Hypertension — Systolic/Diastolic and Different Stages by Mitchel Weaver MD

Dr. Mitchel Weaver on Hypertension

Hypertension or blood pressure, is a chronic medical condition in which the blood pressure elevated in the arteries. It means the heart has to work hard to pump the blood through the system. The more blood your heart pumps and the narrower the arteries, the higher you have hypertension.

Usually you check your blood pressure via stethoscope. You check for your systolic pressure and your diastolic pressure. If these 2 pressures goes up beyond normal, you have hypertension. If it goes down beyond normal, you may have hypotension (low blood pressure).

Systolic Pressure

Diastolic Pressure

Stages of Hypertension

If your systolic reading is between 120–129 and diastolic is up to 80, you have elevated blood pressure. That requires you to take on heart-healthy habits. Technically this numbers are not considered high blood pressure, but this means you are already moved out of the normal range. And it may elevate to actual hypertension if you do not make necessary changes to yourself. Regular exercise, eating healthy foods, being pro-active will have a big chance to return you to the normal range of 120/80.

Stage 1 Hypertension

If your systolic reads between 130–139 and diastolic between 80–89 you now have high blood pressure stage 1. This requires you regular doctor visit and taking medicines daily to lower your blood pressure. If this goes unchecked, it will increase your risks of having heart disease and stroke.

Stage 2 Hypertension

In this stage, it indicates even more serious condition. If your systolic goes up to 140 and your diastolic is over 90, it requires more medical attention and regular checkup with your doctor. Usually your doctor will give you 1 or more medications to make your blood pressure under control.

Hypertensive Crisis

A blood pressure reading more than 180/120 (systolic/diastolic) indicates you have serious health problem. This requires urgent treatment as this will indicate that you will have a bigger chance of a stroke. Visual changes, shortness of breath, chest pain, blood in urine, dizziness and headache are the symptoms that accompanies with this stage.

Regular checkup with your doctor is required for you to avoid hypertension

Sometimes having high readings of your systolic and diastolic will occur temporarily and will go down to normal reading. This is normal if you have just recently go for a exercise (jogging or any activities that may cause your heart to beat fast). That is why doctors or nurses goes for a second reading to ensure if you are having high blood pressure and give you proper treatment or medications.

Either you have elevated, stage 1 or stage 2 hypertension, it requires you to have healthy habits to avoid hypertension. Regular exercise, mostly cardio, will maintain healthy blood pressure reading. Reducing caffeine intake. Maintaining healthy weight. And reducing alcohol intake and quit smoking will reduce your chance of having hypertension.

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