What is it?
Hypertension means blood pressure in the arteries remains higher than it should over time. It often causes no symptoms, but can gradually affect the blood vessels of the heart, kidneys, brain and eyes.
Blood pressure is measured in the clinic and, if needed, with a 24-hour ambulatory device. You are shown how to take home readings. An ECG and echocardiography may be requested to see the effect on the heart, and blood and urine tests for kidney function.
Lifestyle habits such as salt intake, activity, weight and sleep are an important part of treatment; medication is planned where needed. Response to treatment differs between people; targets and the plan are set with your doctor after the examination and measurements.
Who is it assessed for?
- People with high readings at different times
- Those on blood pressure medication whose readings fluctuate
- Those with a family history of hypertension
- Those whose readings are high in the clinic but normal at home
- Women planning pregnancy with a history of high blood pressure
Step by step
- 1
Measurement
Blood pressure is measured in both arms under suitable conditions.
- 2
Reviewing home readings
Your home records and use of your device are reviewed.
- 3
Tests
A 24-hour recording, ECG, echocardiography and blood tests are planned if needed.
- 4
Plan
Lifestyle changes and, if needed, medication are discussed.
- 5
Regular check-ups
Readings are monitored and the plan is updated at follow-ups.
Questions
How should I measure my blood pressure at home?
Rest seated for a few minutes beforehand, with your back supported and your arm at heart level. Your technique can be reviewed with your device at the visit.
Can I stop my medication once started?
Stopping medication on your own is not advised. Your readings and overall condition are reviewed together at check-ups and the plan is adjusted.
What should I do if my blood pressure rises sharply?
If high blood pressure comes with severe headache, chest pain, breathlessness, speech difficulty or arm weakness, call 112.
This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.