The only way to know whether you have high blood pressure is to have it measured.
Everyone should know their blood
pressure. We recommend that everyone over 40 gets their
blood pressure taken by a nurse or doctor as part of a health check
to assess their risk for getting heart and circulatory disease.
What is blood pressure?
Put simply, blood pressure is the pressure of blood in
your arteries - the tubes that carry your
blood from your heart to your brain and the rest of your body. You
need a certain amount of pressure to get the blood round your
body.
The pressure of the blood flowing through your arteries
changes at different times in the heartbeat cycle, as the heart.
The pressure in your arteries will be at its highest when your
heart is contracting and lowest as it relaxes before it
pumps again.
What do the numbers mean?
Every blood pressure reading consists of two numbers or levels. They are shown as one number on top of the other and measured in mmHg, which means millimetres of mercury. If your reading is 120/80mmHg, you might hear your doctor or nurse saying your blood pressure is "120 over 80''.
- The first (or top) number represents the highest level your blood pressure reaches when you heart contracts and pumps blood through your arteries - your systolic blood pressure. An example might be 130mmHg.
- The second (or bottom) number represents the lowest level your blood pressure reaches as your heart relaxes between beats - your diastolic blood pressure. An example might be 75mmHg.
You should have your blood pressure measured so that you know
what your target is. Unless your doctor tells you otherwise,
your blood pressure should be below 140/90mmHg.
If you have heart or circulatory disease,
including being told you have coronary disease, angina, heart attack or stroke, have diabetes or kidney
disease, then it is usually recommended that your blood
pressure should be below 130/80mmHg.
What is high blood pressure?
High blood pressure – or hypertension – means
that your blood pressure is constantly higher than the recommended
level. High blood pressure is not usually something that you
can feel or notice, but over time if it is not
treated, your heart may become enlarged making your heart
pump less effectively, which could lead to heart
failure.
Having high blood pressure increases your
chance of having a heart attackor
stroke.
There isn’t always an explanation for the cause of high blood pressure, but these can play a part:
- not doing enough physical activity
- being overweight or obese
- having too muchsalt in your diet
- regularly drinking too muchalcohol or
- having a family historyof high blood pressure.
Even if you don't have high blood pressure, making simple lifestyle changes may help prevent you having it in the future.
How does my GP know that I have high blood pressure?
What can I do to reduce my blood pressure?
If your doctor or nurse says you have high blood
pressure, he/she is likely to encourage you to make some lifestyle changes to help reduce it. This
may include increasing your physical activity, losing weight,
reducing the salt in your diet, cutting
down on alcohol and eating a balanced,
healthy diet.
If your blood pressure is very high or these lifestyle changes do not reduce it enough, your doctor is likely to prescribe you medication to control it and to reduce your risk of having a heart attack or stroke.
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