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What is the First Stage of High BP?

Published in Hypertension Staging 2 mins read

Stage 1 hypertension is the first stage of high blood pressure (high BP). It's defined as a systolic blood pressure (the top number) between 130 and 139 mm Hg, or a diastolic blood pressure (the bottom number) between 80 and 89 mm Hg. This staging system helps guide treatment decisions.

Understanding Blood Pressure Readings

Blood pressure is measured with two numbers:

  • Systolic: The pressure in your arteries when your heart beats.
  • Diastolic: The pressure in your arteries when your heart rests between beats.

A reading of 130/80 mm Hg falls into Stage 1 hypertension. Readings above this indicate progressively more severe stages of hypertension, requiring potentially more aggressive treatment.

Treatment Considerations for Stage 1 Hypertension

While Stage 1 hypertension may not always require immediate medication, lifestyle modifications are crucial:

  • Dietary changes: Reducing sodium intake, increasing potassium-rich foods, and adopting a heart-healthy diet.
  • Exercise: Regular physical activity, aiming for at least 150 minutes of moderate-intensity exercise per week.
  • Weight management: Maintaining a healthy weight through diet and exercise.
  • Stress reduction: Implementing stress-management techniques like yoga or meditation.

In some cases, even with lifestyle changes, medication may be necessary to control blood pressure. Your doctor will consider your individual risk factors and overall health when determining the best course of action. Many sources suggest that two first-line drugs of different classes are often recommended for patients in Stage 2 hypertension, but may be started with Stage 1 hypertension if other risk factors exist.

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