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Is High Normal Blood Pressure A Cause For Concern?

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Posted on Tue, 21 Jul 2015
Question: I have been monitoring my blood pressure for the past couple of weeks, in the morning and in the evening. It has been averaging around 133 over 91. Sometimes higher sometimes lower, but the bottom number is usually around the low 90s. I get real anxious about visiting the doctor. Is it bad where I should see a doctor to discuss it. I am overweight and I recently started working out and have begun to lose weight (15lbs) so far. Please advise. Thank you
doctor
Answered by Dr. Vivek Chail (23 minutes later)
Brief Answer:
You might be having high normal blood pressure

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. Blood pressure is the pressure exerted by the flowing blood on the walls of the vessels.

2. By definition, high blood pressure is a blood pressure over 140/ 90 mm Hg and this should be after 30 minutes of physical and mental rest. Recording blood pressure after doing physical work or having mental stress will show higher reading.

3. If your blood pressure is 133/ 91 then there is no serious concern. It can still be considered normal high or prehypertension. It is suggested that you please record the blood pressure for 3 subsequent days at the same time when you are relaxed and following at least 30 minutes rest. If the blood pressure recording is persistently above 140/ 90 mm Hg then it is to be considered mild hypertension.

4. A point to note is that the electronic blood pressure monitors might show an error of 5 percent. Therefore slight variation of 5 to 10 units is acceptable.

5. For being over weight, it is suggested that you consult a doctor and get your cholesterol tests done to know any risk of cardiovascular disease. The blood pressure is not a serious concern right now. However, if your blood pressure is persistently in the prehypertension range 120 to 139 mm Hg then it is suggested that you discuss it with your doctor. This is not a bad condition for the blood pressure but might help you better with understanding your condition and reducing health risk for development of high blood pressure. Even if the blood pressure is showing borderline values then it might be controlled with lifestyle and diet changes which you are doing right now.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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Is High Normal Blood Pressure A Cause For Concern?

Brief Answer: You might be having high normal blood pressure Detailed Answer: Hi XXXX, Thanks for writing in to us. I have read through your query in detail. Please find my observations below. 1. Blood pressure is the pressure exerted by the flowing blood on the walls of the vessels. 2. By definition, high blood pressure is a blood pressure over 140/ 90 mm Hg and this should be after 30 minutes of physical and mental rest. Recording blood pressure after doing physical work or having mental stress will show higher reading. 3. If your blood pressure is 133/ 91 then there is no serious concern. It can still be considered normal high or prehypertension. It is suggested that you please record the blood pressure for 3 subsequent days at the same time when you are relaxed and following at least 30 minutes rest. If the blood pressure recording is persistently above 140/ 90 mm Hg then it is to be considered mild hypertension. 4. A point to note is that the electronic blood pressure monitors might show an error of 5 percent. Therefore slight variation of 5 to 10 units is acceptable. 5. For being over weight, it is suggested that you consult a doctor and get your cholesterol tests done to know any risk of cardiovascular disease. The blood pressure is not a serious concern right now. However, if your blood pressure is persistently in the prehypertension range 120 to 139 mm Hg then it is suggested that you discuss it with your doctor. This is not a bad condition for the blood pressure but might help you better with understanding your condition and reducing health risk for development of high blood pressure. Even if the blood pressure is showing borderline values then it might be controlled with lifestyle and diet changes which you are doing right now. Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements. Hope your query is answered. Do write back if you have any doubts. Regards, Dr.Vivek