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Learn more about the Heart-Check Certification Program. As its name implies, the DASH ,or Dietary Approaches to Stop Hypertension, eating plan is designed to help you manage blood pressure.
Emphasizing healthy food sources, it also limits:. In addition to being easy to follow, delicious and varied, the DASH eating plan is proven effective.
Written by American Heart Association editorial staff and reviewed by science and medicine advisors. See our editorial policies and staff. High Blood Pressure. The Facts About HBP.
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Read the labels. Other medicines sometimes used to treat high blood pressure If you're having trouble reaching your blood pressure goal with combinations of the above medicines, your provider may prescribe: Alpha blockers. These medicines reduce nerve signals to blood vessels.
They help lower the effects of natural chemicals that narrow blood vessels. Alpha blockers include doxazosin Cardura , prazosin Minipress and others. Alpha-beta blockers. Alpha-beta blockers block nerve signals to blood vessels and slow the heartbeat. They reduce the amount of blood that must be pumped through the vessels.
Alpha-beta blockers include carvedilol Coreg and labetalol Trandate. Aldosterone antagonists. These drugs may be used to treat resistant hypertension.
They block the effect of a natural chemical that can lead to salt and fluid buildup in the body. Examples are spironolactone Aldactone and eplerenone Inspra.
These medicines stop the muscles in the artery walls from tightening. This prevents the arteries from narrowing. Examples include hydralazine and minoxidil. Central-acting agents. These medicines prevent the brain from telling the nervous system to increase the heart rate and narrow the blood vessels.
Examples include clonidine Catapres, Kapvay , guanfacine Intuniv and methyldopa. Treating resistant hypertension You may have resistant hypertension if: You take at least three different blood pressure drugs, including a diuretic. But your blood pressure remains stubbornly high.
You're taking four different medicines to control high blood pressure. Your care provider should check for a possible second cause of the high blood pressure. Treating resistant hypertension may involve many steps, including: Changing blood pressure medicines to find the best combination and dosage.
Reviewing all your medicines, including those bought without a prescription. Checking blood pressure at home to see if medical appointments cause high blood pressure.
This is called white coat hypertension. Eating healthy, managing weight and making other recommended lifestyle changes. High blood pressure during pregnancy If you have high blood pressure and are pregnant, discuss with your care providers how to control blood pressure during your pregnancy.
Potential future treatments Researchers have been studying the use of heat to destroy specific nerves in the kidney that may play a role in resistant hypertension.
Request an appointment. Alpha blockers. Angiotensin II receptor blockers. Show more related information. Choosing blood pressure medicines. Beta blockers: Do they cause weight gain?
Beta blockers: How do they affect exercise? Blood pressure medications: Can they raise my triglycerides? Calcium supplements: Do they interfere with blood pressure drugs? Diuretics: A cause of low potassium?
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You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. Clinical trials. Try these heart-healthy strategies: Eat healthy foods. Eat a healthy diet. Try the Dietary Approaches to Stop Hypertension DASH diet.
Choose fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Get plenty of potassium from natural sources, which can help lower blood pressure. Eat less saturated fat and trans fat.
Use less salt. Processed meats, canned foods, commercial soups, frozen dinners and certain breads can be hidden sources of salt. Check food labels for the sodium content.
Limit foods and beverages that are high in sodium. A sodium intake of 1, mg a day or less is considered ideal for most adults. But ask your provider what's best for you. Limit alcohol. Even if you're healthy, alcohol can raise your blood pressure. If you choose to drink alcohol, do so in moderation.
For healthy adults, that means up to one drink a day for women, and up to two drinks a day for men. One drink equals 12 ounces of beer, 5 ounces of wine or 1. Don't smoke. Tobacco injures blood vessel walls and speeds up the process of hardening of the arteries. If you smoke, ask your care provider for strategies to help you quit.
Maintain a healthy weight. If you're overweight or have obesity, losing weight can help control blood pressure and lower the risk of complications. Ask your health care provider what weight is best for you.
In general, blood pressure drops by about 1 mm Hg with every 2. In people with high blood pressure, the drop in blood pressure may be even more significant per kilogram of weight lost. Practice good sleep habits.
Poor sleep may increase the risk of heart disease and other chronic conditions. Adults should aim to get 7 to 9 hours of sleep daily. Kids often need more. Go to bed and wake at the same time every day, including on weekends. If you have trouble sleeping, talk to your provider about strategies that might help.
Manage stress. Find ways to help reduce emotional stress. Getting more exercise, practicing mindfulness and connecting with others in support groups are some ways to reduce stress.
Try slow, deep breathing. Practice taking deep, slow breaths to help relax. Some research shows that slow, paced breathing 5 to 7 deep breaths per minute combined with mindfulness techniques can reduce blood pressure.
There are devices available to promote slow, deep breathing. According to the American Heart Association, device-guided breathing may be a reasonable nondrug option for lowering blood pressure.
It may be an good option if you have anxiety with high blood pressure or can't tolerate standard treatments. High blood pressure and exercise. Medication-free hypertension control. Stress and high blood pressure. Blood pressure medication: Still necessary if I lose weight?
Can whole-grain foods lower blood pressure? High blood pressure and cold remedies: Which are safe? Resperate: Can it help reduce blood pressure? How to measure blood pressure using a manual monitor.
How to measure blood pressure using an automatic monitor. What is blood pressure? These supplements include: Fiber, such as blond psyllium and wheat bran Minerals, such as magnesium, calcium and potassium Folic acid Supplements or products that increase nitric oxide or widen blood vessels — called vasodilators — such as cocoa, coenzyme Q10, L-arginine and garlic Omega-3 fatty acids, found in fatty fish, high-dose fish oil supplements and flaxseed Researchers are also studying whether vitamin D can reduce blood pressure, but evidence is conflicting.
L-arginine: Does it lower blood pressure? Some things you can do to help manage the condition are: Take medicines as directed.
If side effects or costs pose problems, ask your provider about other options. Don't stop taking your medicines without first talking to a care provider. Schedule regular health checkups. It takes a team effort to treat high blood pressure successfully.
Work with your provider to bring your blood pressure to a safe level and keep it there. Know your goal blood pressure level.
Choose healthy habits. Eat healthy foods, lose excess weight and get regular physical activity. If you smoke, quit. Say no to extra tasks, release negative thoughts, and remain patient and optimistic. Ask for help. Sticking to lifestyle changes can be difficult, especially if you don't see or feel any symptoms of high blood pressure.
It may help to ask your friends and family to help you meet your goals. Join a support group. You may find that talking about any concerns with others in similar situations can help. What you can do Write down any symptoms that you're having. High blood pressure rarely has symptoms, but it's a risk factor for heart disease.
Let your care provider know if you have symptoms such as chest pains or shortness of breath. Doing so can help your provider decide how aggressively to treat your high blood pressure.
Write down important medical information, including a family history of high blood pressure, high cholesterol, heart disease, stroke, kidney disease or diabetes, and any major stresses or recent life changes.
Make a list of all medicines, vitamins or supplements that you're taking. Include dosages. Take a family member or friend along, if possible. Sometimes it can be difficult to remember all the information provided to you during an appointment.
Someone who accompanies you may remember something that you missed or forgot. Be prepared to discuss your diet and exercise habits. If you don't already follow a diet or exercise routine, be ready to talk to your care provider about any challenges you might face in getting started.
Write down questions to ask your provider. For high blood pressure, some basic questions to ask your provider include: What kinds of tests will I need? What is my blood pressure goal?
Do I need any medicines? Is there a generic alternative to the medicine you're prescribing for me? What foods should I eat or avoid? What's an appropriate level of physical activity?
How often do I need to schedule appointments to check my blood pressure? Should I monitor my blood pressure at home? I have other health conditions. How can I best manage them together?
Are there brochures or other printed material that I can have? What websites do you recommend? Don't hesitate to ask any other questions that you might have. What to expect from your doctor Your health care provider is likely to ask you questions.
Your provider may ask: Do you have a family history of high cholesterol, high blood pressure or heart disease?
What are your diet and exercise habits like? Do you drink alcohol? How many drinks do you have in a week? Do you smoke? When did you last have your blood pressure checked?
What was the result? What you can do in the meantime It's never too early to make healthy lifestyle changes, such as quitting smoking, eating healthy foods and getting more exercise.
By Mayo Clinic Staff. Sep 15, Show References. High blood pressure. National Heart, Lung, and Blood Institute. Accessed July 18, Flynn JT, et al. Clinical practice guideline for screening and management of high blood pressure in children and adolescents.
Physical Activity Guidelines for Americans. Department of Health and Human Services. Accessed June 15, Hypertension in adults: Screening. Preventive Services Task Force.
Thomas G, et al. Blood pressure measurement in the diagnosis and treatment of hypertension in adults. Muntner P, et al. Measurement of blood pressure in humans: A scientific statement from the American Heart Association.
Basile J, et al. Overview of hypertension in adults. Accessed July 22, Know your risk factors for high blood pressure. American Heart Association. Rethinking drinking. Alcohol and your health. National Institute on Alcohol Abuse and Alcoholism.
Libby P, et al. Systemic hypertension: Mechanisms, diagnosis, and treatment. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. Elsevier; Hypertension adult.
Mayo Clinic; About metabolic syndrome. Understanding blood pressure readings. Whelton PK, et al. Monitoring your blood pressure at home. Mann JF. Choice of drug therapy in primary essential hypertension. Agasthi P, et al. Renal denervation for resistant hypertension in the contemporary era: A systematic review and meta-analysis.
Scientific Reports. Chernova I, et al. Resistant hypertension updated guidelines. Current Cardiology Reports. Forman JP, et al. Diet in the treatment and prevention of hypertension.
Goldman L, et al. Cognitive impairment and dementia. In: Goldman-Cecil Medicine. Managing stress to control high blood pressure. Brenner J, et al. Mindfulness with paced breathing reduces blood pressure.
Medical Hypothesis. Grundy SM, et al. Natural medicines in the clinical management of hypertension. Natural Medicines.
Accessed Dec. Saper RB, et al. Overview of herbal medicine and dietary supplements. Lopez-Jimenez F expert opinion. Mayo Clinic. Department of Health and Human Services and U.
Department of Agriculture. Börjesson M, et al. Physical activity and exercise lower blood pressure in individuals with hypertension: Narrative review of 27 RCTs. British Journal of Sports Medicine.
Lloyd-Jones DM, et al. Life's essential 8: Updating and enhancing the American Heart Association's construct of cardiovascular health: A presidential advisory from the American Heart Association.
American Heart Association adds sleep to cardiovascular health checklist. Accessed July 15, News from Mayo Clinic. Mayo Clinic Q and A: Caffeine's effects on blood sugar and blood pressure. Mayo Clinic Minute: Is salt sneaking into your diet? Mayo Clinic Q and A: What time is best for blood pressure medication?
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A Mayo Clinic expert explains. White coat hypertension. Wrist blood pressure monitors: Are they accurate? Associated Procedures. A Book: Mayo Clinic on High Blood Pressure.
Blood Pressure Monitors at Mayo Clinic Store.
There are several home Pfessure that can Protein for post-workout recovery used to help Performance-based diets for food intolerances high mznagement pressure levels pressuree improve heart Blood pressure management, including making changes to your diet and lifestyle. Blood pressure is the force at which blood pumps from the heart into the arteries. When blood pressure is high, the blood moves through the arteries more forcefully. This puts increased pressure on the delicate tissues in the arteries and damages the blood vessels. High blood pressureor hypertension, affects about half of American adults, estimates the American College of Cardiology. Without visible symptoms, most people are unaware that they have high blood pressure.
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