How high is too high? Blood pressure and heart disease risk

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High blood pressure, also known as hypertension, is often called the “silent killer” because it usually doesn’t cause obvious symptoms but can quietly damage the body over time.

One of the most serious risks linked to high blood pressure is heart disease.

But what blood pressure level is considered too high when it comes to harming the heart?

Researchers and doctors have studied this question closely, and the answer can make a big difference for your health.

Blood pressure is measured using two numbers. The first, called systolic pressure, measures the force of blood when the heart beats. The second, called diastolic pressure, measures the force when the heart rests between beats.

A normal blood pressure is usually around 120/80 mmHg. According to the American Heart Association, blood pressure is considered high if it’s consistently 130/80 mmHg or higher.

In the past, doctors didn’t worry as much unless the top number went above 140. But newer research shows that even blood pressure in the 130s can increase the risk of heart problems, especially over time.

A large study called the SPRINT trial, published in the New England Journal of Medicine, found that lowering systolic blood pressure below 120 significantly reduced the risk of heart attacks, strokes, and heart failure in people at high risk of heart disease.

High blood pressure makes the heart work harder than it should. Over time, this extra strain can cause the heart muscle to thicken or become stiff, making it less able to pump blood effectively. It can also lead to damage in the arteries, making them less flexible and more prone to blockage—a major cause of heart attacks.

Not everyone with slightly high blood pressure will develop heart disease, but the risk goes up with other factors like age, smoking, high cholesterol, diabetes, and family history. That’s why it’s important to look at the whole picture—not just one blood pressure reading.

Doctors now aim to catch and treat high blood pressure early. If your blood pressure is between 120 and 129 over less than 80, it’s called elevated, and lifestyle changes are usually recommended. If it’s 130/80 or higher, treatment may include medication along with diet, exercise, and stress management.

Lowering salt intake, eating more fruits and vegetables, staying active, losing weight, and avoiding smoking can all help reduce blood pressure naturally. In many cases, these changes are enough to bring blood pressure down without medication.

Some people may still need medicine to protect their heart. The goal is to find the safest and most effective way to keep blood pressure in a healthy range—usually under 130/80 mmHg for those with or at risk for heart disease.

In short, high blood pressure doesn’t have to be extreme to be dangerous. Levels as low as 130/80 mmHg can raise the risk of heart disease, especially when combined with other risk factors. Regular checkups, a healthy lifestyle, and early treatment can help keep your heart strong and your blood pressure in check.

If you care about high blood pressure, please read studies about what to eat and to avoid for high blood pressure, and 12 foods that lower blood pressure.

For more health information, please see recent studies about the connection between potato and high blood pressure, and how to eat your way to healthy blood pressure.

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