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Wednesday, May 14, 2008
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Section 2 Facts About High Blood Pressure
How Is Blood Pressure Checked?

Having your blood pressure checked is quick, easy, and painless. Your blood pressure is measured with an instrument called a sphygmomanometer (sfig’-mo-ma-nom-e-ter).

It works like this: A blood pressure cuff is wrapped around your upper arm and inflated to stop the blood flow in your artery for a few seconds. A valve is opened and air is then released from the cuff and the sounds of your blood rushing through the artery are heard through a stethoscope. The first sound heard and registered on the gauge or mercury column is the systolic blood pressure. It represents the maximum pressure in the artery produced as the heart contracts and the blood begins to flow. The last sound heard as more air is released from the cuff is the diastolic blood pressure. It represents the lowest pressure that remains within the artery when the heart is at rest.

What Do the Numbers Mean?

Blood pressure is always expressed in two numbers that represent the systolic and diastolic pressures. These numbers are measurements of millimeters (mm) of mercury (Hg). The measurement is written one above or before the other, with the systolic number on the top and the diastolic number on the bottom. For example, a blood pressure measurement of 120/80 mm Hg is expressed verbally as "120 over 80." See the box below which show categories for blood pressure levels in adults.

If your blood pressure is less than 140/90 mm Hg it is considered normal. However, a blood pressure below 120/80 mm Hg is even better for your heart and blood vessels. People use to think that low blood pressure (for example, 105/65 mm Hg in an adult) was unhealthy. Except for rare cases, this is not true. High blood pressure or "hypertension" is classified by stages and is more serious as the numbers get higher.

Categories For Blood Pressure Levels in Adults*

(Age 18 Years and Older)

Blood Pressure Level (mm Hg)
Category Systolic Diastolic
Normal <130 <85
High Normal

130-139

85-89

High Blood Pressure    
Stage 1 140-159 90-99
Stage 2 160-179 100-109
Stage 3 180-209 110-119
Stage 4 >=210 >=120

*For those not taking medicine for high blood pressure and not having a short term serious illness.These categories are from the National High Blood Pressure Education Program.(<=less than>= greater than or equal to)

What Causes High Blood Pressure?

For most people, there is no single known cause of high blood pressure. This type of high blood pressure is called "primary" or "essential" hypertension. This type of blood pressure can’t be cured, although in most cases it can be controlled. That’s why it’s so important for everyone to take steps to reduce their chances of developing high blood pressure.

In a few people, high blood pressure can be traced to known cause like tumors of the adrenal gland, chronic kidney disease, hormone abnormalities, use of birth control pills, or pregnancy. This is called " secondary hypertension." Secondary hypertension is usually cured if its cause passes or is corrected.

 

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