Health Conditions

Hypertension

Overview

Understanding Hypertension

Hypertension (high blood pressure) is when the pressure in your blood vessels is too high (140/90 mmHg or higher). It is common but can be serious if not treated.

Blood pressure is written as two numbers. The first (systolic) number represents the pressure in blood vessels when the heart contracts or beats. The second (diastolic) number represents the pressure in the vessels when the heart rests between beats.

Hypertension is diagnosed if, when it is measured on two different days, the systolic blood pressure readings on both days is ≥140 mmHg and/or the diastolic blood pressure readings on both days is ≥90 mmHg.

Blood Pressure Monitoring

Understanding Your Numbers

140/90

mmHg or higher indicates hypertension when measured on two different days

180/120

Very high blood pressure requiring immediate medical attention

130/80

Target goal for those with cardiovascular disease, diabetes, or kidney disease

140/90

Target goal for most people

Know Your Risk

Risk Factors

Modifiable Risk Factors

  • Unhealthy diets (excessive salt consumption, diet high in saturated fat and trans fats, low intake of fruits and vegetables)
  • Physical inactivity
  • Consumption of tobacco
  • Harmful use of alcohol
  • Being overweight or obese
  • Environmental factors including air pollution

Non-Modifiable Risk Factors

  • Family history of hypertension
  • Age over 65 years
  • Co-existing diseases such as diabetes or kidney disease
  • Genetics
The Silent Killer

Signs & Symptoms

Most people with hypertension don't feel any symptoms. Checking your blood pressure is the best way to know if you have high blood pressure.

Very high blood pressures can cause symptoms including:

Severe headaches
Chest pain
Dizziness
Difficulty breathing
Nausea
Blurred vision
Abnormal heart rhythm
Buzzing in the ears

If you are experiencing any of these symptoms with high blood pressure, seek care immediately.

Hypertension Symptoms
Lifestyle Matters

Prevention & Management

Lifestyle changes can help lower high blood pressure and can help anyone with hypertension. Many who make these changes will still need to take medicine.

Do:

  • Eat more vegetables and fruits
  • Be more physically active (150 min/week moderate activity)
  • Do strength building exercises 2+ days each week
  • Lose weight if overweight or obese
  • Take medicines as prescribed
  • Keep appointments with your health care professional

Don't:

  • Eat too much salty food (stay under 2 grams per day)
  • Eat foods high in saturated or trans fats
  • Smoke or use tobacco
  • Drink too much alcohol (1 drink max for women, 2 for men)
  • Miss or share medication
Healthy Lifestyle
Health Impact

Complications of Uncontrolled Hypertension

Heart Damage

Excessive pressure can harden arteries, decreasing blood flow to the heart, causing chest pain (angina), heart attack, heart failure, and irregular heart beat.

Stroke

Hypertension can burst or block arteries that supply blood and oxygen to the brain, causing a stroke.

Kidney Damage

Hypertension can cause kidney damage, leading to kidney failure.

Vision Loss

High blood pressure can damage blood vessels in the eyes, leading to vision problems.

Medical Care

Treatment & Monitoring

Regular Monitoring

The only way to detect hypertension is to have a health professional measure blood pressure. Having blood pressure measured is quick and painless.

Medications

If you have high blood pressure, your doctor may recommend one or more medicines. Take medications exactly as prescribed.

Blood Pressure Goals

For most people, the goal is less than 140/90. If you have cardiovascular disease, diabetes, or kidney disease, the goal is less than 130/80.

Ongoing Care

Keep appointments with your health care professional for regular monitoring and treatment adjustments.

Reducing hypertension prevents heart attack, stroke, kidney damage, and other health problems.