Blood pressure 130 over 90 - normal or pathological, what to do?


High blood pressure can be triggered by various external circumstances. Stress, overwork, lack of sleep, depression and intense physical activity cause an increase in scores by several points. A pressure of 130 over 90 does not indicate abnormalities in the functioning of the heart or blood vessels. This kind of pressure will be normal. If there is no predisposition to hypertension, such pressure does not require therapy or see a doctor. This condition will be alarming only with constant increases in pressure to the specified values.

Norms of systolic and diastolic indicators

For a healthy person, the normal value is 120 to 80. The values ​​can change many times during the day. They rise and fall all the time under the influence of various external factors. The indicators are affected by the quality of sleep, lifestyle, foods consumed, and bad habits. If the pressure rises by 10-15 units, this is normal. A blood pressure of 130 over 90 is not a reason to rush to the hospital.

When your blood pressure rises to 130 by 90 points, you need to monitor your systolic and diastolic readings, measuring them several times a day.


Blood pressure standards according to WHO classification

What does pressure 130 over 90 mean?

If you increase the values ​​to 130 by 90, there is no need to worry. This is the norm for a healthy person. In a healthy person, the indicators may fluctuate. The systolic value can be from 120 to 135, and the diastolic pressure can be from 80 to 90.

Such indicators will be pathological in hypotensive patients. Normal blood pressure in a hypotensive patient is much lower than classical values. An increase in readings to 130 by 90 points is a reason to go to the hospital for hypotension, as this may indicate hypertension.

Danger pressure 130/90

An upper value of 130 with a lower value of 90 poses a danger to a healthy person when:

  • stable maintenance of elevated indicators for several days;
  • development of diseases of internal organs;
  • health problems;
  • deterioration in a woman’s well-being, which is accompanied by a sharp rise in blood pressure.

Such a slight increase in blood pressure is dangerous for hypotensive patients. For a hypotensive person, the standard indicators are 110-120 by 70-80 points. A value of 130 to 90 may indicate the development of hypertension. If your readings increase regularly, you should consult a doctor to get examined and receive therapeutic help.

If the pressure remains 130 to 90 for several days, the blood vessels lose their elasticity. Loss of elasticity threatens rupture of blood vessels. A burst vessel can cause bleeding in the brain or internal bleeding.

Sudden surges in pressure destroy plaque in the arteries. Torn plaques can block a vessel, leading to a heart attack or stroke.


Hemorrhagic stroke

Anatomical certificate

The first thing you should know: dizziness with hypertension is a dangerous condition. When high blood pressure is accompanied by dizziness, this indicates serious problems. From a physiological point of view, there cannot be dizziness with high blood pressure. This is explained very simply.

You can get more information about this and many other aspects of health related to blood pressure, osteochondrosis, atherosclerosis, ask your questions to Dr. Shishonin and just chat by joining our community - the Club of Former Hypertensive Patients

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If we turn to the anatomy of the human body, and in particular to the cervical spine, we can see the following picture. There are seven vertebrae in the cervical region. The first connects to the skull, with each vertebra having processes and holes through which the vertebral arteries pass. The skull also has identical openings through which the arteries connect into one vessel and supply the brain. The first to receive nutrition is the brain stem and the vascular center, which regulates the activity of the heart.

At the bottom of the brain stem is the cerebellum. It is he who plays the most important role in the functioning of the human vestibular apparatus. If its nutrition is disrupted, dizziness occurs.

With high pressure, a lot of blood enters the cerebellum, as the heart begins to work more actively and pump it with greater force. A paradox arises here, since in this case the nutrition, on the contrary, will be good, which means your head should not be dizzy. What could be the matter?

Causes of high blood pressure

An increase in pressure to 130 to 90 can be provoked by external factors:

  • change in body temperature;
  • stress;
  • climatic conditions and weather changes;
  • frequent consumption of coffee or strong tea;
  • age characteristics.

During active sports or excessive physical activity, blood pressure may increase slightly. A cause for concern will be a regular increase in indicators with an increase in heart rate.

Some diseases can affect the increase in indicators:

  • stroke;
  • hypertension;
  • disturbances in the functioning of the endocrine system;
  • pituitary;
  • hormonal imbalances;
  • pathological disorders in the functioning of the adrenal glands.

To rule out an increase to 130 to 90 due to illness, you need to get tested.

If the increase in indicators is caused by diseases of the genitourinary system, you need to consult a doctor to receive therapeutic help.


Common Causes of High Blood Pressure

Which number is more important?

Typically, more attention is paid to systolic blood pressure (the first number) as the main risk factor for cardiovascular disease for people over 50 years of age. For most people, systolic blood pressure rises steadily with age due to the loss of elasticity of the large arteries, an increase in heart rate, and the development of vascular disease.

However, an elevated systolic or elevated diastolic blood pressure value can be used to diagnose high blood pressure. The risk of death from coronary heart disease and stroke doubles with a 20 mmHg increase in systolic blood pressure. Art. or diastolic by 10 mm Hg. Art. among people aged 40 to 89 years.

What symptoms should you consult a doctor for?

An increase in pressure to 130 over 90 requires contacting a doctor if additional symptoms appear:

  • vestibular disorders;
  • prostration;
  • headache;
  • noise in ears;
  • gagging;
  • numbness of the limbs;
  • black spots before the eyes;
  • nosebleeds;
  • cold sweat and chills.

Headaches and blood pressure

If you have a headache with a pressure of 130 over 90, there is a possibility of developing a migraine. With a migraine, pain appears in the back of the head and spreads further to the temple. At the same time, vomiting, increased photosensitivity, and dizziness appear. This condition often occurs in weather-dependent people and requires going to the hospital to see a neurologist or cardiologist.

Increased heart rate

If blood pressure levels increase, the doctor must measure the heart rate. If the pulse increases to 90 beats per minute, the doctor diagnoses initial hypertension. The doctor will prescribe treatment and take the patient under control.

If indicators regularly increase with an increase in heart rate, you need to change your lifestyle: reduce the consumption of salty foods, reduce the amount of liquid you drink, reduce the consumption of coffee or strong tea.

Blood pressure 130 over 90 in pregnant women

An increase in values ​​during pregnancy is a dangerous symptom. The maximum permissible increase for a pregnant woman, which will be the norm, is 140 to 90. In other cases, it is worth talking about serious disturbances in the body’s functioning that need to be taken under control by a doctor.

Pregnant women should monitor their blood pressure throughout the entire period of pregnancy. Measurements are taken twice a day: morning and evening.

If your blood pressure is 130 over 90 during pregnancy, you should consult a doctor if unpleasant symptoms appear or if you are predisposed to hypertension.

Before prescribing drugs to treat hypertension, the doctor should know:

  • gestational age in weeks;
  • woman's age;
  • other influence on the child.

It is recommended to treat high blood pressure during pregnancy with herbal preparations or other traditional medicine.


Monitoring blood pressure during pregnancy

Diagnostic measures

If there is a periodic increase in blood pressure, it is recommended to purchase a home tonometer, which allows you to quickly and extremely accurately measure blood pressure without medical assistance. Automatic and semi-automatic devices are best suited for these purposes, the use of which does not require special medical skills.

It is important to follow some rules on which the reliability of the results reflected on the monitor depends:

  • 30–60 minutes before the start of the diagnostic procedure, you should not smoke, eat salty or fatty foods, drink alcohol or drink coffee;
  • the person should be as relaxed and calm as possible; you cannot move or talk during the procedure;
  • the best position is sitting on a comfortable chair, leaning your back on the back and placing your hand on the table;
  • pressure is measured first on one arm, after 10 minutes - on the second;
  • Blood pressure should be monitored twice a day - in the morning and in the evening, unless the doctor determines another monitoring time;
  • the obtained data is entered into the pressure monitoring log.

When the values ​​are 130–137 at 90 mmHg. Art. become permanent, the person is sent for examination, which includes the following activities:

  • blood pressure measurement according to a schedule determined by a specialist at home and daily monitoring in a hospital setting;
  • an electrocardiogram to assess the stability of the heart;
  • blood test for the concentration of potassium and hormones in the blood;
  • urine test to check the condition of the kidneys and excretory system;
  • Ultrasound of the kidneys and heart;
  • renal arteriogram, radiography.

Tablets for the treatment of hypertension

To lower the indicators, medications, herbal preparations, and balms are provided. If the values ​​once rise to 130 to 90, you should not take any action.

Basic tablets for the treatment of hypertension

MedicineAction
ACE inhibitorsDilate blood vessels; Reduce the likelihood of thickening in the heart.
SartansRelieves vascular spasms; Minimum of adverse reactions.
Beta blockersNormalize indicators; Prescribed to patients with heart and vascular diseases
DiureticsTreat hypertension; Remove excess water from the body; Relieves swelling
Combination drugsNarrows the lumen of blood vessels; Remove spasms; Relieve pain syndrome

If your readings increase regularly, it is recommended to consult your doctor. He will prescribe optimal treatment and safe medications that will help cope with the disease at the initial stage.

Blood pressure measurement

Modern devices for measuring pressure are either mechanical or electronic. When using a mechanical pressure gauge, a phonendoscope is required, with which you can hear the beginning and end of the stages of systole and diastole.

Blood pressure is measured while sitting or lying down. In order for the readings to be accurate, the pressure gauge should be at the level of the person’s heart, and the cuff should be approximately 2 cm above the elbow. Air is pumped into the cuff, causing compression of the blood vessels and the disappearance of the pulse, and then slowly released. The point at which clearly visible pulse beats appeared is noted as an indicator of upper pressure, and the point at which these beats disappear is noted as an indicator of lower pressure. An electronic pressure gauge works without a phonendoscope; in this case, indicators of upper and lower pressure, as well as pulse, are recorded automatically and displayed on the screen.

The availability of modern devices for measuring blood pressure and the ease of their operation allow everyone to regularly monitor this important vital sign of their own body and take timely measures if such a need arises.

Make an appointment Do not self-medicate. Contact our specialists who will correctly diagnose and prescribe treatment.

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