Controlling your high blood pressure
Hypertension is another term used to describe high blood pressure. High blood pressure can lead to:
You are more likely to have high blood pressure as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up.
When is Your Blood Pressure a Concern?
If your blood pressure is high, you need to lower it and keep it under control. Your blood pressure reading has 2 numbers. One or both of these numbers can be too high.
The above blood pressure numbers are goals that most experts agree on for most people. For people age 60 years and above, some health care providers recommend a blood pressure goal of 150/90. Your provider will consider how these goals apply to you specifically.
Medicines for Blood Pressure
Many medicines can help you control your blood pressure. Your provider will:
Older adults tend to take more medicines and this puts them at greater risk for harmful side effects. One side effect of blood pressure medicine is an increased risk for falls. When treating older adults, blood pressure goals need to be balanced against medicine side effects.
Diet, Exercise, and Other Lifestyle Changes
In addition to taking medicine, you can do many things to help control your blood pressure. Some of these include:
Your provider can help you find programs for losing weight, stopping smoking, and exercising. You can also get a referral to a dietitian from your provider. The dietitian can help you plan a diet that is healthy for you.
Checking Your Blood Pressure
Your blood pressure can be measured at many places, including:
Your provider may ask you to keep track of your blood pressure at home. Make sure you get a good quality, well-fitting home device. It is best to have one with a cuff for your arm and a digital readout. Practice with your provider to make sure you are taking your blood pressure correctly.
It is normal for your blood pressure to be different at different times of the day.
It is most often higher when you are at work. It drops slightly when you are at home. It is most often lowest when you are sleeping.
It is normal for your blood pressure to increase suddenly when you wake up. For people with very high blood pressure, this is when they are most at risk for heart attack and stroke.
Your provider will give you a physical exam and check your blood pressure often. With your provider, establish a goal for your blood pressure.
If you monitor your blood pressure at home, keep a written record. Bring the results to your clinic visit.
When to Call the Doctor
Call your provider if your blood pressure goes well above your normal range.
Also call if you have any of the following symptoms:
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Review Date: 7/25/2018
Reviewed By: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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