High Blood Pressure : Hypertension and PrehypertensionBlood pressure is the force of the blood pushing against the walls of the arteries. Each time the heart beats, it pumps blood through the arteries. Your blood pressure is at its highest when the heart beats, forcing blood into the arteries. This is called systolic pressure. When the heart is at rest, between beats, your blood pressure falls. This is the diastolic pressure. Blood pressure is always given as two numbers, the systolic and diastolic pressures. Both are important. The systolic pressure is the first or top number, and the diastolic pressure is the second or bottom number (for example, 120/80). If your blood pressure is 120/80, you say that it is "120 over 80". The medical term for high blood pressure is hypertension. High blood pressure is dangerous because it makes the heart work too hard and contributes to atherosclerosis (hardening of the arteries). It increases the risk of heart disease and stroke, which are the first- and third-leading causes of death among Americans. It also increases the risk for dementia. High blood pressure also can result in other conditions, such as congestive heart failure, kidney disease, and blindness. A blood pressure level of 140/90 mmHg or higher is considered high. About two-thirds of people over age 65 have high blood pressure. If your blood pressure is between 120/80 mmHg and 139/89 mmHg, then you have a condition known as prehypertension. This means that you don't have high blood pressure now but are likely to develop it or at risk of developing it in the future. You should take steps to prevent the onset of high blood pressure by adopting a healthy lifestyle. Those who do not have high blood pressure at age 55 have a 90 percent chance of developing it during their lifetimes. So high blood pressure is a condition that most people have at some point in their lives. Both numbers in a blood pressure test are important, but for people who are 50 or older, systolic pressure gives the most accurate diagnosis of high blood pressure. Systolic pressure is the top number in a blood pressure reading. It is high if it is 140 mmHg or above.
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