Blood Pressure Issues: What Your Readings Mean

Blood pressure issues?

Hello doctor, my blood pressure started to rise to an average of 120-150 last year.
Is this a problem? In August of last year, I went for a cardiovascular check-up, and the report showed the following:
- Creatine Kinase: 158 (high)
- High-Sensitivity C-Reactive Protein: 0.01
- Homocysteine: 16.75
- Triglycerides: 112
- Total Cholesterol: 167
- High-Density Lipoprotein (HDL): 45
- Low-Density Lipoprotein (LDL): 103
- Cardiovascular Risk Factor: 3.71
- LDL/HDL Ratio: 2.21
- Fasting Blood Glucose: 84
At that time, my blood pressure was measured at 158.
Recently, my average reading has been around 130.
I have never experienced this before.
I have a blood pressure monitor at home, and I have been continuously measuring it, with averages fluctuating between 120-150.
I am unsure what might be causing this issue.
My height is 175 cm, and my weight is around 61 kg.

Niming, 20~29 year old female. Ask Date: 2016/02/12

Dr. He Dongjin reply Cardiology

Hello, based on the information you provided, it may be related to your anxiety and stress.
It is recommended to simply observe your condition, adopt a low-sodium diet, engage in more physical activity, and relax.
You have not reached true hypertension, so there is no need for medication.
Changhua Hospital cares about you.

Reply Date: 2016/02/12

More Info

Understanding blood pressure issues is crucial for maintaining cardiovascular health. Based on your description, it seems you have been experiencing elevated blood pressure readings, with averages ranging from 120 to 150 mmHg. This is a significant concern, especially considering that your previous readings were lower. Let's break down what these numbers mean and what you should consider moving forward.

Blood Pressure Readings Explained
Blood pressure is measured in millimeters of mercury (mmHg) and is expressed as two numbers: systolic (the top number) and diastolic (the bottom number). Systolic pressure measures the force of blood against the artery walls when the heart beats, while diastolic pressure measures that force when the heart is at rest between beats.
According to the American Heart Association (AHA), normal blood pressure is typically defined as anything below 120/80 mmHg. Elevated blood pressure is classified as systolic readings between 120-129 mmHg and diastolic readings below 80 mmHg. Hypertension stage 1 is defined as systolic readings between 130-139 mmHg or diastolic readings between 80-89 mmHg, while stage 2 hypertension is when systolic readings are 140 mmHg or higher or diastolic readings are 90 mmHg or higher.

Given your readings of 120-150 mmHg, it appears you may be experiencing stage 1 or stage 2 hypertension, which can increase your risk for cardiovascular diseases, including heart attack and stroke.

Risk Factors and Laboratory Findings
Your lab results indicate several important factors:
- High-sensitivity C-reactive protein (hs-CRP): A level of 0.01 is considered low, suggesting a lower risk of inflammation-related cardiovascular issues.

- Homocysteine: At 16.75, this is slightly elevated, as normal levels are typically below 15. High homocysteine levels can be a risk factor for cardiovascular diseases.

- Lipid Profile: Your total cholesterol (167 mg/dL) and LDL (103 mg/dL) are within acceptable ranges, but the ratio of LDL to HDL (2.21) indicates a potential risk factor for heart disease.

- Triglycerides: At 112 mg/dL, this is within the normal range.

- Blood Glucose: A fasting blood sugar of 84 mg/dL is normal.

Possible Causes of Elevated Blood Pressure
Several factors could contribute to your elevated blood pressure readings:
1. Lifestyle Factors: Diet, physical activity, and stress levels can significantly impact blood pressure. A diet high in sodium, low physical activity, and high stress can lead to increased blood pressure.

2. Weight: Your BMI appears to be within a healthy range, but maintaining a healthy weight is crucial for blood pressure management.

3. Genetics: A family history of hypertension can increase your risk.

4. Underlying Health Conditions: Conditions such as kidney disease, hormonal disorders, or sleep apnea can contribute to hypertension.

Recommendations
1. Monitor Your Blood Pressure: Continue to monitor your blood pressure regularly at home. Keep a log of your readings to discuss with your healthcare provider.

2. Lifestyle Modifications:
- Diet: Adopt a heart-healthy diet, such as the DASH (Dietary Approaches to Stop Hypertension) diet, which emphasizes fruits, vegetables, whole grains, and lean proteins while reducing sodium intake.

- Exercise: Aim for at least 150 minutes of moderate aerobic activity each week, such as brisk walking or cycling.

- Weight Management: Maintain a healthy weight through diet and exercise.

- Stress Management: Consider relaxation techniques such as yoga, meditation, or deep breathing exercises.

3. Consult Your Healthcare Provider: Given your elevated readings and lab results, it’s essential to discuss these findings with your healthcare provider. They may recommend further testing or medication to help manage your blood pressure.

Conclusion
Elevated blood pressure is a significant health concern that requires attention and management. By understanding your readings and the factors that influence them, you can take proactive steps to improve your cardiovascular health. Regular consultations with your healthcare provider will ensure that any potential issues are addressed promptly, allowing you to maintain a healthy lifestyle.

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