High blood pressure is a condition that makes your heart work harder to pump blood throughout your body. Over time, it can damage your arteries if it goes untreated. These effects, in turn, raise your risk of heart disease .

    This overview will explain the connection between high blood pressure and heart disease. It will also go over the warning signs and symptoms of high blood pressure, how the condition is treated, and what can be done to prevent it.

    Verywell / Theresa Chiechi

    What Is High Blood Pressure?

    Your heart contracts in order to pump blood out and through a web of vessels ( arteries ) that will carry it to different parts of your body. High blood pressure (also called hypertension ) occurs when the force of the blood moving through your blood vessels is too high.

    Blood should be able to flow unobstructed through your arteries. However, certain conditions and lifestyle choices can lead to narrowing of your arteries , blockages, and other factors that create resistance.

    If this happens, your heart needs to use more force to push the blood through the arteries. This is what causes your blood pressure to go up.

    What Is Blood Pressure?

    Blood pressure is the force that your blood puts on your arteries as it's pumped from the heart. When the pressure is higher than normal , it can cause health problems.

    High Blood Pressure: Causes and Risk Factors

    There are lots of reasons your blood pressure can increase—even momentarily. For example, excitement or exercise can give your blood pressure a temporary boost.

    There are certain choices that you make or risk factors that you might have that can raise your blood pressure regularly, or even cause it to be in a high state permanently, too.

    Some examples of causes and risk factors for high blood pressure include:

    • A family history of high blood pressure
    • African American ethnicity
    • Age over 55
    • Being overweight
    • Smoking
    • Heavy alcohol use
    • High-sodium and high-fat diet
    • Lack of exercise

    Being sedentary, following a diet that is high in fat and salt, and smoking are lifestyle factors that contribute to high blood pressure. Unlike your genetics or family history, these lifestyle choices are things that you can make changes to.

    Is High Blood Pressure Considered Heart Disease?

    High blood pressure is not heart disease on its own. However, having high blood pressure can lead to cardiovascular complications and can weaken or damage your heart.

    Hypertension is one cause of cardiovascular diseasea term that encompasses the heart and blood vessels.

    When your blood pressure is high, your heart has to work harder to pump blood out to your body. Over time, this can strain the heart and lead to conditions such as:

    • Atrial fibrillation (irregular, often rapid heart rhythm)
    • Heart failure (heart doesn’t pump enough blood)
    • Heart valve disease (one or more of your heart valves works improperly)
    • Acute aortic syndrome (several painful and potentially life-threatening conditions)

    Having high blood pressure can also have a negative effect on parts of your body besides your heart. For example, high blood pressure contributes to your risk for:

    • Kidney disease
    • Stroke (lack of oxygen to the brain)
    • Heart attack
    • Vascular disease (abnormal condition of the arteries and veins)
    • Dementia (conditions that affect memory, thinking, and social abilities)
    • Vision damage

    High blood pressure is not a heart disease itself, but it is a risk factor for heart conditions and other health problems.

    Normal Blood Pressure Levels

    A blood pressure reading is taken using a cuff and a stethoscope or monitor. It produces two numbers, one stacked on top of the other.

    The top number is called your systolic blood pressure . It is the force that your blood puts on your arteries with each beat of your heart. The bottom number, or diastolic pressure , is the force on the walls of your arteries between beats when your heart is at rest.

    A normal blood pressure reading is close to 120/80 mmHg (millimeters of mercury). If your reading is higher, it means that you have high blood pressure . However, high blood pressure can be at different levels, depending on how elevated the numbers are.

    The levels of high blood pressure are:

    • Elevated/at risk:120–129 systolic, 80 diastolic
    • Stage 1 hypertension (mild):130–139 systolic, 80–89 diastolic
    • Stage 2 hypertension (moderate):140–179 systolic, 90–119 diastolic
    • Hypertensive crisis (emergency):180 systolic and above, 120 diastolic and above

    Normal blood pressure is 120/80 mmHg. You are considered to have at least a degree of high blood pressure if your reading is over 130/80.

    Warning Signs and Symptoms of Heart Disease

    For many people, high blood pressure happens and does not cause symptoms. High blood pressure is often dubbed "the silent killer" because it can cause serious health problems before you notice and have a chance to make changes that could lower it and reduce your risk of complications.

    This process happens over time. Any symptoms that you may have can be subtle and might even be dismissed as being related to other health conditions.

    As your high blood pressure continues, gets worse, and starts to lead to complications in other parts of your body, you will start to notice more symptoms as more damage occurs—particularly to your heart.

    Symptoms that can be warning signs of heart disease include:

    • Fatigue
    • Chest pain
    • Indigestion
    • Chest pressure
    • Dizziness
    • Shortness of breath
    • Palpitations
    • Leg pain
    • Restlessness or anxiety
    • Sweating
    • Nausea
    • Coughing or wheezing
    • Swelling in your hands, legs, or feet

    If you have these symptoms, make an appointment to see your doctor and discuss how to manage your blood pressure more effectively.

    Warning Signs You Should Not Ignore

    Some symptoms of heart disease are cause for alarm. If you have the following symptoms, you need to seek immediate medical care:

    • Lose consciousness
    • Become severely short of breath
    • Have extreme chest pain
    • Have slurred speech
    • Experience sudden weakness
    • Have a sudden and intense headache

    Diagnosis and Treatment

    High blood pressure is usually diagnosed by a healthcare provider during an in-person visit.

    One elevated blood pressure reading does not necessarily mean you will be diagnosed with high blood pressure. Instead, your provider will track trends in your blood pressure measurements over time and watch to see if it stays high or improves.

    If you have several high blood pressure readings, your doctor may ask you to make some lifestyle changes to help get it down to a normal range.

    Examples of lifestyle changes that may help lower your blood pressure include:

    • Exercising
    • Reducing sodium (salt) intake
    • Reducing fats in your diet
    • Quitting smoking
    • Losing weight
    • Reducing alcohol intake
    • Controlling your stress

    You will need to continue monitoring your blood pressure at home. You may also need to have blood work or other tests done to see if your high blood pressure has led to any complications.

    If your blood pressure remains high despite making lifestyle changes, your doctor may want you to start taking one or more of the following medications .

    • Angiotensin-converting enzyme (ACE) inhibitors , including Zestril (lisinopril), Vasotec (enalapril), or Capoten (captopril)
    • Angiotensin II receptor blockers (ARBs), includingLopressor (metoprolol), Diovan (valsartan), or Cozaar (losartan)
    • Calcium channel blockers , including Norvasc (amlodipine), Procardia (nifedipine), Cardizem (diltiazem)
    • Diuretics , including Microzide (hydrocholorthiazide) and Lasix (furosemide)


    High blood pressure is diagnosed by taking your blood pressure measurements over time and seeing if they stay high. If you have high blood pressure, it can be managed with lifestyle changes and, in some cases, medication.

    Ways to Prevent Both Conditions

    High blood pressure and heart disease cannot always be prevented. Some risk factors cannot be changed, such as your family history, genetics, race, and age.

    However, there are some measures that you can take to prevent high blood pressure and its negative health effects.

    Examples of steps you can take to improve your overall health include:

    • Avoiding smoking, drug use, and heavy alcohol use
    • Exercising regularly
    • Eating a nutritious diet
    • Achieving and maintaining a healthy weight

    If you have a family history of high blood pressure or heart disease, it's important that you talk to your doctor about having regular health screenings. Together, you can make a plan to reduce your risk.

    Making health-promoting changes to your lifestyle and learning about your risk factors can help you prevent and manage high blood pressure and avoid heart disease.


    High blood pressure occurs when your heart has to pump blood with more force to move through your arteries. If it's not treated, high blood pressure can lead to heart disease and other cardiovascular complications like a stroke.

    The condition develops gradually over time. At first, you probably will not have any symptoms. However, as hypertension continues and causes damage to your heart and other organs, you will feel the effects of those complications.

    While high blood pressure is not considered a heart disease on its own, having uncontrolled high blood pressure can have serious consequences for your heart, as well as the rest of your body.

    A Word From Verywell

    High blood pressure is a potentially serious health condition that can develop without your knowing it. Be sure to see your doctor for regular health screenings, especially if you have a family history of high blood pressure or heart disease.

    If you have high blood pressure know that while it's not considered a heart problem on its own, it can turn into one if left untreated. You can make lifestyle changes and talk to your doctor about medications that can control your blood pressure and get it down to normal levels.

    Frequently Asked Questions

    • Can having both high blood pressure and high cholesterol increase your risk of heart disease?

      Yes. High blood pressure and high cholesterol can both lead to the development of arterial problems like atherosclerosis, which in turn increases your risk of heart disease.

    • If I have high blood pressure and pain, should I seek professional treatment?

      Yes. High blood pressure usually develops without symptoms. However, when it leads to complications like heart disease and circulation problems, it can cause pain.

    • When should I be concerned about high blood pressure?

      You should see a doctor if you experience symptoms like dizziness, shortness of breath, an intense headache, or chest pain. These could be signs that you have complications from high blood pressure.

    Is hypertension a heart disease?
    Hypertension is not heart disease. However, hypertension can be a major contributing factor for heart disease, which is why hypertension is not something you want to ignore. more
    Is congestive heart failure the same as heart failure?
    Heart failure — sometimes known as congestive heart failure — occurs when the heart muscle doesn't pump blood as well as it should. When this happens, blood often backs up and fluid can build up in the lungs, causing shortness of breath. more
    Is heart disease the same as heart failure?
    In a nutshell, heart disease refers to several types of heart conditions while heart failure is a form of heard disease. Each type of heart disease is caused by something unique to that condition. more
    Is heart valve Replacement open-heart surgery?
    Aortic valve repair and aortic valve replacement may be done through traditional open-heart surgery, which involves a cut (incision) in the chest, or by using minimally invasive methods, which involve smaller incisions in the chest or a catheter inserted in the leg or chest (transcatheter aortic valve replacement, or more
    Is heart valve surgery open heart?
    Heart valve surgery can be performed using standard open-heart surgery, which involves cutting your chest through your breastbone. Minimally invasive heart surgery involves smaller incisions than those used in open-heart surgery. more
    Can the heart repair itself after congestive heart failure?
    The heart is unable to regenerate heart muscle after a heart attack and lost cardiac muscle is replaced by scar tissue. Scar tissue does not contribute to cardiac contractile force and the remaining viable cardiac muscle is thus subject to a greater hemodynamic burden. more
    Is a weak heart the same as heart failure?
    When the heart is weak, it is unable to pump enough blood to meet the body's needs. Conditions like diabetes, coronary heart disease, and high blood pressure damage or cause the heart to overwork, which can lead to heart failure. more
    Is resting heart rate same as sleeping heart rate?
    Stress and exercise 1 can raise heart rate, while sleeping can lower it 2 . A normal heart rate while sleeping is often between 40 to 50 beats per minute (bpm) 3 , though there is variability between individuals.Typical Resting Heart Rates. Age Typical Heart Rate When Awake 71-80 years old 63-85 bpm more
    Is heart disease and congestive heart failure the same?
    Heart attacks and heart failure are both types of heart disease, but are different conditions. Heart attacks are when there is a loss of blood supply to the heart, while heart failure is when the heart is unable to pump blood around the body efficiently. more
    Can you strengthen your heart after heart failure?
    You can strengthen your heart after heart failure by making recommended changes to your diet, exercising regularly, and adopting healthy habits. Lifestyle changes that can help include: Eating a heart-healthy diet. Being physically active. more
    Can you have heart failure without heart disease?
    Congestive heart failure is a type of heart failure that can occur from problems with the pumping or relaxing function. Heart failure can result from untreated coronary artery disease, high blood pressure, arrhythmias, and other conditions. These conditions can affect the heart's ability to pump or relax properly. more

    Source: www.verywellhealth.com

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