It Often Creeps In Slowly Maybe it’s a bit of fatigue, the occasional headache, or that faint ringing in your ears that you brush off.
But your body might actually be trying to tell you something – and it could be about your blood pressure.
Where Is the Line – And Why Does It Matter?
When it comes to blood pressure, it’s not just about the numbers, but what they reveal. A reading over 140/90 mmHg at the doctor’s office is the first red flag.
At this point, the risk of developing serious heart issues is already increased. But that doesn’t necessarily mean you need medication right away.
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If you’re generally healthy, the first approach is usually lifestyle changes. That might be enough – but only if your blood pressure drops.
If it stays above that threshold for several months, doctors like Dr. Gérald Kierzek, Medical Director at Doctissimo, recommend starting treatment with blood pressure-lowering medication.
Once blood pressure rises above 160/100 mmHg, the situation changes. At that point, the risk is considered so high that treatment should begin immediately – even if you feel fine.
And if the measurement reaches 180/110 mmHg or more, it’s a severe condition requiring urgent action.
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It’s Not Just About the Numbers
Whether treatment is necessary doesn’t depend on blood pressure alone. Doctors also assess your overall health.
For example, if you have diabetes, a history of stroke or heart attacks, or kidney issues, the threshold for starting treatment is lower. In such cases, even a reading around 130/80 mmHg can be concerning.
They also look at whether high blood pressure is already affecting the body. This could be seen in stiff arteries, changes in the heart muscle, or early signs of kidney damage.
These indicators are enough to warrant treatment – even if the blood pressure doesn’t seem extreme.
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In short, several factors play a role:
- The level of blood pressure
- The risk of cardiovascular disease based on age, weight, smoking, and cholesterol
- Any signs of organ damage
- Other conditions such as diabetes or kidney failure
A Decision You Shouldn’t Delay
Deciding whether to treat high blood pressure isn’t about being sick or healthy – it’s about choosing prevention over crisis management later.
High blood pressure wears down the body silently and can eventually lead to heart failure, kidney damage, or stroke.
That’s why it’s important to act early. If your blood pressure is elevated, take it seriously – even if you feel fine.
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There’s a lot you can do yourself, but sometimes it’s necessary to take that extra step and start medication. Not because you’re ill, but because you want to stay well.
This article is based on information from Doctissimo