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High blood pressure

What is blood pressure?

What causes high blood pressure?

How can I reduce my risk of high blood pressure?

The heart is one of the hardest-working organs in your body. Every heartbeat pumps blood through more than 96,000 km of blood vessels, delivering oxygen and essential nutrients to all your vital organs. That's an amazing feat for a little muscle no bigger than your fist.

When you have high blood pressure (known medically as hypertension), your heart has to work even harder than normal to circulate blood through your system. All that extra effort puts a strain on your heart muscle and damages organs and arteries. High blood pressure can double, or even triple, your risk of heart disease and stroke. It also increases your risk of kidney disease and eye damage. If you have high blood pressure, it's important to take steps to control it as soon as possible.

What is blood pressure?
The term "blood pressure" refers to the amount of pressure that blood exerts on the inner walls of your arteries as it circulates through your body.

Each time your heat beats, blood is forced into the arteries, causing your blood pressure to rise. As your heart relaxes between beats, your blood pressure naturally falls.

Your blood pressure level is determined by two measurements:

1. Systolic pressure - this represents your blood pressure when your heart is contracting or tightening during a heart beat

2. Diastolic pressure - this represents your blood pressure when your heart is relaxing between beats

A blood pressure reading will report both of these measurements. For example, a normal, resting blood pressure is less than 120/80. The systolic pressure is the higher number (120) and is always written first. The diastolic pressure is the lower number (80) and is always written second. The higher your blood pressure levels, the harder your heart is working. You are considered to have high blood pressure if your blood pressure readings are 140/90 or higher.

Your blood pressure can change often throughout the day. It is usually lower when you are at rest and higher when you are active. Even simple activities, such as lying down or standing up can change your blood pressure levels. Other factors, such as emotions, pregnancy, smoking, the general environment and medication can also affect your blood pressure.

Because your blood pressure changes so often, one above-normal test result does not mean that you have hypertension. Your doctor will take at least two more blood pressure readings before making a decision about your blood pressure levels.

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What causes high blood pressure?
In the majority of cases, the cause of high blood pressure is unknown. As you get older, your chances of developing hypertension increase, especially if other members of your family have it. Your lifestyle choices can also contribute to blood pressure problems. A list of the major risk factors for high blood pressure is provided in the sidebar on this page.

Hypertension is often called "the silent killer" because symptoms don't become evident until the condition is so advanced that it's causing organ damage.

The only way to find out if you have hypertension is to have your blood pressure measured. If you're over the age of 20, it's recommended that you have your blood pressure checked at least once every two years. If your blood pressure is higher than normal, your doctor may recommend more frequent testing.

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How can I reduce my risk of high blood pressure?
A healthy, active lifestyle is one of the best ways to prevent high blood pressure. By eating a nutritious, balanced diet, getting regular exercise and avoiding excessive stress, you can significantly reduce your risk of heart attack and stroke.

Here are some useful suggestions for keeping your blood pressure under control:

Control your weight - losing even a small amount of weight can lower your blood pressure. You'll find lots of helpful tools, guides and tips for healthier living in the Eat smart and Find your healthy weight sections.
Lower your stress levels - finding positive ways to cope with stress will help keep your blood pressure levels within normal ranges:
oRelaxing your body will often relax your mind - simple activities, such as deep breathing, relaxation techniques, meditation, stretching or walking will ease tension in your muscles and mind. The board also offers workshops on the Mind, body stress connection and An introduction to relaxation that you may find helpful.
oLearn more about improving your work-life balance by visiting the Your life section.
Discover active living - living an active life is one of the best things you can do for your health. Try to include 30 minutes of physical activity in every day. Find out more about being active . You'll be surprised how easy it is to make physical activity a regular part of your day.
Cut down on salt - too much sodium in your diet can increase your blood pressure. Sodium is found in salt and in many prepared foods. Visit Keep it to a minimum for more information about reducing salt in your diet.
Reduce the amount of alcohol you drink - drinking alcohol can increase your blood pressure. Alcohol is also high in calories, so drinking too much can make it difficult to keep your weight under control. To learn more about limiting your alcohol intake, visit Keep it to a minimum.
Stop smoking - if you smoke and have high blood pressure, you're at much greater risk of having a stroke. Stopping smoking will also help you get better results from your blood pressure treatment. If you don’t smoke, try to avoid secondhand smoke. Get practical advice on how to stop smoking.

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Risk factors for high blood pressure

Age – If you are over the age of 65
Genetics - If both your parents have high blood pressure, your risk of developing it increases to one in three
Ethnicity – Certain ethnic groups, such as Black Canadians, First Nations, Aboriginal Peoples, Inuit or South Asians are more at risk for high blood pressure
Obesity – Being overweight is a risk factor - especially if weight is stored around your abdomen. Your body shape can have a surprising affect on your health
Diabetes – diabetes increases your high blood pressure risk factors
Stress - high stress levels can increase blood pressure or contribute to unhealthy lifestyle choices that increase your risk
Drinking alcohol
Smoking
Hormones – some women develop high blood pressure during pregnancy or if they take oral contraceptives

Do you know the warning signs of heart attack and stroke?

You may help save a life if you recognize the signs and take action quickly.

Do the DASH!

Studies have shown that the DASH diet (short for Dietary Approaches to Stop Hypertension) can dramatically reduce blood pressure levels in as little as two weeks, if followed correctly.

The DASH diet is low in salt, fat and sugar and high in fruits, vegetables and low-fat dairy products. It is also rich in potassium, magnesium, calcium, protein and fibre.

If you have high blood pressure – or even if your blood pressure is normal - you should seriously consider "doing the DASH" to get the long-term benefits of this heart-healthy diet.

You can find more information about the DASH diet by visiting:

The Heart and Stroke Foundation website

The U.S. National Heart, Lung and Blood Institute website

Stress can be a serious threat to your health.

Recipes for your health

Looking for a new taste treat tonight? Try this delicious recipe for honey-glazed chicken. It's low in fat and sodium and high in flavour!

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