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What blood pressure is too high by age?

As a general guide: high blood pressure is considered to be from 140/90mmHg (or an average of 135/85mmHg at home) – or 150/90mmHg (or an average of 145/85mmHg at home) if you're over the age of 80.

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High blood pressure, or hypertension, rarely has noticeable symptoms. But if untreated, it increases your risk of serious problems such as heart attacks and strokes. Around a third of adults in the UK have high blood pressure, although many will not realise it. The only way to find out if your blood pressure is high is to have your blood pressure checked. What is high blood pressure? Blood pressure is recorded with 2 numbers. The systolic pressure (higher number) is the force at which your heart pumps blood around your body. The diastolic pressure (lower number) is the resistance to the blood flow in the blood vessels. They're both measured in millimetres of mercury (mmHg). As a general guide: high blood pressure is considered to be from 140/90mmHg (or an average of 135/85mmHg at home) – or 150/90mmHg (or an average of 145/85mmHg at home) if you're over the age of 80 ideal blood pressure is usually considered to be between 90/60mmHg and 120/80mmHg, while the target for over-80s is below 150/90mmHg (or 145/85mmHg at home) Blood pressure readings between 120/80mmHg and 140/90mmHg could mean you're at risk of developing high blood pressure if you do not take steps to keep your blood pressure under control. Everyone's blood pressure will be slightly different. What's considered low or high for you may be normal for someone else. Risks of high blood pressure If your blood pressure is too high, it puts extra strain on your blood vessels, heart and other organs, such as the brain, kidneys and eyes. Persistent high blood pressure can increase your risk of a number of serious and potentially life-threatening health conditions, such as: heart disease

heart attacks

strokes

heart failure

peripheral arterial disease

aortic aneurysms

kidney disease

vascular dementia If you have high blood pressure, reducing it even a small amount can help lower your risk of these health conditions. Check your blood pressure The only way of knowing whether you have high blood pressure is to have a blood pressure test. All adults over 40 are advised to have their blood pressure checked at least every 5 years. Getting this done is easy and could save your life. You can get your blood pressure tested at a number of places, including: at your GP surgery

at some pharmacies

as part of your NHS Health Check

in some workplaces You can also check your blood pressure yourself with a home blood pressure monitor. Find out more about getting a blood pressure test Things that can increase your risk of getting high blood pressure It's not always clear what causes high blood pressure, but there are things that can increase your risk. You might be more at risk if you: are overweight

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eat too much salt and do not eat enough fruit and vegetables

do not do enough exercise

drink too much alcohol or coffee (or other caffeine-based drinks)

smoke

do not get much sleep or have disturbed sleep

are over 65

have a relative with high blood pressure

are of black African or black Caribbean descent

live in a deprived area Making healthy lifestyle changes can sometimes help reduce your chances of getting high blood pressure and help lower your blood pressure if it's already high. Treatment for high blood pressure Doctors can help you keep your blood pressure to a safe level using: lifestyle changes medicines What works best is different for each person. Talk to your doctor to help you decide about treatment. This patient decision aid (PDF, 132kb) can also help you to understand your treatment options. Lifestyle changes to reduce blood pressure These lifestyle changes can help prevent and lower high blood pressure: reduce the amount of salt you eat and have a generally healthy diet

cut back on alcohol

lose weight if you're overweight

exercise regularly

cut down on caffeine

stop smoking Some people with high blood pressure may also need to take 1 or more medicines to stop their blood pressure getting too high. Medicines for high blood pressure If you're diagnosed with high blood pressure, your doctor may recommend taking 1 or more medicines to keep it under control. These come as tablets and usually need to be taken once a day. Common blood pressure medicines include: ACE inhibitors – such as enalapril, lisinopril, perindopril and ramipril angiotensin-2 receptor blockers (ARBs) – such as candesartan, irbesartan, losartan, valsartan and olmesartan calcium channel blockers – such as amlodipine, felodipine and nifedipine or diltiazem and verapamil

diuretics – such as indapamide and bendroflumethiazide

beta blockers – such as atenolol and bisoprolol

alpha blockers – such as doxazosin

other diuretics – such as amiloride and spironolactone The medicine recommended for you will depend on things like how high your blood pressure is, your age and your ethnicity.

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