Treatment FAQ

how many high blood pressure readings before treatment

by Felton Watsica IV Published 3 years ago Updated 2 years ago
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A blood pressure measurement
blood pressure measurement
A blood pressure test measures the pressure in your arteries as your heart pumps. You might have a blood pressure test as a part of a routine doctor's appointment or as a screening for high blood pressure (hypertension). Some people use a blood pressure test at home to better track their heart health.
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higher than 180/120 mm Hg is an emergency situation that requires urgent medical care.
Jul 1, 2021

Medication

Oct 05, 2018 · Using blood pressure guidelines released last November, which set new hypertension thresholds, participants who consistently took two readings in the morning and two readings in the evening would only need two days of home measurements.

Nutrition

3 rows · May 18, 2021 · Some health care professionals diagnose patients with high blood pressure if their blood ...

What are the new guidelines for blood pressure?

Sep 27, 2021 · As many as 1 in 3 people who have a high blood pressure reading at the doctor’s office may have normal blood pressure readings outside of it. 1 What you ate, drank, or did before your reading. If you smoked, drank alcohol or caffeine, or exercised within 30 minutes of having your blood pressure measured, your reading might be higher. 2

How many blood pressure readings should you take per day?

The best way to diagnose high blood pressure (HBP or hypertension) is to have your blood pressure measured. How a blood pressure test works. A blood pressure reading is taken with a pressure cuff (sphygmomanometer). During the test, the cuff is placed around the upper arm before being manually or electronically inflated.

How high is too high for blood pressure?

If you're 60 or older, the American College of Physicians and the American Academy of Family Physicians recommend you start treatment if your top blood pressure number is …

How many blood pressure tests does it take to diagnose high blood pressure?

Can I Take Multiple Blood Pressure Readings In A Row? Many times the first blood pressure reading is higher than the subsequent readings 1. There are many reasons why this may happen which you can read about in my blog post, First Blood Pressure Reading Always High. It’s one of the reasons why measuring two to three times is ideal.

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At what point should high blood pressure be medicated?

140/90 or higher (stage 2 hypertension): You probably need medication. At this level, your doctor is likely to prescribe medicine now to get your blood pressure under control. At the same time, you'll also need to make lifestyle changes. If you ever have blood pressure that's 180/120 or above, it's an emergency.May 7, 2021

How many high readings do you need to diagnose hypertension?

A diagnosis of hypertension usually requires at least three elevated blood pressure readings taken at least one week apart.Mar 1, 2022

What blood pressure reading is considered dangerously high?

Sheps, M.D. A hypertensive crisis is a severe increase in blood pressure that can lead to a stroke. Extremely high blood pressure — a top number (systolic pressure) of 180 millimeters of mercury (mm Hg) or higher or a bottom number (diastolic pressure) of 120 mm Hg or higher — can damage blood vessels.

What should I do if my BP is 130 90?

avoid junk foods,packed foods,high salt intake,carbohydrates like rice etc,avoid oily foods... add proteins and fibre rich foods to your diet with green tea,green leafy vegetables, fruits...do regular exercise at least 2 hours a day... Consult nearest physician they will do the needful.Sep 26, 2016

What time of the day is blood pressure highest?

Usually, blood pressure starts to rise a few hours before you wake up. It continues to rise during the day, peaking in midday. Blood pressure normally drops in the late afternoon and evening. Blood pressure is normally lower at night while you're sleeping.

What are the 5 stages of hypertension?

Hypertension stagesNormal: systolic less than 120 mm Hg and diastolic less than 80 mm Hg.Elevated: systolic between 120-129 mm Hg and diastolic less than 80 mm Hg.Stage 1: systolic between 130-139 mm Hg or diastolic between 80-89 mm Hg.Stage 2: systolic at least 140 mm Hg or diastolic at least 90 mm Hg.Dec 20, 2019

What is stroke level blood pressure?

Blood pressure readings above 180/120 mmHg are considered stroke-level, dangerously high, and require immediate medical attention.

What is the fastest way to bring down high blood pressure?

AdvertisementLose extra pounds and watch your waistline. Blood pressure often increases as weight increases. ... Exercise regularly. ... Eat a healthy diet. ... Reduce sodium in your diet. ... Limit the amount of alcohol you drink. ... Quit smoking. ... Cut back on caffeine. ... Reduce your stress.More items...

What is hypertension stage1?

Stage 1 hypertension is a systolic pressure ranging from 130 to 139 mm Hg or a diastolic pressure ranging from 80 to 89 mm Hg. Stage 2 hypertension. More-severe hypertension, stage 2 hypertension is a systolic pressure of 140 mm Hg or higher or a diastolic pressure of 90 mm Hg or higher.Jul 1, 2021

When is the best time to take your blood pressure medicine day or night?

WEDNESDAY, Oct. 23, 2019 (HealthDay News) -- Taking blood pressure medications at bedtime rather than in the morning nearly halves the risk of dying from a heart attack, stroke or heart failure, a large, new study finds.Oct 22, 2019

What happens if I don't take my blood pressure medication for a few days?

You might face serious complications. If you don't take your blood pressure pills for your heart as prescribed, it could raise your chances of a heart attack, a stroke, kidney failure, or other complications. Even OTC drugs can be dangerous to skip.Aug 18, 2021

Do you have to take blood pressure medication forever?

You may need to take blood pressure medicine for the rest of your life. But your doctor might be able to reduce or stop your treatment if your blood pressure stays under control for several years. It's really important to take your medicine as directed. If you miss doses, it will not work as well.

Why do we monitor blood pressure at home?

Home blood pressure monitoring is a common approach after a patient has been screened at a clinic but before the person receives an official hypertension diagnosis. That's because measurements taken in a medical office can sometimes be misleadingly high. For some patients, nerves or stress related to being at the doctor's office can be enough ...

What is a routine visit to the doctor's office?

(cglade, iStockphoto) A routine visit to the doctor’s office typically results in a single blood pressure measurement. But for people on the verge of being diagnosed with high blood pressure, or hypertension, visits usually involve several additional checks at ...

Can blood pressure fluctuate?

Blood pressure can easily fluctuate depending on when and how it is measured, he said. "We take terrible measurements of blood pressure. But whether it's in the office or at home, it can be done well. You don't need to be a rocket scientist to do a good blood pressure," Whelton said.

Do you need to be a rocket scientist to measure blood pressure?

You don't need to be a rocket scientist to do a good blood pressure," Whelton said. Patients need a period of rest before the measurement and a proper cuff size, he said. They shouldn't talk and should sit in a chair with an upright back with feet on the floor. "Those are the key issues to avoiding predictable errors.".

What is high blood pressure?

High blood pressure, also called hypertension, is blood pressure that is higher than normal. Your blood pressure changes throughout the day based on your activities. Having blood pressure measures consistently above normal may result in a diagnosis of high blood pressure (or hypertension). The higher your blood pressure levels, ...

What is the blood pressure of the heart?

Blood pressure is the pressure of blood pushing against the walls of your arteries. Arteries carry blood from your heart to other parts of your body. Your blood pressure normally rises and falls throughout the day.

What is the difference between systolic and diastolic blood pressure?

The first number, called systolic blood pressure, measures the pressure in your arteries when your heart beats. The second number, called diastolic blood pressure, measures the pressure in your arteries when your heart rests between beats. If the measurement reads 120 systolic and 80 diastolic, you would say, “120 over 80,” or write, “120/80 mmHg.”.

How does high blood pressure affect the heart?

High blood pressure can damage your arteries by making them less elastic, which decreases the flow of blood and oxygen to your heart and leads to heart disease. In addition, decreased blood flow to the heart can cause:

Why is blood pressure important?

You can manage your blood pressure to lower your risk for serious health problems that may affect your heart, brain, kidneys, and eyes. You can manage your blood pressure to lower your risk for serious health problems that may affect your heart, brain, kidneys, and eyes.

Why is high blood pressure called the silent killer?

High blood pressure is called the “silent killer” because it usually has no warning signs or symptoms, and many people do not know they have it.

Why does high blood pressure happen during pregnancy?

It can happen because of unhealthy lifestyle choices, such as not getting enough regular physical activity. Certain health conditions, such as diabetes and having obesity, can also increase the risk for developing high blood pressure. High blood pressure can also happen during pregnancy.

How to check blood pressure at home?

Check your blood pressure at home 1 Select a monitor that goes around your upper arm. Wrist and finger monitors are not as precise. 2 Select an automated monitor, which has a cuff that inflates itself. 3 Look for a digital readout that is large and bright enough to see clearly. 4 Consider a monitor that also plugs into your smartphone to transfer the readings to an app, which then creates a graph of your progress. Some devices can send readings wirelessly to your phone.

How much does a blood pressure monitor cost?

Monitors can range from $40 to $100 on average, but your insurance may cover part or all of the cost. Measure your blood pressure a few times a week and see your doctor if you notice any significant changes. Here are some tips on how to choose and use a monitor. Select a monitor that goes around your upper arm.

Can you change your lifestyle with stage 1 hypertension?

For others with Stage 1 hypertension, lifestyle changes alone are recommended. "Overall, the new guidelines may help people get more involved with monitoring their blood pressure, which can hopefully prevent complications from hypertension," says Dr. Conlin.

How long before blood pressure is taken should you drink?

Use this checklist: Don’t eat or drink anything 30 minutes before you take your blood pressure. Empty your bladder before your reading.

What is it called when you have a high blood pressure reading?

Nervousness about having your blood pressure taken. This is called “white coat syndrome. ”. As many as 1 in 3 people who have a high blood pressure reading at the doctor’s office may have normal blood pressure readings outside of it. 1. What you ate, drank, or did before your reading.

How to make blood pressure go up?

How you are sitting. Crossing your legs and letting your arm droop at your side rather than rest on a table at chest height can make your blood pressure go up. 2. It’s important to get an accurate blood pressure reading so that you have a clearer picture of your risk for heart disease and stroke.

Why measure blood pressure?

Measure your blood pressure regularly to help your health care team diagnose any health problems early. You and your health care team can take steps to control your blood pressure if it is too high.

Can you talk while measuring blood pressure?

Make sure the blood pressure cuff is snug but not too tight. The cuff should be against your bare skin, not over clothing. Do not talk while your blood pressure is being measured. If you are keeping track of your blood pressure at home, use these additional tips.

Do you need a stethoscope for blood pressure?

If using a digital or automatic blood pressure cuff, the health care professional will not need to use a stethoscope. The gauge uses a unit of measurement called millimeters of mercury (mmHg) to measure the pressure in your blood vessels. If you have high blood pressure, talk to your health care team about steps to take to control your blood ...

How to diagnose high blood pressure?

The best way to diagnose high blood pressure (HBP or hypertension) is to have your blood pressure measured. A blood pressure reading is taken with a pressure cuff (sphygmomanometer). During the test, the cuff is placed around the upper arm before being manually or electronically inflated.

What does the bottom number mean on a blood pressure chart?

Diastolic blood pressure (the bottom number) — indicates how much pressure your blood is exerting against your artery walls while the heart is resting between beats. Learn more about what your blood pressure numbers mean.

What is the recommended blood pressure for a 60 year old?

If you're 60 or older, the American College of Physicians and the American Academy of Family Physicians recommend you start treatment if your top blood pressure number is 130 or higher .

What does the top number mean in blood pressure?

The top number tells you the pressure when your heart squeezes. The bottom number lets you know when your heart relaxes. Normal blood pressure is less than 120 and less than 80. If one or both of those numbers is higher, there's too much pressure in your arteries. It's like a tire pumped with too much air.

What is the stage 1 blood pressure?

130/80 to 139/89 (stage 1 hypertension): You might need medication. These numbers qualify as high blood pressure and you need to take action. But your doctor will probably suggest that you try out lifestyle changes first before adding drugs -- unless you have other health problems.

Why do people take medicine?

Some people choose to take medicine because they're concerned about the risk of heart attacks and stroke. Others don't like the idea of going on daily medication or worry about the side effects. Talk to your doctor about the pros and cons, and be open about how you feel. Keep Track of Your Blood Pressure.

Does high blood pressure cause heart attacks?

Do you also have other health conditions? High blood pressure raises your chances of getting a heart attack or stroke . If you have other medical problems -- like high cholesterol, diabetes, or heart disease -- your doctor will be quicker to recommend medication.

Is blood pressure 180/120 an emergency?

At the same time, you'll also need to make lifestyle changes. If you ever have blood pressure that's 180/120 or above, it's an emergency. You need medical help right away to get it under control. Other Questions to Ask.

How to lower blood pressure if you have high blood pressure?

Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol can lower your blood pressure by up to 11 mm Hg if you have high blood pressure. This eating plan is known as the Dietary Approaches to Stop Hypertension (DASH) diet.

Does weight increase blood pressure?

Blood pressure often increases as weight increases. Being overweight also can cause disrupted breathing while you sleep (sleep apnea), which further raises your blood pressure. Weight loss is one of the most effective lifestyle changes for controlling blood pressure.

Does smoking cigarettes raise blood pressure?

Each cigarette you smoke increases your blood pressure for many minutes after you finish. Stopping smoking helps your blood pressure return to normal. Quitting smoking can reduce your risk of heart disease and improve your overall health. People who quit smoking may live longer than people who never quit smoking.

Does coffee raise blood pressure?

The role caffeine plays in blood pressure is still debated. Caffeine can raise blood pressure up to 10 mm Hg in people who rarely consume it. But people who drink coffee regularly may experience little or no effect on their blood pressure.

How many blood pressure readings should I take in a row?

You can take multiple blood pressure readings in a row. The American Heart Association recommends taking 2-3 measurements about one minute apart. Two to three readings will minimize random errors and provide more accuracy for estimation of blood pressure. Keep reading, and I’ll explain to you in complete detail how to perform this sequence as ...

How to measure blood pressure?

Empty your bladder prior to measuring your blood pressure or make sure you’re not experiencing the urge to use the bathroom. Wear comfortable clothes including short sleeve shirts. Sit in an upright chair with your back resting against the chair. Keep your feet flat on the floor and don’t cross your legs.

Why is it important to monitor blood pressure?

Inaccurate measurements can play tricks on your mind and make it more difficult on your doctor’s diagnosis and treatment.

What is blood pressure explained?

Article Resources: Blood Pressure Explained follows strict guidelines to ensure our content is the highest journalistic standard. It's our mission to provide the reader with accurate, honest and unbiased guidance. Our content relies on medical associations, research institutions, government agencies and study resources. Learn more by reading our editorial policy.

How long should I sit in a chair during a reading?

During the one minute, don’t perform other activities to help pass the time. I know it can be time consuming to sit in a chair quietly for about 10 minutes in total time.

Does pressure fluctuate?

Your pressure will fluctuate throughout the day, and the readings are going to differ. It doesn’t make any sense and is counterproductive. Doing so can also play on your mind and cause undesired stress. Do yourself a favor and take it when you’re supposed to.

Should blood pressure be recorded?

All blood pressure readings should be recorded and shown to your physician. Blood pressure should be based on an average of readings from two or more occasions. Sometimes people don’t prepare properly for the first reading like skipping the five minutes of quiet time.

What Is High Blood Pressure?

High blood pressure (hypertension) develops when your heart has to pump blood through narrowed or blocked arteries with more force. As blood is pumped with more force, the pressure on the walls of your arteries increases, which can lead to serious damage throughout your body. 1

How Long Does It Take to Lower Blood Pressure?

If you have severe symptoms from high blood pressure, your doctor will probably have you admitted to the hospital, where you can receive medications that can lower your blood pressure almost immediately, but this isn't really a good long-term strategy.

Lower Your Levels Without Medication

While many people use medications to lower their blood pressure, lifestyle changes are usually recommended, too. Eating a healthy diet, maintaining your weight, and getting regular exercise are good ways to prevent high blood pressure and cardiovascular disease, but they can help treat these problems, too.

Diet

Dietary changes can have a big impact on your blood pressure. There are several types of diets that can help lower your blood pressure, including low-carbohydrate or Mediterranean diets. One of the most effective steps you can take to lower your blood pressure with diet is to start a low-sodium, heart-healthy diet. 3

When to Seek Professional Treatment

You should see your doctor regularly for health screenings as part of a good preventive care program. If you are doing this, your healthcare provider can see trends developing with your blood pressure and other health factors and give you advice on how to head off serious problems. 3

Ways to Manage Your Blood Pressure

If your blood pressure is rising gradually but not classified as hypertension yet, making lifestyle changes can help prevent this condition and protect your heart health.

Summary

Both prescription medications and lifestyle changes can help lower your blood pressure, but both can take weeks or months to fully take effect. There is no quick fix for high blood pressure, especially if you have other cardiovascular problems. Talk to your doctor early about your risks and make sure to get regular health screenings.

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Treatment

Clinical Trials

Lifestyle and Home Remedies

Alternative Medicine

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Simple lifestyle changes can regulate high blood pressure, but when blood pressure is very high or lifestyle measures fail, medications for life long will be recommended.
Medication

Beta blockers: Helps in reducing the heart rate thus decreasing the blood pressure.

Acebutolol . Atenolol . Betaxolol


Diuretics: Increases urination which in turn reduces the sodium and fluid content resulting in decreasing blood pressure.

Bumetanide . Chlorthalidone . Chlorothiazide


Angiotensin-converting enzyme (ACE) inhibitors: Widens the blood vessels thereby aiding in easy blood flow and reduce the blood pressure.

Captopril . Fosinopril . Lisinopril . Ramipril


Angiotensin II receptor blockers (ARBs): Helps relax the blood vessels to lower the pressure.

Losartan . Telmisartan


Calcium channel blockers: Reduces the amount of calcium entering heart muscles thereby reducing the heart rate and controlling blood pressure.

Amlodipine . Felodipine . Isradipine


Alpha blockers: The muscles of arteries and veins are relaxed thus reducing the blood pressure.

Doxazosin . Prazosin . Terazosin


Renin inhibitors: Inhibits the enzyme that favors the production of angiotensin (a peptide hormone, which aids in regulation of blood pressure) which constricts blood vessels.

Aliskiren

Nutrition

Foods to eat:

  • Eat more fruits, vegetables, and low-fat dairy foods
  • Cut back on foods that are High in saturated fat, cholesterol, and trans fats
  • Eat more whole-grain foods, fish, poultry, and nuts

Foods to avoid:

  • Frozen foods
  • Salty and sugary foods
  • Caffeine and alcohol
  • Red meats

Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Coping and Support

  • Changing your lifestyle can help control and manage high blood pressure. Your doctor may recommend that you make lifestyle changes including: 1. Eating a heart-healthy diet with less salt 2. Getting regular physical activity 3. Maintaining a healthy weight or losing weight if you're over…
See more on mayoclinic.org

Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Epidemiology

  • Lifestyle changes can help you control and prevent high blood pressure, even if you're taking blood pressure medication. Here's what you can do: 1. Eat healthy foods.Eat a heart-healthy diet. Try the Dietary Approaches to Stop Hypertension (DASH) diet, which emphasizes fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Get plenty of potassium, which ca…
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Quotes

  • Although diet and exercise are the most appropriate tactics to lower your blood pressure, some supplements also may help lower it. However, more research is needed to determine the potential benefits. These supplements include: 1. Fiber, such as blond psyllium and wheat bran 2. Minerals, such as magnesium, calcium and potassium 3. Folic acid 4. Supplements or products that incre…
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Variations

  • High blood pressure isn't a problem that you can treat and then ignore. It's a condition you need to manage for the rest of your life. To keep your blood pressure under control: 1. Take your medications properly.If side effects or costs pose problems, don't stop taking your medications. Ask your doctor about other options. 2. Schedule regular doctor visits.It takes a team effort to tr…
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Categories

  • If you think you may have high blood pressure, make an appointment with your doctor to have your blood pressure checked. No special preparations are necessary to have your blood pressure checked. You might want to wear a short-sleeved shirt to your appointment so that the blood pressure cuff can fit around your arm properly. Avoid eating, drinking caffeinated beverages an…
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Safety

Treatment

  • \"Blood pressure guidelines are not updated at regular intervals. Instead, they are changed when sufficient new evidence suggests the old ones weren't accurate or relevant anymore,\" says Dr. Paul Conlin, an endocrinologist with Harvard-affiliated VA Boston Healthcare System and Brigham and Women's Hospital. \"The goal now with the new guidelines is to help people address high bl…
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Issue

  • The new guidelines have other changes, too. First, they don't offer different recommendations for people younger or older than age 65. \"This is because the SPRINT study looked at all patients regardless of age, and didn't break down groups above or below a certain age,\" says Dr. Conlin.
See more on health.harvard.edu

Prevention

  • The guidelines also redefined the various categories of hypertension. It eliminated the category of prehypertension, which had been defined as systolic blood pressure of 120 to 139 mm Hg or diastolic pressure (the lower number in a reading) of 80 to 89 mm Hg. Instead, people with those readings are now categorized as having either elevated pressure (120 to 129 systolic and less th…
See more on health.harvard.edu

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