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180/90 blood pressure - Next Steps?
brickdealer posted:
My dad's bp is now 180/90. How dangerous is this? does he need to get immediate treatment? his primary physician doesn't feel it's urgent and is refusing to refer him to a speciaist. Thanks for any input.
James_Beckerman_MD responded:
A systolic blood pressure of 180 is severely elevated and deserves prompt attention. It raises the risk of stroke, heart attacks, and kidney disease.
CardiostarUSA1 responded:

"His primary physician doesn't feel it's urgent and is refusing to refer him to a specialist"

One alternative is that many community [walk-in> clinics offer personalized and high-quality health care.

"How dangerous is this?"

Health dangers from blood pressure (BP) vary among different age groups and depending on whether systolic, diastolic, or both, is elevated. Isolated diastolic hypertension, isolated systolic hypertension and diastolic/systolic hypertension, increases the risk of cardiovascular disease, cerebrovascular disease, renovascular disease.

☞High systolic BP appears as a significant indicator for heart complications, including death, in all ages, but especially in middle-aged and older adults.

"Is now 180/90"

Normal resting BP in adults is under 120/80 with 115/75 or 110/70 considered as being optimal/ideal. Prehypertension is defined as systolic of 120-139 mmHg and diastolic of 80-89 mmHg. Stage 1 is systolic of 140 to 159, diastolic 90 to 99. Stage II is systolic of 160 to 179, diastolic of 100 to 109. Stage III is systolic greater than 180, diastolic greater than 110. Stage IV is systolic of 210 and greater, diastolic of 120 and greater.

Noteworthy, temporary increases or high spikes in BP, which was at one time was thought as being relatively harmless, can in fact be deleterious (may/can even cause a hypertensive brain attack) in some individuals, especially in those who already have hypertension or weakened arteries in the brain.

Pulse pressure is also important, which is the difference between systolic (heart's pumping phase) and diastolic (heart's resting phase). Usually, the resting (in sitting position) pulse pressure in healthy individuals is 40 mmHg, give or take a little. A consistantly narrow (say 20 or 25 mmHg or less) or wide (say 60 or 65 or more) pulse pressure is not good.

Best of luck to your dad.

Take care,


WebMD community member (8/99)



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Good to know, for the primary and secondary prevention of heart attack and brain attack/stroke

Epidemiologic studies (EDS) have revealed risk factors for cardiovascular disease, which includes age, gender, genetics (gene deletion. malfunction, or mutation) , diabetes (considered as being the highest risk factor), smoking (also secondhand), inactivity, obesity (a global epidemic), high blood pressure (hypertension), diet high in fat, saturated fat and cholesterol, high LDL, high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, LOW HDL (less than 40 mg/dL, an HDL level of 60/65 mg/dL or more is considered protective against coronary artery disease), high homocysteine, and high C-reactive protein (CRP/hs-CRP).


☛WebMD/WebMD message boards does not provide medical advice, diagnosis, or treatment.

☛NEVER delay or disregard seeking professional medical advice from your physician or other qualified health provider because of something you have read on WebMD.

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