High blood pressure tests

Routine lab tests are recommended before beginning treatment of high blood pressure to determine organ or tissue damage or other risk factors. These lab tests include urinalysis, blood cell count, blood chemistry (potassium, sodium, creatinine, fasting glucose, total cholesterol and HDL cholesterol), and an ECG (electrocardiogram). Additional tests may be recommended based on your condition.

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Hypertension, or high blood pressure, is often called a "silent disease" because you usually don't know that you have it. There may be no symptoms or signs. Nonetheless, it damages the body and eventually may cause problems like heart disease.

Therefore, it's important to regularly monitor your blood pressure, especially if it has ever been high or above the "normal" range, or if you have a family history of hypertension. The USPSTF recommends that all adults 18 years or older be screened for hypertension.

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Measuring Blood Pressure

Blood pressure is most often measured with a device known as a sphygmomanometer, which consists of a stethoscope, arm cuff, dial, pump, and valve.

You can get your blood pressure measured by a health care provider, at a pharmacy, or you can purchase a blood pressure monitor for your home. Home blood pressure readings can be especially helpful in diagnosing and monitoring hypertension because they represent what is happening in the real world (rather than just at the doctor&#;s office). But before these numbers can be relied on for treatment decisions, it is important to bring the monitor in to your doctor&#;s office and have it checked against the office readings for accuracy. Blood pressure is recorded as two numbers: the systolic and diastolic pressures.

• Systolic blood pressure is the maximum pressure during a heartbeat, when the heart is sending blood throughout the body.
• Diastolic blood pressure is the lowest pressure between heartbeats, when the heart is filling with blood.

Blood pressure is measured in millimeters of mercury (mmHg) and is written systolic over diastolic (for example, 120/80 mmHg, or "120 over 80"). According to the most recent guidelines, a normal blood pressure is less than 120/80 mmHg.  Elevated blood pressure is 120 to 129 and less than 80. Hypertension is blood pressure that is greater than 130/80.

Blood pressure may increase or decrease, depending on your age, heart condition, emotions, activity, and the medications you take. One high reading does not mean you have high blood pressure. It is necessary to measure your blood pressure at different times, while you are resting comfortably for at least five minutes. To make the diagnosis of hypertension, at least three readings that are elevated are usually required.

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