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High Blood Pressure: What Is Blood Pressure?


Blood pressure is the measure of the force of your blood moving through your body's "circulatory system." This complex network of veins and arteries contains blood vessels that can be as large as a banana or so narrow that blood cells can barely squeeze through them. Ideally, your blood flows through almost 100,000 miles of arteries and veins in a smooth stream -- much like water flowing through your home's faucets into the sink or tub.



Within your body, the beats of your heart create a pressure-driven force that sends your blood moving through the body's arterial pathways in a steady, pulsating rhythm. This "force" is measured to determine your blood pressure level.

With each beat, your heart contracts, sending out a "surge" of pressure into the bloodstream. This surge period is called "systolic" from a Greek word meaning "to contract." After the pressure surge, your heart rests for a brief time and "expands" to get ready for another beat. The arteries that have received the surge of blood now rebound, forcing it further through the system. This is called the "diastolic" or "expansion" period.

Doctors measure your blood pressure during each of these periods. They often say "your pressure is 120 over 80," or some other combination of numbers. This first number is a measure of the "systolic push" of the heartbeat on the blood. The second number is the "diastolic" measurement of the pressure in your arteries as blood continues to flow through the system while the heart is at rest.

Finding this measurement is easy. Anyone can do it with a simple home monitoring device called a sphygmomanometer or blood pressure cuff. Your doctor's device may be a little more sophisticated -- with a cuff, a stethoscope, and a pressure gauge -- but they all work pretty much the same way. When your pressure is measured, this cuff is tightened to cut off the circulation momentarily. The cuff is loosened, and as the blood begins to flow again, the device measures the systolic and diastolic forces. The measurement is expressed in numbers as though they were a fraction (e.g., 140/90).

Next: What Do We Mean by "You Have High Blood Pressure"?





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