High blood pressure - Arterial hypertension

Very low urgency
Very common-

Sustained elevation of the blood pressure at rest: Systolic blood pressure (or SBP≥140 mmHg) and/or diastolic blood pressure (or DBP≥90 mmHg).

In the vast majority of cases, the triggering cause is unknown; when the origin is diagnosed, hypertension is usually caused by kidney or adrenal gland disease.

In general there are no symptoms unless it is severe or years of evolution, affecting then certain organs: eyes, heart, kidneys, nervous system, etc.

The diagnosis is made using a device to measure blood pressure called a sphygmomanometer; The cuff that surrounds the limb must be of a size appropriate to the size of the person. It is necessary to meet certain conditions to confirm the diagnosis: the tension must be elevated in at least three measurements carried out on three different days, at different times, in both arms and with the person resting for a minimum of 5 minutes before the measurement. . The diagnosis is reached when resting blood pressure remains high: Systolic blood pressure or SBP≥140 mmHg and/or diastolic blood pressure or DBP≥90 mmHg. Tests should then be ordered to determine the cause, evaluate the damage, and identify other cardiovascular risk factors.

Treatment requires lifestyle changes: reduce salt and alcohol consumption, stop smoking, exercise and lose weight. If this is not controlled or if the blood pressure is higher than 160/100mmHg, antihypertensive treatment will need to be started.

Bibliographic references
  1. B. Williams et al. Guía ESC/ESH 2018 sobre el diagnóstico y tratamiento de la hipertensión arterial. Rev Esp Cardiol. 2019;72(2):160.e1-e78
  2. Gijón-Conde T, et al. Documento de la Sociedad Espanola ˜ de Hipertensión-Liga Espanola ˜ para la Lucha contra la Hipertensión Arterial (SEH-LELHA) sobre las guías ACC/AHA 2017 de hipertensión arterial. Hipertens Riesgo Vasc. 2018.
  3. Wermelt, J. A., & Schunkert, H. (2017).Management der arteriellen Hypertonie. Herz, 42(5), 515–526.doi:10.1007/s00059-017-4574-1
  4. Prieto-Díaz, M. Á. (2014).Guías en el manejo de la hipertensión. SEMERGEN - Medicina de Familia, 40, 2–10.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    High blood pressure during consultation


    Overweight or obese, BMI between 25 and 29.9


    Obesity, BMI higher or equal to 30


    State of anxiety


    Dizziness

Symptoms to watch out for

A feeling of shortness of breath
Headache
Blood pressure higher than 180/120 mmHg
Loss of sensitivity and/or motility in limbs
Pain in the chest
Excessive sudoration
Difficulty breathing

Self-care

Maintain a balanced diet: increase fruit, vegetable, and white meat consumption and reduce the intake of fatty meals and fritters.
Consume less than 5 grams of salt per day.
Check blood pressure 2 to 3 times a week at different times of the day and keep a record.
Engage in regular physical activity, adapted to age and physical condition, at least 3 times a week.
Reduce situations that produce psychological stress.
Check with your general practitioner about the prescription for antihypertensives.
Reduce tobacco consumption.
Reduce alcohol consumption.
Lose weight if you are overweight or obese.
Often take part in activities that help reduce anxiety levels (yoga, tai chi, meditation).