Hypertension is another name for high blood pressure. It can lead to severe health complications and increase the risk of heart disease, stroke, and sometimes death.
Blood pressure is the force that a person’s blood exerts against the walls of their blood vessels. This pressure depends on the resistance of the blood vessels and how hard the heart has to work.
Hypertension is a primary risk factor for cardiovascular disease, including stroke, heart attack, heart failure, and aneurysm. Managing blood pressure is vital for preserving health and reducing the risk of these dangerous conditions.
Read on to learn why blood pressure can increase, how to monitor it, and ways to keep it within a typical range.
Lifestyle adjustments are the standard, first-line treatment for hypertension. Some recommendations are as follows:
Regular physical exercise
Current guidelines recommend that all people, including those with hypertension, engage in at least
Alongside 150 minutes of exercise, most adults will benefit from engaging in strength training at least twice per week.
People should exercise at least 5 days every week.
Examples of suitable activities are:
Avoiding or learning to manage stress can help a person control blood pressure.
A few relaxation techniques that can help relieve stress are:
People should avoid consuming alcohol and recreational drugs to cope with stress, as these can contribute to elevated blood pressure and the complications of hypertension.
Smoking can also increase blood pressure. Avoiding or quitting smoking reduces the risk of hypertension, serious heart conditions, and other health issues.
People can use specific medications to treat hypertension. Doctors will often recommend a low dose at first. Antihypertensive medications will usually only have minor side effects.
Eventually, people with hypertension may need to combine
Medications for hypertension include:
- diuretics, including thiazides, chlorthalidone, and indapamide
- beta-blockers and alpha-blockers
- calcium-channel blockers
- central agonists
- peripheral adrenergic inhibitor
- angiotensin-converting enzyme (ACE) inhibitors
- angiotensin receptor blockers
The choice of medication depends on the individual and any underlying medical conditions they may experience.
Anyone taking antihypertensive medications should carefully read the labels of any over-the-counter (OTC) drugs they may also take, such as decongestants. These OTC drugs may interact with the medications they are taking to lower their blood pressure.
People can prevent high blood pressure by following a heart-healthy diet.
Reducing salt intake
High sodium consumption
The American Heart Association recommends that people without hypertension consume less than
Lowering salt intake
Moderating alcohol consumption
Moderate to excessive alcohol consumption can increase blood pressure.
The American Heart Association recommends a
The following would count as one drink:
- a 12-ounce (oz) bottle of beer
- 4 oz of wine
- 1.5 oz of 80-proof spirits
- 1 oz of 100-proof spirits
A healthcare professional can help people reduce consumption if they find it difficult to moderate their alcohol intake.
Eating more fruits and vegetables and less fat
People who have high blood pressure or people at high risk for developing high blood pressure should reduce their intake of saturated fats in favor of unsaturated forms.
- whole grain, high fiber foods
- a variety of fruits and vegetables
- pulses, such as chickpeas, beans, and lentils
- fish rich in omega-3 twice per week
- nontropical vegetable oils, such as olive oil
- skinless poultry and fish
- low fat dairy products
If a person has high blood pressure or wished to maintain moderate blood pressure, it is important to avoid trans fats, hydrogenated vegetable oils, animal fats, and processed fast foods when creating a diet plan.
However, omega-3 fatty acids, such as those in oily fish and olive oil, have protective effects on the heart. However, these are still fats. While they are typically healthful, people with a risk of hypertension should still include them in their total fat intake.
Managing body weight
A balanced diet with a calorie intake that matches the individual’s size, sex, and activity level will help.
The DASH diet
The U.S. National Heart, Lung, and Blood Institute (NHLBI)
DASH is a flexible and balanced eating plan with a firm grounding in research by the NHLBI, who says that the diet:
- lowers high blood pressure
- improves levels of fats in the bloodstream
- reduces the risk of cardiovascular disease
The NHLBI produces a cookbook called Keep the Beat Recipes that provides meal ideas to help reduce blood pressure.
Other dietary interventions may help reduce a person’s risk of hypertension. For example,
The cause of hypertension is often not known. In many cases, it is the result of an underlying condition.
High blood pressure that is not due to another condition or disease is known as primary or essential hypertension. If an underlying condition is a cause of increased blood pressure, doctors call this secondary hypertension.
Primary hypertension can result from multiple factors, including:
- having obesity
- insulin resistance
- high salt intake
- excessive alcohol intake
- having a sedentary lifestyle
Secondary hypertension has specific causes and is a complication of another health problem.
Chronic kidney disease (CKD) is a common cause of high blood pressure, as the kidneys no longer filter out fluid. This excess fluid leads to hypertension. Hypertension can also cause CKD.
Other conditions that can lead to hypertension include:
- diabetes, due to kidney problems and nerve damage
- pheochromocytoma, a rare cancer of an adrenal gland
- Cushing’s syndrome
- congenital adrenal hyperplasia, a disorder of the cortisol-secreting adrenal glands
- hyperthyroidism, or an overactive thyroid gland
- hyperparathyroidism, which affects calcium and phosphorous levels
- sleep apnea
A number of factors increase the risk of hypertension.
- Age: Hypertension is more common in people who are more than
65 years of age. Blood pressure can increase steadily with age as the arteries stiffen and narrow due to plaque buildup.
- Ethnicity: Some ethnic groups are more prone to hypertension than others. African Americans have a
higher riskthan other ethnic groups, for example.
- Weight: Having obesity is a primary risk factor for hypertension.
- Alcohol and tobacco use: Regularly consuming large quantities of alcohol or tobacco can increase blood pressure.
- Sex: According to a
2018 review, males have a higher risk of developing hypertension than females. However, this is only until after females reach menopause.
- Existing health conditions: Cardiovascular disease, diabetes, chronic kidney disease, and high cholesterol levels can lead to hypertension, especially as people age.
Below is a 3D model of hypertension, which is fully interactive.
Explore the model using a mouse pad or touchscreen to understand more about hypertension.
A person with hypertension
It is vital to check blood pressure regularly.
In rare and severe cases, high blood pressure can cause:
- sleeping problems
However, most people with hypertension will experience
Long-term hypertension can cause complications through atherosclerosis, where plaque develops on the walls of blood vessels, causing them to narrow.
This narrowing makes hypertension worse, as the heart must pump harder to circulate the blood.
Hypertension-related atherosclerosis can lead to:
- heart failure and heart attacks
- aneurysm, or an atypical bulge in the wall of an artery that can burst
- kidney failure
- hypertensive retinopathies in the eye, which can lead to blindness
Regular blood pressure monitoring can help people avoid these more severe complications.
A sphygmomanometer, or blood pressure monitor, can help people keep track of their blood pressure.
A doctor’s visit is not always necessary for blood pressure monitoring.
Having high blood pressure for a short time can be a normal response to many situations. Acute stress and intense exercise, for example, can briefly elevate blood pressure in an otherwise healthy person.
For this reason, a diagnosis of hypertension requires several readings that show sustained high blood pressure over time.
The International Society of Hypertension defines hypertension as blood pressure that is consistently higher than
The systolic reading of 130 mm Hg refers to the pressure as the heart pumps blood around the body. The diastolic reading of 80 mm Hg refers to the pressure as the heart relaxes and refills with blood.
The International Society of Hypertension 2020 guidelines define the following ranges of blood pressure:
|Systolic (mm Hg)||Diastolic (mm Hg)|
|Normal blood pressure||less than 130||less than 85|
|High-normal blood pressure||130–139||85–89|
|Grade 1 hypertension||140–159||90–99|
|Grade 2 hypertension||over 160||over 100|
If the reading indicates a hypertensive crisis, wait 2 or 3 minutes and then repeat the test.
If the reading is the same or higher, this indicates a medical emergency.
The person should seek immediate assistance at the nearest hospital.
A person has hypertension when their blood pressure is consistently high. The International Society of Hypertension defines grade 1 hypertension as a consistent reading of at least 140/90 mm Hg.
However, the American College of Cardiology and the American Heart Association recommend that people with hypertension maintain their blood pressure below
Hypertension can increase a person’s risk of developing a range of heart-related conditions, such as heart disease, heart attacks, and stroke.
Family history and lifestyle factors are often the cause of hypertension, while dietary and activity changes can help people maintain a healthy blood pressure level.
Doctors may also recommend a combination of medications in order to manage a person’s blood pressure level.