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Hypertension is having a blood pressure higher than 140 over 90 mmHg, a definition shared by all the medical guidelines. This means the systolic reading (the pressure as the heart pumps blood around the body) is over 140 mmHg (millimeters of mercury) or the diastolic reading (as the heart relaxes and refills with blood) is over 90 mmHg.

While this threshold has been set to define hypertension, it is for clinical convenience and because achieving targets below this level brings benefits for patients. This view has led the American Heart Association (AHA), for example, to define the following ranges of blood pressure (in mmHg):
• Normal blood pressure is below 120 systolic and below 80 diastolic
• Pre-hypertension is 120-139 systolic or 80-89 diastolic
• Stage 1 high blood pressure (hypertension) is 140-159 systolic or 90-99 diastolic
• Stage 2 high blood pressure (hypertension) is 160 or higher systolic or 100 or higher diastolic
• Hypertensive crisis (a medical emergency) is when blood pressure is above 180 systolic or above 110 diastolic.

Hypertension may lead to the following problems:
• Weakened heart (failure of the heart to pump enough blood).
• Arteriosclerosis (narrowing of blood vessels by forming plagues).
• Aneurysm (abnormal bulge in the wall of the artery).
• Blood vessels in the eyes may rupture leading to blindness.
• Stroke (disruption of the blood supply to the Brain).
• Coronary heart disease (disease of the blood vessels supplying the heart muscle).

Causes:
The disease burden of high blood pressure is a growing problem worldwide. The increases are blamed on lifestyle factors, including:
• Physical inactivity
• A salt-rich diet through processed and fatty foods
• Alcohol and tobacco use.

There are general risk factors that can be responsible for raising anyone's risk of hypertension, however. These include:
• Age - everyone is at greater risk of high blood pressure as they get older. Prevalence of hypertension is higher in people over 60 years of age
• Race - African-American adults are at higher risk than white or Hispanic American adults
• Size - being overweight or obese is a key risk factor
• Sex - men and women have different risk profiles. While they have the same lifetime risks, men are more prone at younger ages while women are more prone at older ages
• Lifestyle - as mentioned above, this is to blame for growing rates of hypertension, from greater uptakes of dietary salt, excessive alcohol, low dietary potassium, and physical inactivity.

Certain diseases and medications are specific causes of high blood pressure
• Kidney disease
• Pheochromocytoma (a cancer)
• Cushing syndrome (which can be caused by use of corticosteroid drugs)
• Congenital adrenal hyperplasia (disorder of the adrenal glands, which secrete the hormone cortisol)
• Hyperthyroidism (overactive thyroid gland).

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