High blood pressure often feels invisible — no symptoms until something serious happens. Yet uncontrolled hypertension raises the risk of heart attack, stroke, kidney damage, and more. Know the numbers and take simple, daily steps that actually make a difference.
Blood pressure is two numbers: systolic (top) and diastolic (bottom). Normal is under 120/80 mmHg. "Elevated" is 120–129/<80. Stage 1 hypertension is 130–139/80–89. Stage 2 is 140/90 or higher. A reading at or above 180/120 is a hypertensive crisis — seek emergency care if you have chest pain, severe headache, vision changes, or shortness of breath.
One high reading doesn’t tell the whole story. Your doctor may use multiple readings or 24-hour ambulatory monitoring to confirm a diagnosis and catch white-coat spikes.
Home monitoring helps you see real trends. Use a validated automatic cuff, sit quietly for 5 minutes, put the cuff on bare skin at heart level, and don't cross your legs. Take two readings one minute apart, morning and evening, for a week and log the results. Bring that log to appointments — it’s more useful than a single clinic reading.
Avoid caffeine, exercise, and smoking 30 minutes before measuring. Make sure the cuff fits — a wrong size gives wrong numbers.
Small changes add up. Cut back on salt (start by reducing processed foods), eat more vegetables and potassium-rich foods like bananas and leafy greens, and follow the DASH-style approach: more fruits, whole grains, lean protein, and less saturated fat. Aim for 30 minutes of moderate activity most days, lose excess weight, limit alcohol, and sleep well. These moves can lower blood pressure as much as a single medication for some people.
Medications are common and effective. Classes include thiazide diuretics, ACE inhibitors, ARBs, calcium channel blockers, and beta-blockers. Each works differently; your doctor will pick one based on your health, age, and other meds. Side effects happen — cough with some ACE inhibitors, or leg swelling with certain calcium blockers — so report problems instead of stopping the drug on your own.
Combine medication with lifestyle steps for the best results. If your blood pressure stays high despite treatment, your doctor might add a second drug or check for causes like sleep apnea, certain medications, or kidney problems.
When to call your doctor: readings consistently above your target, new symptoms (dizziness, fainting, chest discomfort), or side effects from meds. For very high numbers or severe symptoms, go to the emergency room.
Tracking blood pressure is simple and empowering. Start with a good home cuff, keep a short log, try one lifestyle change at a time, and stay in touch with your healthcare team. Small, steady steps keep your numbers down and your long-term health up.
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