Vital SignCardiovascular

Blood Pressure

The silent vital sign. Blood pressure—the force of blood against artery walls— is tightly regulated by the heart, blood vessels, kidneys, and hormones. High blood pressure (hypertension) is a "silent killer" affecting 1 in 3 adults, damaging blood vessels and organs without symptoms until serious problems occur.

Blood pressure regulation
120/80
Normal (mmHg)
1 in 3
Have High BP
#1
CVD Risk Factor
Silent
Often No Symptoms

Understanding Blood Pressure

Systolic (Top Number)

Pressure when heart beats/contracts. Reflects arterial stiffness and cardiac output.

Diastolic (Bottom Number)

Pressure when heart rests between beats. Reflects peripheral resistance.

Categories:

<120/80
Normal
120-129/<80
Elevated
130-139/80-89
Stage 1
≥140/90
Stage 2

How BP Is Regulated

Short-Term (Seconds-Minutes)

  • Baroreceptors: Detect stretch in arteries
  • Nervous system: Adjust heart rate, vessel tone
  • Vasoconstriction/dilation: Immediate adjustments
  • Adrenaline: Fight-or-flight raises BP

Long-Term (Hours-Days)

  • Kidneys: Regulate fluid volume
  • RAAS: Renin-angiotensin-aldosterone system
  • Aldosterone: Retains sodium and water
  • ADH: Water retention hormone

Causes of High Blood Pressure

Insulin Resistance

High insulin causes sodium retention and arterial stiffness. Major hidden cause.

Sodium/Potassium Imbalance

Too much sodium, not enough potassium. Ratio matters more than absolute sodium.

Magnesium Deficiency

Magnesium relaxes blood vessels. Low Mg = vasoconstriction = higher BP.

Chronic Stress

Sustained cortisol and adrenaline. Keeps vessels constricted.

Sleep Apnea

Oxygen drops trigger sympathetic surge. Common hidden cause of resistant hypertension.

Arterial Stiffness

Age, glycation, oxidative stress. Arteries lose elasticity.

Natural BP Support

Increase Potassium

Bananas, avocados, leafy greens. Helps excrete sodium. DASH diet effective.

Magnesium

Natural vasodilator. 300-500mg glycinate. Most people are deficient.

Nitric Oxide

Beets, leafy greens, citrulline. Relaxes blood vessels. Powerful effect.

Address Insulin

Low carb, intermittent fasting. Fix metabolic syndrome, BP often normalizes.

Exercise

Regular cardio improves arterial flexibility. Both aerobic and resistance help.

Stress Reduction

Meditation, deep breathing, sleep. Calm nervous system, lower baseline BP.

Blood Pressure Discussion