Hypertension is the clinical word for high blood pressure. Whichever term you use for it, the condition is more common than you think, and more dangerous than you may realize if left untreated.
Knowing what to do to keep hypertension away and how to manage the condition when it affects you or a loved one is key to staying healthy.
Who’s at Risk of High Blood Pressure?
If you haven't seen your doctor lately or you're not getting regular preventive care, you may not know you have hypertension, and you're not alone.
Nearly half of adults in the United States have high blood pressure. According to the National Institutes of Health, about one-third of those who have it don't know!
Hypertension often has no symptoms. That's why it's called "the silent killer." The only way to know if you're at risk is to have your blood pressure checked often, be aware of the risks and know what you can do to get and stay in a safe range.
What is Considered High Blood Pressure?
Blood pressure is the force of blood against your artery walls as it circulates through your body. Your blood pressure varies throughout the day, but it can cause health problems if it stays in a high range.
Normal blood pressure is less than 120/80 mm Hg, but those numbers have changed over the years. Your doctor may also have a different benchmark for you depending on your age, health and other factors. It's a good idea to ask your health care provider what your target is.
While anything over 120/80 mm Hg is considered high blood pressure, there are other measures you should be aware of:
- Stage 1 hypertension is 130 to 139/80 to 89.
- Stage 2 hypertension is 140/90 or higher.
- A reading of 180/120 or higher is called a “hypertensive crisis."
A hypertensive crisis is extremely dangerous and requires immediate medical attention.
How Do You Check Your Blood Pressure?
Your doctor will check your blood pressure and other vital signs at the beginning of your preventive care appointments. You'll typically have your blood pressure checked at other appointments including follow-ups, urgent care and even at the dentist.
Your doctor may prescribe a home blood pressure monitor if you have a health condition that requires more frequent monitoring. You can also do a self-check in some retail clinics.
Blood pressure readings measure two things:
- The force that pushes on your blood vessel walls as they bring blood and oxygen to your organs is called systolic pressure. If your blood pressure is120/80, 120 is systolic.
- The pressure in your blood vessels when your heart rests between beats is called diastolic pressure. Diastolic is 80 in a blood pressure reading of 120/80.
Your blood pressure can be considered high if either number is out of the normal range.
Are you at Risk?
If you don't have high blood pressure now, chances are you will at some point in your life.According to the Centers for Disease Control and Prevention, about nine out of 10 Americans will develop hypertension.
Hypertension raises the risk of stroke, heart attack, kidney disease, and other serious health issues. The higher your blood pressure, the higher your risk.
There are several conditions that raise the risk of hypertension, like diabetes, chronic kidney disease and thyroid issues. These four factors may also raise your blood pressure risk:
- age – According to the CDC, hypertension risk increases with age, from 22.4% for adults 18–39 to 54.5% for people 40–59. It goes to 74.5% for people 60 and older.
- gender – Men are more likely to have high blood pressure before age 55, while women are more likely after menopause.
- ethnicity – African Americans are at a higher risk for hypertension, and it's been shown to develop earlier than in other ethnicities.
- family history – Does high blood pressure run in your family? That could put you at higher risk, especially when combined with unhealthy lifestyle choices.
Then there are the risk factors you can control:
- your weight – Being overweight or obese makes you more likely to develop high blood pressure and puts more strain on the heart.Even a small weight loss can reduce your risk.
- your activity level – The American Heart Association recommends 150 minutes of moderate-intensity activity each week.
- your diet – Too much salt can cause you to retain fluid, which increases blood pressure. Limiting fat and cholesterol can also help you stay healthy.
- your stress level – When your stresslevel is high, it can cause a temporary increase in blood pressure.
- your drinking – Alcohol has been shown to raise the risk of hypertension, especiallyin men.
- your smoking – Using tobacco or vaping has a short-term effect on blood pressure, raising it immediately. Over time, this can cause damage to the blood vessel walls and increase hardening of the arteries.
- pregnancy – Sometimes pregnancy causes high blood pressure. Pregnancy-induced hypertension can potentially turn into preeclampsia, a dangerous condition that can be life threatening. If you're pregnant, your doctor will keep a close eye on your blood pressure, especially if you have other risk factors.
- medications– Some medicines may affect your blood pressure. Your doctor will keep track of any medications and suggest better options that don't impact blood pressure when necessary.
How is Hypertension Treated?
If your blood pressure is high, your doctor may prescribe medication. Be sure to follow your doctor's orders for monitoring and take any medicine as directed. If you have any side effects, don't stop taking it without checking with your doctor first.
Because there are no obvious signs of hypertension, you may need to check your blood pressure consistently after your diagnosis. Your doctor will likely set a limit for your blood pressure and let you know what to do if it rises above that level.

Resources for TRS-ActiveCare and TRS-Care Standard
Provider Finder®
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Wellness Coaching
Work one-on-one with a credentialed health expert for free to improve your blood pressure. The Wellness Coaching program is offered at no cost through your TRS health plan and includes nutritionists and fitness experts.
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Well onTarget®
Access Well onTarget®for self-management programs, tips and resources including videos, podcasts, 12-week programs and other tools. They're available anytime, day or night.
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The Fitness Program
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Find out Where to go for Care
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Personal Health Guides
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Resources for TRS-Care Medicare Advantage
SilverSneakers®
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