High blood pressure, or hypertension, is a major risk factor for strokes. Blood pressure is the force of blood against the walls of the arteries as it circulates through the body. Hypertension can weaken and damage the walls of blood vessels, making it easier for blood clots to form or arteries to rupture. This can lead to two types of strokes: ischaemic strokes, which are caused by blood clots, and haemorrhagic strokes, which are caused by ruptured arteries. Hypertension is often called a silent killer because it may not cause any noticeable symptoms. However, it is estimated that hypertension plays a part in about half of all strokes.
Characteristics | Values |
---|---|
Blood pressure reading | 201/93 |
Systolic pressure | 120 mm Hg |
Diastolic pressure | 80 mm Hg |
Hypertension stage | N/A |
Risk of stroke | High |
What You'll Learn
- High blood pressure is the biggest single risk factor for stroke
- High blood pressure can lead to blood clots in the brain
- High blood pressure can damage the tiny blood vessels deep inside the brain
- High blood pressure can make a stroke, due to bleeding in the brain, more likely
- High blood pressure can be reduced by medication and lifestyle changes
High blood pressure is the biggest single risk factor for stroke
High blood pressure, or hypertension, is the leading cause of strokes in the US. It is the biggest single risk factor for strokes, playing a part in about half of all cases.
High blood pressure damages arteries throughout the body, creating conditions that can make arteries burst or clog easily. Weakened or blocked arteries in the brain create a much higher risk of stroke. This is why managing blood pressure is critical to reducing the risk of stroke.
High blood pressure can lead to strokes in different ways. Firstly, it can cause blood clots in the brain. High blood pressure damages blood vessels, making them narrower and stiffer, and causing a build-up of fatty material. This process is called atherosclerosis. Clots can form on these areas of fatty material, and if a clot travels to the brain, it causes an ischaemic stroke or transient ischaemic attack (TIA or mini-stroke). Secondly, high blood pressure can cause a stroke due to bleeding in or around the brain (a haemorrhagic stroke). High blood pressure can damage blood vessels inside the brain, causing bleeding in the brain.
High blood pressure is when blood flows with too much force, putting more pressure on the arteries. This excess pressure stretches the arteries beyond their healthy limit and can cause small tears. The body then repairs these tears with scar tissue. However, the scar tissue traps substances that form plaque and can lead to blockages, blood clots, and hardened, weakened arteries.
While hypertension is a serious condition, there are things you can do to reduce your risk of a stroke. It is recommended to keep your blood pressure consistently below 130/80 mm Hg to prevent a first-time stroke. You can lower high blood pressure through lifestyle strategies, such as eating a heart-healthy diet, exercising regularly, not smoking, managing your weight, and managing stress. If lifestyle changes are not enough, your doctor can prescribe medication to help lower your blood pressure.
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High blood pressure can lead to blood clots in the brain
High blood pressure, or hypertension, is a major risk factor for strokes. It can weaken and damage the walls of your blood vessels, making it easier for blood clots to form or arteries to rupture. This damage occurs over time, making blood vessels less flexible and more vulnerable to blockages. When this happens in the brain, it is known as a hemorrhagic stroke.
The brain is highly dependent on a healthy circulation system, and hypertension is a circulatory disease. Untreated high blood pressure can have devastating consequences for the brain. Weakened or blocked arteries in the brain create a much higher risk for stroke.
There are two main types of strokes: ischemic and hemorrhagic. Ischemic strokes, which account for about 87% of all strokes, occur when an artery supplying blood to the brain becomes blocked by a clot. This can happen in two ways: a thrombotic stroke, where the clot forms in a diseased artery within the brain, or an embolic stroke, where the clot forms outside the brain and then travels to the brain, lodging in a previously healthy artery.
Hemorrhagic strokes, a less common but often more dramatic type, occur when a blood vessel in the brain bursts, spilling blood into the brain or the surrounding fluid. High blood pressure is a leading cause of hemorrhagic strokes.
High blood pressure can also cause what are known as "silent" strokes, which are a series of microbleeds or tiny ischemic strokes that do not produce symptoms but can lead to major problems over time, including memory loss and cognitive dysfunction. These are particularly common in people over 60, especially those with hypertension.
The higher your blood pressure, the higher your risk of stroke. However, the good news is that treating hypertension is extremely effective in reducing this risk. Lowering your systolic blood pressure by 10 mm Hg can reduce your risk of stroke by 44%.
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High blood pressure can damage the tiny blood vessels deep inside the brain
High blood pressure, or hypertension, is a major risk factor for stroke and can cause severe, long-term disability or even death. It is the leading cause of strokes in the US, and most people who have had a first stroke also had high blood pressure. Over time, high blood pressure can damage and weaken the blood vessels, making it easier for clots to form or for arteries to rupture. This is especially true for the tiny blood vessels deep inside the brain.
The brain is highly dependent on a healthy circulatory system, and hypertension can have devastating effects on this organ. High blood pressure can lead to cerebral small vessel disease, which is the most frequent type of vascular brain disease in people with stroke and dementia. The longer an individual has high blood pressure, the more likely they are to develop this condition. Cerebral small vessel disease is characterised by microbleeding and dead tissue in the brain, which can cause memory loss and cognitive dysfunction.
There are two main types of strokes: ischemic and hemorrhagic. Ischemic strokes, which account for about 87% of all strokes, occur when a clot blocks an artery supplying blood to the brain. Hemorrhagic strokes, on the other hand, happen when a blood vessel in the brain bursts, spilling blood. High blood pressure increases the likelihood of both types of strokes by damaging and weakening the blood vessels in the brain.
To reduce the risk of stroke, it is crucial to manage high blood pressure effectively. Doctors often prescribe blood pressure-lowering medications and recommend lifestyle changes such as a healthy low-sodium diet, regular exercise, weight management, limiting alcohol consumption, and quitting smoking. By treating hypertension early and maintaining a healthy blood pressure range, individuals can significantly lower their risk of stroke and other serious health complications.
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High blood pressure can make a stroke, due to bleeding in the brain, more likely
High blood pressure, or hypertension, is the leading cause of strokes in the US. It is a major risk factor for strokes and plays a part in about half of all cases.
High blood pressure can damage the blood vessels in the brain, making them more prone to rupturing. When a blood vessel in the brain bursts, this is known as a hemorrhagic stroke. Hemorrhagic strokes are particularly dangerous because they cause severe symptoms that get worse quickly. Without fast medical attention, they often cause permanent brain damage or even death.
High blood pressure can also lead to blood clots in the brain. When a clot lodges in an artery that supplies the brain with blood, it causes an ischemic stroke. This is the most common type of stroke.
Therefore, high blood pressure can make a stroke due to bleeding in the brain more likely. Managing high blood pressure is critical to reducing the risk of stroke.
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High blood pressure can be reduced by medication and lifestyle changes
High blood pressure, or hypertension, is a major risk factor for strokes. It is known as a "silent killer" because it usually has no symptoms, but it quietly damages blood vessels, creating conditions that can lead to a stroke. Over time, high blood pressure can damage and weaken the blood vessels, making it easier for blood clots to form or for arteries to rupture. This is why managing high blood pressure is critical to reducing your risk of stroke.
High blood pressure can be reduced by making healthy lifestyle changes and, in some cases, taking medication. Everyone with high blood pressure is advised to adopt a healthier lifestyle, and your GP can advise you on the changes you can make. These changes include:
- Eating a well-balanced, low-fat diet with plenty of fresh fruit and vegetables
- Engaging in regular physical activity
- Achieving and maintaining a healthy weight
- Reducing salt and caffeine intake
- Limiting alcohol consumption
- Quitting smoking
- Getting 7-9 hours of sleep regularly
- Managing stress in healthy ways
If your blood pressure is consistently above 140/90mmHg (or 135/85mmHg at home) and you're under 80 years old, or 150/90mmHg (or 145/85mmHg at home) and you're 80 years old or over, your doctor may advise you to make some of these lifestyle changes. If your blood pressure is above these readings and your risk of other problems is high, you will likely be offered medication to lower your blood pressure, in addition to lifestyle changes.
If you have stage 1 hypertension (130-139/80-89 mm Hg), healthy lifestyle changes are the recommended treatment. If your blood pressure does not decrease after six months of adopting these healthy habits, medication may be considered. For those with stage 1 hypertension and a high risk of heart attack or stroke, anti-hypertensive medication is recommended alongside healthy lifestyle changes.
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Frequently asked questions
High blood pressure, also known as hypertension, is a measure of how strongly the blood presses against the walls of your blood vessels. It is measured in millimetres of mercury (mmHg). A diagnosis of high blood pressure means your blood pressure stays high over a long period.
High blood pressure can lead to stroke in different ways. It can lead to blood clots in the brain and can damage the tiny blood vessels deep inside the brain. It can also make a stroke, due to bleeding in the brain, more likely.
Certain genetic and lifestyle factors as well as health conditions can increase your risk of high blood pressure. The chance of having high blood pressure goes up as we get older. You're more likely to develop it if you have a family history of high blood pressure. People of black African or black Caribbean origins are more likely to have high blood pressure than others. Some other risk factors include eating too much salt, having certain health conditions, and taking certain medications.