High Blood Pressure and Heart Attack

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What is high blood pressure?
The heart pumps blood into the arteries (blood vessels), which carry the blood throughout the body. Blood pressure is the force or pressure of blood inside the arteries when the heart beats. High blood pressure, also called hypertension, means that the pressure in your arteries is above the normal range.

How is blood pressure measured?
Blood pressure is recorded as two measurements:

Systolic Blood PressureThe pressure in the arteries when the heart is beating and fills the arteries with blood. Systolic blood pressure is the top or first number of the blood pressure reading.
Diastolic Blood PressureThe pressure in the arteries when the heart is resting between beats. Systolic blood pressure is the top or first number of the blood pressure reading.

MeasurementTreatment
Normal Blood Pressure
For an adult, relaxed at rest
Less than 120/80 mmHgPractice healthy lifestyle
Pre-HypertensionSystolic pressure of 120-139 mmHg or Diastolic pressure of 80-89 mmHgModify lifestyle
close monitoring
High Blood Pressure -Stage 1Systolic pressure of 140-159 mmHg or Diastolic pressure of 90-99 mmHgModify lifestyle
Take medications
High Blood Pressure - Stage 2Systolic pressure of 160 mmHg or higher or Diastolic pressure of 100 mmHg or higherModify lifestyle
Take medications

What is a heart attack?
A heart attack is permanent damage to the heart muscle caused by loss of blood flow to the heart. A network of blood vessels, known as coronary arteries, surround the heart muscle and supply it with oxygen-rich blood. The heart needs this oxygen to function.

A heart attack occurs when a clot or spasm blocks an already narrowed coronary artery. Left without oxygen, the portion of the heart muscle served by the blocked artery is injured.

What is the link between high blood pressure and heart attack?
High blood pressure increases the risk of coronary artery disease (also called atherosclerosis).

Coronary artery disease is the buildup of plaque or fatty matter in the walls of the coronary arteries; this buildup leads to narrowing of the arteries over time. The narrowed artery limits or blocks the flow of blood to the heart muscle. The hardened surface of the artery can also encourage the formation of small blood clots.

People with high blood pressure are more likely to develop coronary artery disease because high blood pressure puts added force against the artery walls. Over time, this extra pressure can damage the arteries. These injured arteries are more likely to become narrowed and hardened by fatty deposits.

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Last Updated: 6/24/2009

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