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Blood Pressure


Blood Pressure

Blood pressure is the force exerted by the blood against the walls of the vessels. Blood pressure is determined by the heart’s output and resistance to blood flow in the vessels. If either of these factors changes and there are no compensating changes, blood pressure will change.Blood pressure is a good measure of the health of a person's heart and blood vessels. Higher than normal blood pressure is called hypertension.

About Blood Pressure

What is Normal Blood Pressure?

The optimal blood pressure reading for an adult is <120 (Systolic) and <80 (Diastolic). The normal blood pressure range for an adult is <130 (Systolic) and <85 (Diastolic). High normal is 130-139 (Systolic) and 85-89 (Diastolic).Hypertension is classified in stages. Stage 1 is mild with Systolic reading between 140-159 and Diastolic readings between 90-99. Stage 2 is moderate with Systolic readings between 160-179 and Diastolic readings between 100-109. Stage 3 is severe with Systolic readings ¬greater than 180 and Diastolic readings greater than 110.

Low blood pressure is called hypotension. Because of individual variations in normal pressure levels, however, what would be a low pressure for one person might be normal for someone else. For this reason, hypotension is best evaluated in terms of how well the body tissues are being supplied by blood. A person whose systematic blood pressure drops to below his or her normal range may experience fainting episodes because of inadequate blood flow to the brain. The sudden lowering of blood pressure to below a person’s normal level is one sign of shock; it may also occur in certain chronic diseases and in heart block.

Blood pressure that is higher than normal is called hypertension. Hypertension normally occurs temporarily as a result of excitement or exertion. However, it may persist in a number of conditions, including the following:

*Kidney disease and uremia
*Endocrine disorders, such as hyperthyroidism and acromegaly
*Arterial disease, including hardening of the arteries, which reduces vascular elasticity
*Tumors of the adrenal medulla with the release of excess epinephrine

Hypertension that has no apparent medical cause is called essential hypertension. Excess of an enzyme called rennin, produced in the kidney, appears to play a role in the severity of hypertension. Renin raises blood pressure by causing blood vessels to constrict and by promoting the kidney’s retention of sale and water.

Even though there is much individual variation in blood pressure, physicians have established guidelines for the diagnosis and treatment of hypertension. The first stage of hypertension begins are 140/90 mm Hg. Treatment at this point should be based on diet, exercise, and weight loss, if necessary. Drug therapy should be added to this regime for people with pressure readings above 159/99 mm Hg. It's important to get regular blood pressure readings. Taking blood pressure is usually the first step in any medical assessment.

Drugs used to treat hypertension include the following:

*Diuretics (which promote water loss)
*Drugs that limit production of rennin
*Drugs that relax blood vessels

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