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By WebMd
What is high blood pressure? What causes high blood pressure?
Blood pressure is the force of blood pushing against blood vessel walls. The
heart pumps blood into the arteries (blood vessels), which carry the blood
throughout the body. High blood pressure, also called hypertension, is
dangerous because it makes the heart work harder to pump blood to the body
and it contributes to hardening of the arteries or atherosclerosis and the
development of heart failure.
What Is "Normal" Blood Pressure?
There are several categories of blood pressure, including:
Normal: Less than 120/80
Prehypertension: 120-139/80-89
Stage 1 high blood pressure: 140-159/90-99
Stage 2 high blood pressure: 160 and above/100 and above
People whose blood pressure is above the normal range should consult their
doctor about methods for lowering it.
What Causes High Blood Pressure?
The exact causes of high blood pressure are not known. Several factors and
conditions may play a role in its development, including:
Smoking
Being overweight or obese
Lack of physical activity
Too much salt in the diet
Too much alcohol consumption (more than 1 to 2 drinks per day)
Stress
Older age
Genetics
Family history of high blood pressure
Chronic kidney disease
Adrenal and thyroid disorders
Essential Hypertension
In as many as 95% of reported high blood pressure cases in the United
States, the underlying cause cannot be determined. This type of high blood
pressure is called essential hypertension.
Though essential hypertension remains somewhat mysterious, it has been
linked to certain risk factors. High blood pressure tends to run in families
and is more likely to affect men than women. Age and race also play a role.
In the United States, blacks are twice as likely as whites to have high
blood pressure, although the gap begins to narrow around age 44. After age
65, black women have the highest incidence of high blood pressure.
Essential hypertension is also greatly influenced by diet and lifestyle. The
link between salt and high blood pressure is especially compelling. People
living on the northern islands of Japan eat more salt per capita than anyone
else in the world and have the highest incidence of essential hypertension.
By contrast, people who add no salt to their food show virtually no traces
of essential hypertension.
The majority of all people with high blood pressure are "salt sensitive,"
meaning that anything more than the minimal bodily need for salt is too much
for them and increases their blood pressure. Other factors that have been
associated with essential hypertension include obesity; diabetes; stress;
insufficient intake of potassium, calcium, and magnesium; lack of physical
activity; and chronic alcohol consumption.
Secondary Hypertension
When a direct cause for high blood pressure can be identified, the condition
is described as secondary hypertension. Among the known causes of secondary
hypertension, kidney disease ranks highest. Hypertension can also be
triggered by tumors or other abnormalities that cause the adrenal glands
(small glands that sit atop the kidneys) to secrete excess amounts of the
hormones that elevate blood pressure. Birth control pills -- specifically
those containing estrogen -- and pregnancy can boost blood pressure, as can
medications that constrict blood vessels.
Who Is More Likely to Develop High Blood Pressure?
People with family members who have high blood pressure.
People who smoke.
African-Americans.
Women who are pregnant.
Women who take birth control pills.
People over the age of 35.
People who are overweight or obese.
People who are not active.
People who drink alcohol excessively.
People who eat too many fatty foods or foods with too much salt.
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