Stopping your blood pressure from climbing too
high is one of the healthiest things you can do for many reasons—including that
it may help lower your risk for having a stroke or developing dementia.
Over time, untreated high blood pressure can
damage blood vessels in the brain, making it more likely that they will:
• Become narrowed and clogged, which reduces the
flow of oxygen-rich blood to the brain.
• Rupture or burst.
Both of these changes to the blood vessels can
lead to stroke. Many people who have a first stroke have high blood pressure.
Some people also develop what's called vascular
dementia or vascular cognitive impairment, which can cause memory and thinking
problems, after having a stroke
Start by getting regular blood pressure checks by
your primary care provider (PCP). High blood pressure has no symptoms. So regular
testing is the only way to know where you stand. Ask your PCP if you should
also check your blood pressure at home.
Blood pressure readings are given as two numbers:
a top (systolic) number and a bottom (diastolic) number:
Blood pressure
category
|
Top number
|
Bottom number
|
|
|
|
Normal
|
Less than 120
|
|
Elevated
|
120 to 129
|
And less than 80
|
Stage 1 high blood
pressure
|
130 to 139
|
Or 80 to 89
|
Stage 2
|
140 or higher
|
90 or higher
|
Hypertensive crisis (call
your doctor right away)
|
Higher than 180
|
Higher than 120
|
If your blood pressure is not in a healthy range,
you may be able to bring it down (and possibly help protect your brain) by:
Making lifestyle changes. For instance:
• Eat a variety of healthy foods, such as fruits,
vegetables and low-fat dairy products.
• Cut back on salt and sodium by comparing food
labels.
• Keep moving. Try to get at least 150 minutes of
moderately intense aerobic activity, like brisk walking, each week.
• Watch your weight. Eating healthy and exercising
regularly can help you reach or maintain a healthy weight.
Taking medications. If your PCP prescribes blood pressure medicines, take them exactly as
directed.
Sources: Alzheimer's Association; American Heart
Association; U.S. Department of Health and Human Services