High Blood Pressure - Treatment Overview

High Blood Pressure
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High Blood Pressure

Treatment Overview

Untreated high blood pressure can lead to fatal heart attacks or strokes. The higher your blood pressure, the greater your risk. Lowering blood pressure lowers the risk of damaging blood vessels and getting atherosclerosis.

High blood pressure usually can't be cured. But it can be controlled. The two types of treatment for high blood pressure are:

  • Lifestyle changes.
  • Daily medicines.

For most people, the goal of treatment is to get the blood pressure below 140/90. But a person's goal may be lower. Your doctor will give you a blood pressure goal that is based on your health. For example, your goal may be lower if you have other conditions such as diabetes, heart failure, coronary artery disease, or chronic kidney disease

Treating high blood pressure usually is a lifelong effort.

Treatment for high blood pressure

Blood pressure

Treatment

Blood pressure of 120–139 over 80–89 (prehypertension)

Lifestyle changes

High blood pressure of 140–159 over 90–99

Lifestyle changes, possibly medicines

High blood pressure of 160 over 100 or higher

Medicines plus lifestyle changes

High blood pressure plus organ damage or other risk factors for heart disease

Medicines plus serious lifestyle changes and treatment for the other health problems

Secondary high blood pressure

Medicines, treatment of the condition causing your high blood pressure, or both

Treating high blood pressure with lifestyle changes

Your doctor may suggest that you make one or more of the following changes:

  • Lose weight. If you're overweight, losing extra pounds may bring your blood pressure down.
  • Get more active. People who don't exercise are more likely to get high blood pressure.
  • Stop smoking. Nicotine temporarily increases blood pressure and heart rate with each use.
  • Cut back on drinking. Limit alcohol to 2 drinksClick here to see an illustration. a day for men, 1 drink a day for women.
  • Eat less salt. Eating less salt can help control high blood pressure in older people.
  • Follow the DASH diet. The DASH (Dietary Approaches to Stop Hypertension) eating plan can help you lower your blood pressure.

For tips on how to do these things, see the Living With High Blood Pressure section of this topic.

Photo of a woman

One Woman's Story:

Izzy, 60

"I could never have imagined I could get (my blood pressure) down so low by losing weight. I feel sure it was the WAY I lost weight, with DASH."—Izzy

Read more about Izzy and how she uses the DASH eating plan.

By: Healthwise Staff
Medical Review: E. Gregory Thompson, MD - Internal Medicine
Robert A. Kloner, MD, PhD - Cardiology
Last Revised: August 19, 2011

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This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.
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Blood Pressure

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