| Blood pressure is the force exerted against the walls | | | | Normal resting arterial pressure is a systolic reading |
| of arteries as blood is flowing through them. As the | | | | less than 120 but greater than 90 and a diastolic |
| heart contracts to delivery more blood into the | | | | reading of less than 80 but greater than 60. Although |
| arteries the force reaches a maximum, known as the | | | | there are trends characteristic of aging these |
| systolic blood pressure, which is the top number of | | | | numbers don't change with respect to defining what |
| the reading. When the heart stops contracting to fill | | | | is normal. Hypertension is defined as a systolic |
| with blood again the pressure within the arteries | | | | pressure of 140 or greater and they diastolic blood |
| recedes to a minimum, which is the diastolic blood | | | | pressure of 90 or greater. This definition of |
| pressure or the lower number of the reading. When a | | | | hypertension was reached by virtue of the fact that |
| pressure measurement is being taken in either in the | | | | studies have shown that the damage to vessels and |
| upper arm or the wrist, the measuring device is | | | | related organs caused by elevated resting arterial |
| inflated until the pressure generated around the | | | | pressure does not begin to occur until pressures |
| artery exceeds the pressure within the artery | | | | reach these levels. What used to be considered gray |
| resulting in collapse of the artery. The measuring | | | | areas between systolic readings of 120 and 140 and |
| device is then slowly deflated to the point that the | | | | diastolic readings of 80 and 90 are now the ranges |
| pressure around the artery falls below the pressure | | | | that define what is known as pre-hypertension, i.e. |
| within the artery while the heart is contracting but | | | | readings between 120/80 and 140/90. The reason |
| exceeds the pressure in the artery when the heart | | | | 120/80 is an abnormal reading is that studies have |
| relaxes, at which point the artery opens when the | | | | shown that over time many people with a reading of |
| heart contracts but collapses when the heart ceased | | | | 120 or higher will eventually develop hypertension. In |
| to contract. The audible sound detected at this point | | | | fact, one study showed that virtually 100% of |
| if the reading is being taken manually or the signal | | | | people with blood pressure readings of 120/80 will |
| that is generated from an automated device at this | | | | develop hypertension if they live to be 90 years of |
| point is the collapsing of the artery from is expanded | | | | age or more. More realistically, this explains why two |
| state immediately at the end of contraction of the | | | | thirds of the population greater than 65 years of age |
| heart, which is the systolic blood pressure. As the | | | | has high blood pressure. Low arterial pressure |
| deflation continues and the pressure around the | | | | generally is not a concern of most people, but if a |
| artery continues to drop, a point is reached at which | | | | person has hypotension, i.e. a systolic reading of 90 |
| the pressure generated around the artery by the | | | | or less or a diastolic reading of 60 or less symptoms |
| device and the pressure within the artery when the | | | | of lightheadedness and/or fainting can occur and may |
| heart relaxes are equal resulting in the artery ceasing | | | | be representative of an underlying disease process in |
| to collapse and the sound ceasing to be produced. | | | | need of evaluation and treatment. Both abnormally |
| The beginning of this period of silence in which a | | | | high and abnormally low blood pressure readings need |
| sound is no longer heard and a signal is no longer | | | | to be recognized and appropriately addressed |
| sensed by an automated device is the diastolic blood | | | | because either can be associated with morbidity. |
| pressure. | | | | |