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What Is High Blood Pressure?

Blood pressure is the force of blood against artery walls. It is measured in millimeters of mercury (mm Hg) and recorded as two numbers--systolic pressure (as the heart beats) over diastolic pressure (between heartbeats). Both numbers are important.

BLOOD PRESSURE CATEGORIES FOR ADULTS*
  Systolic**                     Diastolic**
Optimal <120 mm Hg and <80 mm Hg
Normal <130 mm Hg and <85 mm Hg
High-Normal     130–139 mm Hg or 85–89 mm Hg
High      
Stage 1     140–159 mm Hg or 90–99 mm Hg
Stage 2     160–179 mm Hg or 100–109 mm Hg
Stage 3     >=180 mm Hg or >=110 mm Hg


* Categories are for those age 18 and older and come from the National High Blood Pressure Education Program. The categories are for those not on a high blood pressure drug and who have no short-term serious illness.
** If your systolic and diastolic pressures fall into different categories, your overall status is the higher category.
< means less than, and >= means greater than or equal to

When blood pressure is too high, the heart is working harder than it should. Once developed, high blood pressure lasts a lifetime. It is a dangerous condition, which often has no warning signs or symptoms. If uncontrolled, it can lead to heart and kidney disease, and stroke.

High blood pressure affects about 50 million--or one in four--adult Americans. High blood pressure is especially common among African Americans, who tend to develop it earlier and more often than whites. Many Americans also tend to develop high blood pressure as they age. About half of all Americans age 60 and older have high blood pressure.

High blood pressure can be controlled by the following steps: lose weight, if overweight; become physically active; eat healthy, including choosing foods lower in salt and sodium; limit alcohol intake; and, if prescribed, take high blood pressure pills. All steps but the last also help prevent high blood pressure.

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