Blood pressure

Heart Problem

Blood pressure is the force of your blood pushing against the walls of your arteries as your heart pumps. It’s measured using two numbers:

  1. Systolic pressure (top number):
    The pressure when your heart beats (contracts).

    • Normal: less than 120 mmHg

  2. Diastolic pressure (bottom number):
    The pressure when your heart rests between beats.

    • Normal: less than 80 mmHg

So a normal blood pressure reading looks like “120/80 mmHg” (said “120 over 80”).


💓 Blood Pressure Categories (for adults)

Category Systolic (mmHg) Diastolic (mmHg)
Normal < 120 < 80
Elevated 120–129 < 80
High Blood Pressure (Stage 1) 130–139 80–89
High Blood Pressure (Stage 2) ≥ 140 ≥ 90
Hypertensive Crisis (Seek medical care) > 180 > 120

🩺 Why It Matters

  • High blood pressure (hypertension) strains the heart and arteries, increasing the risk of heart disease, stroke, kidney problems, and more.

  • Low blood pressure (hypotension) can cause dizziness, fainting, or even shock in severe cases.

  • 3. How Blood Pressure Is Controlled

    Your body constantly balances blood pressure using several systems:

    • Heart: Pumps faster or slower to adjust output.

    • Arteries: Can narrow (constrict) or widen (dilate) to change resistance.

    • Kidneys: Regulate blood volume by controlling salt and water balance.

    • Hormones: Such as adrenaline, renin, and aldosterone affect heart rate and vessel tension.


    🍎 4. What Affects Blood Pressure

    Increases (Hypertension risk):

    • High salt intake

    • Being overweight or obese

    • Lack of physical activity

    • Stress and anxiety

    • Smoking or alcohol use

    • Genetic factors or family history

    • Aging (arteries stiffen with age)

    • Medical conditions (diabetes, kidney disease, etc.)

    Decreases (Hypotension causes):

    • Dehydration

    • Blood loss

    • Certain medications (diuretics, beta-blockers)

    • Endocrine issues (low thyroid, adrenal insufficiency)

    • Heart problems (bradycardia, heart failure)


    🩺 5. How Blood Pressure Is Measured

    • Usually done with a sphygmomanometer (cuff and gauge) or an automatic monitor.

    • The cuff inflates to stop blood flow, then slowly releases pressure.

    • As blood starts to flow again, two key sounds (Korotkoff sounds) are detected:

      1. First sound → systolic pressure

      2. Disappearance of sound → diastolic pressure

    For best accuracy:

    • Rest for 5 minutes beforehand.

    • Sit with feet flat, back supported, and arm at heart level.

    • Avoid caffeine, smoking, or exercise 30 minutes before.

    • Take multiple readings at the same time each day.


    ⚠️ 6. Why It Matters

    High blood pressure (hypertension) can quietly damage your body for years before symptoms appear.
    Over time, it increases the risk of:

    • Heart attack

    • Stroke

    • Kidney disease

    • Vision loss

    • Aneurysm

    • Heart failure

    Low blood pressure can cause:

    • Dizziness

    • Fainting

    • Blurred vision

    • Weakness

    • In severe cases, shock


    💡 7. How to Maintain Healthy Blood Pressure

    • Eat a balanced diet (rich in fruits, vegetables, and whole grains).

    • Limit salt (under 2,300 mg sodium per day, ideally under 1,500).

    • Stay physically active — at least 150 minutes of moderate exercise weekly.

    • Maintain a healthy weight.

    • Manage stress with relaxation, sleep, and breathing techniques.

    • Avoid smoking and excessive alcohol.

    • Monitor your blood pressure regularly.

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