms, however, doesn't mean nothing is happening.
Hypertension causes the heart to work harder to pump blood to the arteries.
Over time, this excessive force damages the arteries, heart and the brain.
While few people die simply of hypertension, many perish due to heart attacks, stroke, kidney failure and atherosclerosis (the buildup of plaque in the arteries).
Pregnant women with hypertension may suffer from preeclampsia (a toxic condition that causes kidney damage and edema), stillbirths, premature delivery and low birth weight.
"High blood pressure is a major killer and crippler, causing strokes, heart attacks, kidney trouble, leg pain while walking, aneurysms (the dilation of a portion of the wall of an artery), blindness and heart failure.
If your blood pressure elevation is mild, you may get away without any treatment, but that's something no one can predict," Rosenfeld said.
(Next: Risk factors for hypertension.
) Since obesity is a factor in hypertension, it pays to lose weight.
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