High blood pressure often has no symptoms, which is why many people don’t know they have it until it’s measured. The good news is that it’s a condition you and your family doctor can track and manage together over time.
Why Blood Pressure Matters
Over time, uncontrolled high blood pressure puts extra strain on the heart and blood vessels and raises the risk of heart attack, stroke and kidney disease. Regular checks help catch changes early, when there are more options for getting your numbers where they need to be.
Understanding Your Numbers
A blood pressure reading has two numbers. The top number (systolic) measures pressure in your arteries when your heart beats. The bottom number (diastolic) measures pressure between beats. Under American Heart Association guidelines, a reading below 120/80 mm Hg is considered normal.
One high reading doesn’t always mean you have high blood pressure. Your provider looks at readings over time and may ask you to check your blood pressure at home between visits.
What Goes Into a Management Plan
- Regular blood pressure checks in the office and, if recommended, at home
- A review of any prescribed medications and how you’re tolerating them
- Nutrition and activity goals that fit your daily routine
- Lab work to check kidney function, cholesterol and blood sugar when appropriate
- Follow-up visits on a schedule that works for you
Because high blood pressure often appears alongside conditions like high cholesterol and type 2 diabetes, your family doctor can look at the full picture in one place.
Tips for Accurate Home Readings
- Sit quietly for five minutes before measuring, with your back supported and feet flat on the floor
- Rest your arm on a table at heart level and use a cuff that fits your upper arm
- Avoid caffeine, exercise and smoking for 30 minutes beforehand
- Take readings at the same times each day and keep a log
- Bring your monitor and your log to your next appointment
When to Call 911
If your blood pressure is 180/120 mm Hg or higher and you have symptoms such as chest pain, shortness of breath, back pain, numbness or weakness, vision changes or difficulty speaking, call 911.
Get Support at Right Care
Learn more about high blood pressure care and our chronic disease management services, or call 919-299-9975 to schedule a visit.
