High blood pressure (hypertension) As blood is pumped by the heart around the body, the pressure with which it pushes against the walls of blood vessels changes. When the heart is squeezing blood into the arteries, the pressure is high. When the heart is relaxed, the pressure is lower. Your blood pressure is a measurement taken of the highest reading and the lowest reading. It is given as 2 figures: highest (systolic) over lowest (diastolic). ✓ ✓
Systolic: pressure in the artery as the heart contracts. This is represented by the top, higher number. Diastolic: pressure in the artery when the heart is relaxing and being filled with blood. This is represented by the bottom, lower number
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What is high blood pressure? Your blood pressure is high if the reading is higher than 140/90 mmHg, which is considered to put you at higher risk of having a heart attack or stroke (cardiovascular disease). That is, you have high blood pressure if the higher figure (systolic) is higher than 140, or the lower figure (diastolic) is higher than 90, or both. This is also known as hypertension. More than one third of Australians over the age of 18 have high blood pressure. If your blood pressure is below this figure, however, you are considered to have a reduced cardiovascular risk. There are lower blood pressure targets of below 130/80 mmHg for people with cardiovascular disease, diabetes, kidney disease and other associated clinical conditions.
What causes high blood pressure? For most people, the cause of high blood pressure is not known. However, it is clear that various conditions and behavior make high blood pressure more likely. These are known as risk factors, and include: o o o o o o o o o
Leading a sedentary lifestyle (with little or no exercise) Smoking Being overweight A diet with a high salt intake High blood cholesterol A family history of high blood pressure High alcohol consumption Diabetes High salt intake
In a few people, there is an identifiable cause, such as narrowing of the arteries of the kidney (renal stenosis) or some hormonal conditions. Uncontrolled high blood pressure is responsible for many cases of death and disability resulting from heart attack, stroke, and kidney failure.
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