Blood pressure (high)

Introduction 

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High blood pressure has no symptoms, but if it's not treated it can damage the kidneys, heart and brain

The heart is a muscle that is designed to pump a constant supply of blood around the body.

The heart pumps blood that is low in oxygen towards the lungs, where it will receive more oxygen.

The heart also pumps oxygen-rich blood around the body so that oxygen can be used by the muscles and the cells in your body.

There are two measurements used to assess blood pressure:

  • Systolic pressure is the blood pressure that is exerted when the heart beats and forces blood around the body.
  • Diastolic pressure is the measure of blood pressure when the heart is resting between beats.

Blood pressure is defined as the amount of pressure exerted on the walls of the arteries as the blood moves through them. It is measured in millimetres of mercury (mmHg). Both the systolic and diastolic pressures are measured, and these figures are usually represented with the systolic pressure first, followed by the diastolic pressure.

So if your GP says that your blood pressure is '120 over 80', or 120/80mmHg, what they mean is that you have a systolic pressure of 120mmHg and a diastolic pressure of 80mmHg.

High blood pressure (hypertension)

High blood pressure (hypertension) is usually defined as having a sustained blood pressure of 140/90mmHg or above.

High blood pressure often causes no symptoms or immediate problems, but it is a major risk factor for developing a serious cardiovascular disease (conditions that can affect the circulation of blood around the body), such as a stroke or heart disease.

If you have high blood pressure, your heart has to work harder to pump blood around your body. Over time, this can weaken it. Also, the increased pressure can damage the walls of your arteries, which can result in a blockage or cause the artery to split (haemorrhage). Both of these situations can cause a stroke.

Who is affected by high blood pressure?

High blood pressure is common, with 40% of adults in England having the condition. The number of people who have high blood pressure increases with age. For reasons that are not entirely understood, people of Afro-Caribbean and South Asian (India, Pakistan and Bangladeshi) origins are more likely to develop high blood pressure than other ethnic groups.

In 95% of cases, there is no single identifiable reason for a raise in blood pressure. However, all available evidence shows that your lifestyle plays a significant role in regulating your blood pressure. Risk factors for high blood pressure include:

  • Age.
  • Excessive alcohol consumption.
  • Poor diet.
  • Lack of exercise.
  • Obesity.

High blood pressure can be treated or prevented by making changes to your lifestyle, such as exercising more regularly, eating a healthier diet and cutting back on your consumption of alcohol. Medicines are also available that can help lower your blood pressure.

Last reviewed: 22/02/2008

Next review due: 21/02/2010

What are these?

Limegrover said on 30 January 2010

I am 78 years old and in the last three years I have become type 2 diabetic (which I am controlling satisfactorily) and in addition I have raised blood pressure which averages around 145/60. I have been on several different types of medication over the last three years .which have made me feel pretty grotty at times but the worse aspect is that there has been no improvement in the readings at all. I now have patches of eczema on my lower legs and a lot of the time I itch all over. Applying a cream helps but where is it coming from?
Also I am in constant back pain and any undue exercise causes arthritic pains to knees, shoulders etc.
I am theorising that I may have acidic blood but I am not sure about this. In fact I am getting fed up with my preoccupation with health matters and find it rather depressing so I have sympathy with the contributor who is considering chucking it all in.
I realise that you may think that at my age I should expect this but the trouble is I do not feel my age and I am busy helping my daughter and children and I wish to continue doing this for many years longer.
Incidentally I have reduced progressively my medications and I am trying a programme by Christian Goodman. This does seem to help and I would recommend any fellow sufferer to consider this method which is broadly based on focussed meditation. Anything is better than conventional treatment I feel.
Incidentally my systolic pressure is still about the same despite the removal of the drugs.

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mikeiow said on 26 January 2010

I too am wondering about the worth of tablets. After a hideous reaction to a 'pril, I have been trying ARB's (Amias) for several months: now been on 32mg for 2 months and the BP remains a constant average of around 161/105.
The doctors next step will be to add in a CCB or diuretic (or eventually no doubt both), but I cannot see how taking these are having *any* impact on my body at all.

I think I need to drop off them and assess my lifestyle myself. Interesting to hear others with similar experiences !

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mandie1972 said on 02 January 2010

i have suffered high blood pressure average readings 185/125 for many years even though im on lots of different tablets ,18 mths ago aged 36 i had a heart attack ..... i still have high blood pressure,still on tablets 9 diff sorts now, that was up until christmas when i promptly told my gp that i had stopped taking all my tablets ,my blood pressure readings are no diff from when i was on the tablets so do they actually work ???? i think not for everybody .

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peachey380 said on 24 November 2009

Any body using a cuff blood pressure monitor at home?
I've been using one for a year now and get very different readings depending on a lot of factors.My best readings (122/73 and 110/83) I obtained when I took my blood pressure 10mins after running 6 miles and after drinking quite a lot after a party! My worst reading of 171/113 was taken sitting quietly at home.After taking many readings, the best I can say is that my average blood pressure is around 134/82 and I can infuence readings by around 10mm just by thinking of good or bad things in my life!

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LizbethG said on 02 November 2009

I have had similar problems with my pressure although not as high generally it is around 154/108 if I am ill with Fibromyalgia even when on tabs. I have had too much time off work and it is worrying me also so this does not help on my 5th type of tabs so far. There was a programme on ITV last week that was trialling a Proforma diet for blood pressure although not sure how to get on the diet I will be asking the doc today as it showed excellent results without tabs. Is it Fybromyalgia that causes the high blood pressure or is it coincidence?

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pat16 said on 19 October 2009

Just wondering if anybody else as trouble with blood pressure tablets. I have been on 8 different types but all have made me really ill. I also suffer from Fibromyalgia and have three worn discs in my back so already take over 20 tablets daily. The last time I tried a different blood pressure tablet it seemed to have less problems than the others so I managed to stick with it for 4 weeks only to find my blood pressure went up to the highest it is ever been 217/114. I am beginning to think I might as well just take my chances and at least have a little bit of quality with my life on the rare days when my fibromyalgia and back pain tablets seem to help. Any advise would be welcome.

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