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Why does it matter?
Because high
blood pressure can kill or injure. It leads
to heart attack, stroke, heart failure,
kidney damage, blindness and other medical
problems.
It's no mystery...
Blood pressure is the force of the blood
against artery walls when the heart beats
and rests. Taking blood pressure is simple
and quick. The cuff placed around your arm
records two measurements, such as 117/74 mm
Hg (millimetres of mercury). Systolic
pressure, the top number, is the higher
pressure. It’s measured when your heart
beats (contracts) and forces blood out to
the body. Diastolic pressure is the bottom
number. It's the minimum pressure. It occurs
when the heart relaxes between beats.
Blood pressure often rises when you're
nervous or excited, but it returns to normal
almost immediately when the stimulation is
over. Blood pressure that stays high is
abnormal. Because blood pressure can vary
over time, doctors usually take a series of
readings before starting treatment.
What your blood pressure level means...
Learn your blood pressure numbers. A reading
of less than 120/80 mm Hg is considered
normal.
If you have a reading of 120–139/80–89, a
doctor will begin non-drug treatment
(lifestyle modifications), such as asking
you to cut down on your salt intake, lose
weight and engage in regular physical
activity. If you have a reading of 140/90 or
higher, a doctor will probably begin drug
therapy, in addition to lifestyle
modifications. Remember, high blood pressure
can be controlled, and continued treatment
can help prevent strokes and heart attacks.
High blood pressure has no symptoms. But as
a woman, you should know when you may be
particularly at risk for this disease.
If you're taking the Pill...
Medical researchers have found that taking
birth control pills is linked with high
blood pressure in some women. It’s more
likely to occur if you're overweight, had
high blood pressure during pregnancy, or
have a predisposing condition, such as mild
kidney disease or a family history of high
blood pressure. The combination of birth
control pills and cigarette smoking may be
especially dangerous in some women. It’s
smart to ask your doctor to measure your
blood pressure before prescribing the Pill.
Then have your blood pressure checked every
six months or so.
If you're pregnant...
Physicians usually keep a close watch on
blood pressure during pregnancy, because
hypertension can develop rapidly in the last
three months. If untreated, it's dangerous
to mother and baby. This kind of
hypertension usually disappears after
delivery. If it doesn't, it should be
controlled with careful, long-term treatment
as with all other hypertension.
If you already have high blood pressure,
pregnancy could make it more severe. Careful
treatment helps ensure a normal pregnancy
and a normal baby.
If you're overweight...
Being overweight or gaining a lot of weight
increases your chance of developing high
blood pressure. This is one reason why it's
important to maintain normal weight
throughout your life.
After menopause...
As a woman grows older, her chance of having
high blood pressure becomes greater than a
man's. You may have had normal blood
pressure most of your life, but after
menopause your chance of getting high blood
pressure increases considerably.
If you're African American...
Nobody knows why, but studies show that
black women — even very young black women —
are much more susceptible to high blood
pressure than white women are. Not only is
the disease more common among black women,
but often it’s more serious.
If your family has a history of high blood
pressure...
If your parents and other close blood
relatives have had high blood pressure,
there's a good chance that you have it or
will develop it. And if you have it, it's
quite possible that your children also may
develop it. Like adults, children should
have regular blood pressure checks.
The cure for high blood pressure...
There’s no cure, at least not yet. But high
blood pressure is controllable. To control
your blood pressure, you need to participate
as part of a healthcare team. Your doctor,
nurse and other team members can't do it
alone — and neither can you. You all must
work together.
You may be advised to lose weight, use less
salt, be physically active and limit alcohol
intake. You also may have to take medication
every day, maybe for the rest of your life.
But think about what could happen with
untreated high blood pressure. Don't take
life-or-death chances with a disease you can
control.
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