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A Guide To Managing Your High Blood Pressure



  • ”Blood pressure” refers to the pressure required in your body for your blood to be pushed from your heart and through your blood vessels.
  • High blood pressure puts you at greater risk for cardiovascular disease, including heart attack, stroke, and other health conditions.
  • There are many prescription medications that you can take to control your blood pressure.

Blood Pressure


Blood pressure is the force that pushed your blood against your blood vessel walls, allowing it to travel through your body. This pressure is generated by your heart and maintained by the strength of your blood vessel walls.


If your blood pressure gets too low, the blood will not circulate properly, and you may feel lightheaded and dizzy and even faint. High blood pressure does not usually have symptoms, but it will have long term negative effects on the health of your heart and overall health, which is why it is important to manage your blood pressure and keep it in normal range.


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Approximately 50% (116 million) of adults in the United States struggle with high blood pressure, causing critical health problems, including heart failure, heart attack, stroke, and kidney disease.


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Diagnosing High Blood Pressure


Regular high blood pressure is assessed as being less than 120/80 mmHg, but above 90/60 mmHg. While anything above 120/80 mmHg is considered elevated, high blood pressure will be diagnosed once your blood pressure reaches a level of anything greater than 130/80 mmHg. The severity of this high blood pressure is then based on your specific blood pressure readings anywhere form 130/80 mm Hg (stage 1) to 180/160 (stage 3 – anything this level or higher is considered a medical emergency and you should seek medical attention immediately).

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Understanding Blood Pressure Readings

Blood pressure readings consist of two numbers:

  • Systolic blood pressure: The first number in the reading indicates how much pressure is in the blood when the heart contracts (during a heartbeat.)

  • Diastolic blood pressure: This is the second number in a blood pressure reading that indicates the pressure of your blood when the heart relaxes (between heartbeats.)
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Treating High Blood Pressure


High blood pressure should be managed by with medication and lifestyle changes. Lifestyle changes can include increased exercise, eating a healthy balanced diet, decreasing sodium intake, and maintaining a healthy body weight. While these modifications can help prevent further exacerbation of your high blood pressure, but medication management is almost always required in addition in order to control your current high blood pressure back to a normal baseline.


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Medications for High Blood Pressure


There are five main types of blood pressure stabilizing medications, all of which can be explained more in depth below:

  • Angiotensin-converting enzyme Inhibitors (ACEIs)

    Angiotensin (an-gee-oh-ten-sin)-converting enzyme is part of the renin-angiotensin-aldosterone system (RAAS): a hormone system that controls blood pressure. ACE converts angiotensin I to angiotensin II, which causes blood vessels to constrict therefore increasing blood pressure. ACE inhibitor blocks angiotensin I from producing angiotensin II. When ACE inhibitors block the conversion of angiotensin I to II, resulting in vasodilation (widening of your blood vessels).

  • Calcium channel blockers (CCBs)

    Calcium channel blockers decrease the amount of calcium that enter the heart and blood vessel walls. This relaxes the blood vessels and makes it easier for the heart to pump resulting in decreased blood pressure.

  • Angiotensin Receptor Blockers (ARBs)

    ARBs reduce your blood pressure by preventing the action of angiotensin II. Angiotensin II is a hormone that make your blood vessels narrow/constrict. High blood pressure and inadequate kidney blood flow may result from this constriction. Angiotensin II can also cause salt and water retention in your body, which further increases your blood pressure.

  • Diuretics

    Diuretics (water pills) help the kidney to excrete more sodium into urine. They are used to treat high blood pressure, heart failure, edema, liver failure, kidney disorders and glaucoma.

    There are three major types of diuretics: loop, thiazide and potassium sparing diuretics.

  • Beta-blockers

    Your body uses adrenaline and noradrenaline to activate your “fight-or-flight” response, which is designed to keep you safe during threatening scenarios. You may experience rapid heartbeat, high blood pressure, excessive sweating, anxiety, and heart palpitations if your body produces high adrenaline levels.

    By hindering the release of these hormones, beta-blockers reduce the stress placed on your heart and the force of heart muscle contractions. As a result, the blood vessels in your heart, brain, and the rest of your body are relieved of that pressure.

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