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Let’s talk about Blood Pressure

How do you measure blood pressure and what can you do to help it?

A blood pressure test checks if your blood pressure is healthy, or if it’s high or low.

Blood pressure is the term used to describe the strength with which your blood pushes on the sides of your arteries as it’s pumped around your body.

When and where to get your blood pressure tested

You should have a blood pressure test if you’re worried about your blood pressure at any time.

If you’re over 40, you can have this test done as part of an NHS Health Check, which is offered to adults in England aged 40 to 74 every 5 years.

If you have been diagnosed with high or low blood pressure, or you have a high risk of developing either, you may need more frequent checks of your blood pressure.

You can get your blood pressure tested at a number of places, including:

  • most pharmacies
  • your local GP surgery
  • some workplaces

Your GP may suggest 24-hour or ambulatory blood pressure monitoring (ABPM) if they think you may have high blood pressure (hypertension).

Your GP can also prescribe medication if necessary, by reviewing your systolic and diastolic blood pressure levels to bring them back to a safe level.

How blood pressure is tested

Blood pressure machines vary, but they’re all a type of measuring device which often have an arm cuff attached to it.

The cuff is usually wrapped around your upper arm and filled with air until it feels tight. This can feel uncomfortable, but it only lasts a few seconds.

It’s important to relax and not talk during this time, because this is when your blood pressure is measured.

If a healthcare professional is doing this for you, they may also use a stethoscope to record your blood pressure.

An automatic device usually picks up the measurements from sensors in the arm cuff, which are sent to a digital display.

You should get the results straight away.

Blood pressure is measured using two numbers:

The first number, called systolic blood pressure. This is the measure of the pressure in your arteries when your heart beats.  The second number, called diastolic blood pressure which is the measure of the pressure in your arteries when your heart rests between beats.

If the measurement reads 120 systolic and 80 diastolic, you would say, “120 over 80,” or write, “120/80 mmHg.”

A normal blood pressure level is less than 120/80 mmHg. No matter your age, you can take steps each day to keep your blood pressure in a healthy range.

So, what’s abnormal blood pressure, what are the risks and when should you see a medical professional?

High blood pressure also called hypertension, is blood pressure that is higher than normal. Your blood pressure changes throughout the day based on your activities. Having blood pressure measures consistently above normal may result in a diagnosis of high blood pressure.

The higher your blood pressure levels, the more risk you have for other health problems, such as heart disease, heart attack, and stroke.

What are the signs and symptoms of high blood pressure?

High blood pressure usually has no warning signs or symptoms, and many people do not know they have it. Measuring your blood pressure is the only way to know whether you have high blood pressure.

What can I do to prevent high blood pressure?

Many people with high blood pressure can lower their blood pressure into a healthy range or keep their numbers in a healthy range by making lifestyle changes. Talk with your health care team about

  • Getting at least 150 minutes of physical activity each week (about 30 minutes a day, 5 days a week)
  • Not smoking
  • Eating a healthy diet, including limiting sodium (salt) and alcohol
  • Keeping a healthy weight
  • Managing stress

In addition to making positive lifestyle changes, some people with high blood pressure need to take medication to manage their blood pressure.

Talk with your health care team right away if you think you have high blood pressure or if you’ve been told you have high blood pressure and do not have it under control.

By taking action to lower your blood pressure, you can help protect yourself against heart disease and stroke, also sometimes called cardiovascular disease (CVD).

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