Print-Friendly
Bookmarks
bookmarks-menu

High blood pressure - what to ask your doctor

What to ask your doctor about high blood pressure; Hypertension - what to ask your doctor

 

When your heart pumps blood into your arteries, the pressure of the blood against the artery walls is called your blood pressure. Your blood pressure is given as two numbers: systolic over diastolic blood pressure. Your systolic blood pressure is the highest blood pressure during the course of your heart beat cycle. Your diastolic blood pressure is the lowest pressure.

When your blood pressure gets too high, it puts extra stress on your heart and blood vessels. If your blood pressure stays high all the time, you will be at a higher risk for heart attacks and other vascular (blood vessel diseases), strokes, kidney disease, and other health problems.

Below are questions you may want to ask your health care provider to help you take care of your blood pressure.

Questions

 

How can I change the way I live to lower my blood pressure?

  • What is a heart-healthy diet? Is it OK to ever eat something that is not heart healthy? What are some ways to eat healthy when I go to a restaurant?
  • Do I need to limit how much salt I use? Are there other spices that I can use to make my food taste good?
  • Is it OK to drink alcohol? How much is ok?
  • What can I do to stop smoking? Is it ok to be around other people who are smoking?

Should I check my blood pressure at home?

  • What type of equipment should I buy? Where can I learn how to use it?
  • How often do I need to check my blood pressure? Should I write it down and bring it to my next visit?
  • If I cannot check my own blood pressure, where else can I have it checked?
  • What should my blood pressure reading be? Should I rest before taking my blood pressure?
  • When should I call my provider?

What is my cholesterol? Do I need to take medicines for it?

Is it OK to be sexually active? Is it safe to use sildenafil (Viagra), vardenafil (Levitra), or tadalafil (Cialis), or avanafil (Stendra) for erection problems?

What medicines am I taking to treat high blood pressure?

  • Do they have any side effects? What should I do if I miss a dose?
  • Is it ever safe to stop taking any of these medicines on my own?

How much activity can I do?

  • Do I need to have a stress test before I exercise?
  • Is it safe for me to exercise on my own?
  • Should I exercise inside or outside?
  • Which activities should I start with? Are there activities or exercises that are not safe for me?
  • How long and how hard can I exercise?
  • What are the warning signs that I should stop exercising?

 

 

References

James PA, Oparil S, Carter BL, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311(5):507-520. PMID: 24352797 www.ncbi.nlm.nih.gov/pubmed/24352797.

Victor RG, Libby P. Systemic hypertension: management. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 47.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2018; 71(19)e127-e248. PMID: 29146535 www.ncbi.nlm.nih.gov/pubmed/29146535.

Text only

 
  • Blood pressure

    Blood pressure

    Animation

  •  

    Blood pressure - Animation

    This animation defines normal blood pressure and the measurement of systole and diastole. Structures shown include a front-view of the heart beating, a cut-view of the heart beating, and blood flowing through a small artery.

  • Cardiac arrhythmia: Physical exam

    Cardiac arrhythmia: Physical exam

    Animation

  •  

    Cardiac arrhythmia: Physical exam - Animation

    How a physical exam can help diagnose cardiac arrhythmia.

  • Hypertension overview

    Hypertension overview

    Animation

  •  

    Hypertension overview - Animation

    Learn facts, causes, health risks and treatment of hypertension, also known as high blood pressure.

  • Hypertension treatments

    Hypertension treatments

    Animation

  •  

    Hypertension treatments - Animation

    Learn more about treatment options for hypertension.

  • Blood pressure

    Animation

  •  

    Blood pressure - Animation

    This animation defines normal blood pressure and the measurement of systole and diastole. Structures shown include a front-view of the heart beating, a cut-view of the heart beating, and blood flowing through a small artery.

  • Cardiac arrhythmia: Physical exam

    Animation

  •  

    Cardiac arrhythmia: Physical exam - Animation

    How a physical exam can help diagnose cardiac arrhythmia.

  • Hypertension overview

    Animation

  •  

    Hypertension overview - Animation

    Learn facts, causes, health risks and treatment of hypertension, also known as high blood pressure.

  • Hypertension treatments

    Animation

  •  

    Hypertension treatments - Animation

    Learn more about treatment options for hypertension.

    A Closer Look

     

    Talking to your MD

     

    Self Care

     

    Tests for High blood pressure - what to ask your doctor

     
     

    Review Date: 2/6/2019

    Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

    The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
    adam.com

     
     
     

     

     

    A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.
    Content is best viewed in IE9 or above, Firefox and Google Chrome browser.