1. Finger Lakes Health Systems Agency RBA Healthcare Collaborative Understanding Blood Pressure Phyllis Jackson RN Community Engagement Specialist

2. Slideshow: A Visual Guide to High Blood Pressure http://www.webmd.com/hypertension-high- blood-pressure/ss/slideshow-hypertension- overview

3. Understanding Blood pressure By the end of this session participants will be able to: Understand that blood pressure is dynamic and ever changing. Understand what systolic and diastolic numbers mean Recognize the negative implications of uncontrolled high blood pressure Give 3 lifestyle changes to help reduce blood pressure List 4 risk factors for HBP

4. How much do you know? Questions Answers Another name for high blood pressure is? __________,__________, and ________ are 3 ways to help reduce BP Prehypertension is not really high blood pressure. T F Salt intake can affect blood pressure? T F A red zone (high) blood pressure reading is____ You are more at risk for HBP if you are overweight? T F High blood pressure can be cured? T F A green zone (normal) blood pressure reading is_____ A yellow zone reading is______________ Exercise HYPERTENSION Weight loss Less than 120 (systolic) and less than 80 (diastolic) TWO Quit smoking 140 or higher (systolic) or 90 or higher (diastolic) 120‐139 (systolic) or 80‐89 (diastolic)

5. What Does the Systolic Blood Pressure Number Mean? When your heart beats, it contracts and pushes blood through the arteries to the rest of your body. This force creates pressure on the arteries. This is called systolic blood pressure.heart A normal systolic blood pressure is below 120. A systolic blood pressure of 120 to 139 means you have prehypertension, or borderline high blood pressure.high blood pressure A systolic blood pressure number of 140 or higher is considered to be hypertension, or high blood pressure.

6. What Does the Diastolic Blood Pressure Number Mean? The diastolic blood pressure number or the bottom number indicates the pressure in the arteries when the heart rests between beats. A normal diastolic blood pressure number is less than 80. A diastolic blood pressure between 80 and 89 indicates prehypertension. A diastolic blood pressure number of 90 or higher is considered to be hypertension or high blood pressure.

7. Risk Factors Risk Factors That Can Be Changed Unhealthy diet Physical inactivity Overweight or obesity Excessive alcohol Smoking Stress Excessive caffeine Prehypertension Risk Factors That Cannot Be Changed Age Gender Ethnicity Family history

8. This chart reflects blood pressure categories defined by the American Heart Association. Blood Pressure Category Systolic mm Hg (upper #) Diastolic mm Hg (lower #) Normalless than 120 andless than 80 Prehyperten sion 120 – 139or80 – 89 High Blood Pressure (Hypertensio n) Stage 1 140 – 159or90 – 99 High Blood Pressure (Hypertensio n) Stage 2 160 or higher or 100 or higher Hypertensiv e Crisis Hypertensiv e Crisis (Emergency care needed) Higher than 180 or Higher than 110

9. What Is Prehypertension? In prehypertension, the systolic (top number) reading is 120 mmHg-139 mmHg, or the diastolic (bottom number) reading is 80 mmHg- 89 mmHg. Prehypertension is a warning sign that you may get high blood pressure in the future. There's no cure for high blood pressure, but there is treatment with diet, lifestyle habits, and medications.diet medications

10. Prehypertension & Hypertension Hypertension is a growing epidemic in the U.S. Nearly half of all adults older than age 18 have prehypertension or hypertension, as measured by average of two or more readings at two or more doctor's visits. According to the American Heart Association, 59 million people in the U.S. have prehypertension. People with prehypertension may have a greater risk for other cardiovascular disease (CVD) risk factors. These risk factors -- such as high cholesterol, obesity, and diabetes -- are seen more in people with prehypertension than in those with normal blood pressure.high cholesterolobesity diabetes

11.  Treatment All patients with blood pressure readings greater than 120/80 should be encouraged to make lifestyle modifications such as:  Eating a healthier Diet:iet Eat plenty of fruits, vegetables, whole grains, fish, and low-fat dairy Cut back on dietary salt/sodium Eat foods low in saturated and trans fat and cholesterol.trans fat Eat a plant-based or vegetarianvegetaria

12. Treatment  Quit smokingsmoking  Get more exercise.exercise  Lose weight if you are overweight  Drink only in moderation Treatment with medication is recommended to lower blood pressure to less than 140/90.medication For patients who have diabetes or chronic kidney disease the recommended blood pressure is less than 130/80.diabetes Treating high blood pressure involves lifestyle changes and possibly drug therapy.

13. Possible results of untreated High Blood Pressure Stroke Heart disease/coronary artery disease Heart Attack Congestive Heart Failure Kidney Damage/failure Loss of vision

14. How much do you know? Questions Answers Another name for high blood pressure is? Blood pressure is written as how many numbers? Prehypertension is not really high blood pressure. T F Salt intake can affect blood pressure? T F A red zone (high) blood pressure reading is____ You are more at risk for HBP if you are overweight? T F High blood pressure can be cured? T F A green zone (normal) blood pressure reading is_____ A yellow zone reading is______________ HYPERTENSION Less than 120 (systolic) and less than 80 (diastolic) TWO 140 or higher (systolic) or 90 or higher (diastolic) 120‐139 (systolic) or 80‐89 (diastolic)