Diagnosis of High Blood Pressure

Blood pressure is the force of the blood pushing against the walls of the arteries. Each time the heartbeats, or contracts, it pumps blood into the arteries. Blood pressure is at its maximum at this time; this is known as the systolic blood pressure. When the heart is at rest, between beats, the blood pressure falls; this is known as the diastolic pressure. A person with hypertension has an average systolic blood pressure above 140 mm Hg and/or a diastolic blood pressure above 90 mm Hg (usually written as 140/90).

To diagnose hypertension, a physician will obtain a blood pressure measurement during a routine physical examination. An inflatable cuff is wrapped around the arm, and the person taking the blood pressure listens with a stethoscope over the artery. If blood pressure is elevated, the physician will check the pulse rate, examine the neck for swollen veins or an enlarged thyroid gland, listen to the heart for murmurs, feel the abdomen, and examine the eyes for damaged blood vessels in the retina. If the physician suspects hypertension, additional laboratory and blood tests will help determine if it is secondary hypertension or essential hypertension.


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