High Blood Pressure (cont.)
John P. Cunha, DO, FACOEP
John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
In this Article
- High blood pressure facts
- What is high blood pressure?
- How is the blood pressure measured?
- How is blood pressure defined?
- What are the signs and symptoms of high blood pressure?
- What are the different types of high blood pressure?
- Isolated systolic high blood pressure
- White coat high blood pressure
- Borderline high blood pressure
- What causes high blood pressure?
- The metabolic syndrome and obesity
- What are the causes of secondary high blood pressure?
- Renal (kidney) hypertension
- Adrenal gland tumors
- Coarctation of the aorta
- What is the treatment for high blood pressure?
- High Blood Pressure (Hypertension) - Slideshow
- Take the HBP Quiz
- Lowering Blood Pressure Exercise Tips - Slideshow
- Salt FAQs
- Find a local Internist in your town
What is high blood pressure?
High blood pressure (HBP) or hypertension means high pressure (tension) in the arteries. Arteries are vessels that carry blood from the pumping heart to all the tissues and organs of the body. High blood pressure does not mean excessive emotional tension, although emotional tension and stress can temporarily increase blood pressure. Normal blood pressure is below 120/80; blood pressure between 120/80 and 139/89 is called "pre-hypertension", and a blood pressure of 140/90 or above is considered high.
The top number, the systolic blood pressure, corresponds to the pressure in the arteries as the heart contracts and pumps blood forward into the arteries. The bottom number, the diastolic pressure, represents the pressure in the arteries as the heart relaxes after the contraction. The diastolic pressure reflects the lowest pressure to which the arteries are exposed.
An elevation of the systolic and/or diastolic blood pressure increases the risk of developing heart (cardiac) disease, kidney (renal) disease, hardening of the arteries (atherosclerosis or arteriosclerosis), eye damage, and stroke (brain damage). These complications of hypertension are often referred to as end-organ damage because damage to these organs is the end result of chronic (long duration) high blood pressure. For that reason, the diagnosis of high blood pressure is important so efforts can be made to normalize blood pressure and prevent complications.
It was previously thought that rises in diastolic blood pressure were a more important risk factor than systolic elevations, but it is now known that in people 50 years or older systolic hypertension represents a greater risk.
The American Heart Association estimates high blood pressure affects approximately one in three adults in the United States -- 73 million people. High blood pressure is also estimated to affect about two million American teens and children, and the Journal of the American Medical Association reports that many are underdiagnosed. Hypertension is clearly a major public health problem.
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