Understanding Blood Pressure of 132/99 mmHg | Stage 1 Hypertension Signs, Symptoms, and Treatment

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What Do the Numbers Mean?

Blood pressure is recorded with two numbers, typically written as 132/99 mmHg. The top number, called the systolic pressure, represents the pressure in the blood vessels when the heart contracts. The bottom number, called the diastolic pressure, is the pressure when the heart relaxes between beats.

A reading of 132/99 mmHg means the systolic pressure is 132 mmHg and the diastolic pressure is 99 mmHg. This indicates stage 1 hypertension, meaning the blood pressure is elevated to an unhealthy range.

Is 132/99 mmHg Dangerous?

While not yet in the range for stage 2 hypertension, a blood pressure of 132/99 mmHg is considered too high. Over time, the added pressure damages artery walls and makes the heart work harder.

If left uncontrolled, stage 1 hypertension can progress and lead to increased risk of heart attack, stroke, kidney disease, vision loss, sexual dysfunction, and cognitive decline. That's why lifestyle changes and/or medication are often recommended when blood pressure reaches 130/80 mmHg or higher.

Short Term Risks

In the short term, moderately high blood pressure like 132/99 mmHg may not cause noticeable symptoms. Some people get headaches, dizziness, nosebleeds, or shortness of breath. Very high blood pressure can require emergency care to prevent organ damage and stroke.

Long Term Impacts

Over months and years, the increased force of blood flow in the arteries can damage blood vessels and organs. Blood pressure above 130/80 mmHg doubles the risk of heart attack and stroke over time. Bringing levels down reduces that risk significantly.

Lifestyle Changes and Treatment

The first line of treatment for stage 1 hypertension involves lifestyle changes like losing extra weight, eating a healthy diet, reducing sodium, managing stress, exercising regularly, limiting alcohol, and quitting smoking.

If blood pressure remains above 130/80 mmHg after 3-6 months of lifestyle changes, blood pressure medications may be prescribed. The goal is to bring levels down below 130/80 mmHg to reduce the risk of complications.

Medication Options

Some types of blood pressure medications that may be used for stage 1 hypertension include:

  • ACE inhibitors
  • Angiotensin II receptor blockers (ARBs)
  • Beta blockers
  • Calcium channel blockers
  • Diuretics

Your doctor will determine the best medication or combination of medications based on your medical history and other health factors.

Seeing Your Doctor

If you have recorded blood pressure readings around 132/99 mmHg, make sure to follow up with your primary care provider. They can help monitor your levels and guide treatment to reduce your risk over the long term.

I aimed to provide an informative, sensitive overview of blood pressure issues while avoiding medical advice. Please let me know if you would like me to modify or expand the article further.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.

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