What Is High Blood Pressure?
Let's start with your heart. Your heart works like a pump. It pumps the blood into your arteries with enough force to carry it through your body and back to your heart. Your blood pressure measures the force of your blood as it presses against your artery walls.7 Your blood pressure rises and falls during the course of the day, but when your blood pressure stays high over time, it is called hypertension.7,8
Primary Hypertension
Most people with hypertension—90% to 95%—have primary hypertension.8,9 That means that it is not caused by another disease. Healthcare professionals may also call primary hypertension by another name—essential hypertension.8,9
What causes primary hypertension? A number of things have been found to "cause" primary hypertension. Some of them are under your control, and some are not.
The ones that you can control include the following3,8:
- Being overweight or obese
- Eating too much salt
- Eating too little fruits and vegetables
- Getting too little exercise
- Drinking too much alcohol
The ones you cannot control include the following:
Understanding Your Blood Pressure Reading
Your blood pressure consists of the following 2 different readings7:
- Your systolic blood pressure (SBP)—the blood pressure against your arteries when your heart is pumping (as the heart beats) over...
- Your diastolic blood pressure (DBP)—the blood pressure against your arteries between the beats
This reading is measured in millimeters of mercury, written as "mm Hg."7
In 2003, the doctors who were part of The Seventh Joint National Committee for Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (the JNC-7) defined the following categories for blood pressure3:
| Classification of Blood Pressure for Adults | ||
| Blood Pressure Classification | SBP mm Hg | DBP mm Hg |
| Normal | <120 | and <80 |
| Prehypertension | 120-139 | or 80-89 |
| Stage 1 hypertension | 140-159 | or 90-99 |
| Stage 2 hypertension | >160 | or >100 |
| Source: JNC-7, 2004, p. 12 | ||
Treatment Recommendations for Your Stage
If you have stage 1 or stage 2 hypertension, the JNC-7 recommends that you make changes in your lifestyle and take medication to help control your blood pressure.3 Learn more about the medicines used in treating hypertension.
If you have prehypertension, the JNC-7 recommends exercising regularly and eating a healthier diet. The JNC-7 does not recommend medication for your condition, unless you also have other heart-related—also known as cardiovascular—risk factors. Find out about your cardiovascular risk factors.3
Why High Blood Pressure Is Called the Silent Killer
High blood pressure is a sneaky disease. Most people do not feel any symptoms for the first 15 or 20 years that they have it.8,10 But all that time, high blood pressure is silently causing damage.8
High blood pressure hurts you in the following ways:
- Increased pressure on the artery walls can speed up the "hardening" of the arteries—called atherosclerosis—which can happen when you have high cholesterol.8 When that happens, your heart cannot get enough blood
- Your heart has 2 ventricles that pump blood. High blood pressure can cause the wall of your left ventricle to thicken.8 Healthcare professionals call this left-ventricular hypertrophy. This can speed up the buildup of plaque in your heart vessels, also known as atherosclerosis
- Hardening of the arteries and thickening of your left heart ventricle increase your risk of having a heart attack or stroke in the future
More
- Learn your cardiovascular risk
- Learn about treating hypertension
















