What is stroke level blood pressure?

Call 911 or emergency medical services if your blood pressure is 180/120 mm Hg or greater and you have chest pain, shortness of breath, or symptoms of stroke. Stroke symptoms include numbness or tingling, trouble speaking, or changes in vision.

mayoclinic.org - Hypertensive crisis: What are the symptoms? - Mayo Clinic

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What's a hypertensive crisis? If I notice a spike in my blood pressure, what should I do? Answer From Francisco Lopez-Jimenez, M.D. A hypertensive crisis is a sudden, severe increase in blood pressure. The blood pressure reading is 180/120 millimeters of mercury (mm Hg) or greater. A hypertensive crisis is a medical emergency. It can lead to a heart attack, stroke or other life-threatening health problems. Severely high blood pressure can damage blood vessels and body organs, including the heart, brain, kidneys and eyes. During a hypertensive crisis, the heart may not be able to pump blood effectively.

Hypertensive crises are grouped into two categories.

Urgent hypertensive crisis. Blood pressure is 180/120 mm Hg or greater. There are no signs of organ damage. Blood pressure is 180/120 or greater. There are no signs of organ damage. Emergency hypertensive crisis. Blood pressure is 180/120 mm Hg or greater. There is life-threatening damage to the body's organs.

Causes of a hypertensive crisis include:

Forgetting to take blood pressure medication

Suddenly stopping certain heart medications, such as beta blockers

Medication interactions

Tumor of the adrenal gland (pheochromocytoma)

Symptoms of a hypertensive crisis may include:

Anxiety

Blurred vision

Chest pain

Confusion

Nausea and vomiting

Not responding to stimulation (unresponsiveness)

Seizures

Severe headache

Shortness of breath

If you get a very high blood pressure reading at home and don't have any symptoms, relax for a few minutes. Then check your blood pressure again. If it's still very high, seek medical care. Call 911 or emergency medical services if your blood pressure is 180/120 mm Hg or greater and you have chest pain, shortness of breath, or symptoms of stroke. Stroke symptoms include numbness or tingling, trouble speaking, or changes in vision. Treatment for a hypertensive crisis may include a hospital stay to monitor for organ damage. Medications to lower blood pressure are given by mouth or IV.

With Francisco Lopez-Jimenez, M.D.

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What is the number one prescribed blood pressure medicine?

In terms of prescriptions written, here are the top 4 high blood pressure medications, the ACE inhibitor lisinopril (Prinivil, Zestril) tops the list, followed by amlodipine besylate (Norvasc), a calcium channel blocker, and.

rxlist.com - High Blood Pressure (Hypertension) Medications - RxList

What is the best high blood pressure medication?

Selecting the "best" high blood pressure medication depends on several things, including the general health of the patient, his or her age, ethnicity, and whether or not they have any co-existing medical issues or drug sensitivities. For example, in a hypertensive patient with asthma, it may be inadvisable to prescribe a beta-blocker, as these drugs can aggravate that respiratory condition. Similarly, in patients prone to constipation (the elderly, for example) use of certain calcium channel blockers might best be avoided -- along with diuretics -- as both these classes of drugs can inhibit proper bowel function.

African-American patients respond to some antihypertensive medications better than others.

Certain groups of patients require the use of a specific class of high blood pressure medication. These include:

Pregnant Women

The drug of choice for hypertensive, pregnant women is one of the oldest high blood pressure medications on the market. Methyldopa, which works to lower blood pressure through the central nervous system, has the lowest risk of harming the mother and developing the fetus.

Other possible safe options include labetalol, beta-blockers, and diuretics.

Two classes of drugs that should never be used during pregnancy include ACE inhibitors and angiotensin II receptor blockers.

African-Americans

Hypertension in African-Americans tends to occur earlier in life and tends to be more severe. Plus, some medications that work to lower blood pressure in other ethnicities may have limited effect on African-Americans. Thiazide diuretics (such as HCTZ) or a calcium channel blocker are recommended first choices along with the possible add-on of a second drug from either the ACE inhibitor class or the angiotensin II receptor blocker group.

Elderly Patients

With age, comes an increased risk for systolic hypertension which can be aggravated by severe atherosclerosis.

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