Ask a doctor: What do blood pressure numbers mean?

Medical doctor  with a stethoscope around his neck  holding
Medical doctor with a stethoscope around his neck holding

Q: What do the numbers in a blood pressure reading mean?

A: Blood pressure numbers of less than 120/80 are considered to be in the normal range and usually can be maintained with heart-healthy habits, proper diet and exercise. Those experiencing elevated blood pressure are at risk for developing chronic high blood pressure and the probability of adding medications to their daily routine to control the condition.

But what do the numbers mean and which is more important? The systolic blood pressure is the first number that indicates the amount of pressure on the artery walls with every heartbeat. The diastolic blood pressure number reflects the pressure on the artery walls when your heart is resting between beats.

An elevated systolic number creates an increased chance for cardiovascular disease in those over the age of 50. Most people see an increase in their systolic number with age as plaque buildup increases in the arteries. When either number is elevated or out of range, you can be considered a patient with high blood pressure.

There are multiple risk factors that can be controlled to avoid high blood pressure: quit smoking, control your diabetes, maintain a healthy weight, lower your cholesterol, eliminate unhealthy foods and be more active. There are some factors that cannot be controlled, such as family history, ethnicity, age, patients with chronic kidney disease and sleep apnea. However, with a reduction in the controllable risk factors, great strides can be made to maintain normal blood pressure and improve your life.

- Dr. Chris LeSar is a board-certified vascular surgeon with Vascular Institute of Chattanooga and a member of the Chattanooga-Hamilton County Medical Society.

photo Dr. Chris LeSar

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