High Blood Pressure: Key Q&A
Why is there so much concern about high blood
pressure?
High blood pressure stresses the heart and can contribute to
coronary artery disease, heart attack and stroke.
When is blood pressure considered "high"?
Blood pressure is expressed as a ratio of systolic pressure over
diastolic pressure. Normal blood pressure for adults is considered
to be below 120/80 millimeters of mercury (mmHg). In general, blood
pressure above 140/90 is considered to be high for adults, and
blood pressure under 90/60 is considered to be low for
adults.
What is prehypertension?
Prehypertension is a new category for individuals with systolic
pressures of 120 to 139 mmHg and/or diastolic pressures of 80 to 89
mmHg. Such individuals are typically not prescribed medication, but
they are advised to adopt lifestyle modifications to
help keep blood pressure from rising. Lifestyle modifications might
include weight loss, diet, exercise, reducing salt intake and
quitting smoking.
Can high blood pressure damage the body?
Untreated, high blood pressure will cause the heart to overwork
itself to the point where eventually serious damage can occur. For
example, the heart muscle can thicken and begin to function
abnormally, or dilate and contract less forcefully. High blood
pressure can cause injury to the brain, the eyes and/or the
kidneys.
Does taking birth control pills affect the risk of high
blood pressure?
Taking birth control pills does put you at increased risk for high
blood pressure, especially if you are over age 35. High blood
pressure is typically two to three times more common in women
taking birth control pills than those not taking them. The risk is
especially high in women who take the Pill and are overweight or
obese.
How many people have high blood pressure?
High blood pressure is a major health problem in the United States,
where more than 50 million people over age six (and one in four
adults) have the condition, according to the U.S. Centers for
Disease Control and Prevention.
Who is at risk for high blood pressure?
High blood pressure is not evenly distributed throughout the
population. Until age 55, it is more common among men than women.
At age 75 and beyond, it is much more common among women than men.
High blood pressure also occurs frequently in the black community.
Black women, especially, are prone to high blood pressure. They
have an 85 percent higher rate of medical care visits for high
blood pressure than white women.
Can I be at risk for high blood pressure if I haven't had a
heart attack or stroke?
High blood pressure is present in about half of people having
first-time heart attacks and two-thirds of those having first-time
strokes. Most cases of high blood pressure have no cure, but the
overwhelming majority can be managed and controlled with diet and
medication.
Is there any relationship between pregnancy and high blood
pressure?
During pregnancy, some women may develop high blood pressure even
if they have never had the condition before. This gestational
hypertension has been shown to increase the risk of high blood
pressure and stroke later on in life. Some women who already have
high blood pressure may see it worsen during pregnancy. Also,
preeclampsia, a condition related to high blood pressure and
the presence of protein in a pregnant woman's urine, is the second
leading cause of maternal death in the United States.
Can high blood pressure occur in children?
High blood pressure may occur in either adults or children. In
fact, high blood pressure in children appears to be increasing, and
an estimated 5 percent of children in the United States have it.
Unlike for adults, there is no exact range used to define high
blood pressure in children. Children's blood pressure readings are
measured according to their height, gender and age.
Is there any way I can check my blood pressure at
home?
Reliable blood pressure monitors are available for people who are
interested in monitoring their own blood pressure or that of their
family members. When purchasing, it is important to consult with a
doctor or a consumer product rating agency regarding their
reliability.
Is it possible for my blood pressure to go too
low?
Low blood pressure is defined as blood pressure that falls below
90/60. Low blood pressure that does not cause symptoms is generally
considered to be a sign of good cardiovascular health because there
is less stress on the heart and blood vessels.