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Care / Condition guide (Cardiovascular)

Hypertension

Published

In plain words

Hypertension is high blood pressure: the pressure in the blood vessels is too high. WHO puts the threshold at 140/90 mmHg or higher.

It is common and often has no symptoms. The only way to know is to have your blood pressure measured. Left untreated it can lead to kidney disease, heart disease and stroke.

Key facts

Reading a blood pressure number

Two numbers are written. The first (systolic) is the pressure when the heart beats. The second (diastolic) is the pressure between beats. WHO says hypertension is diagnosed when readings on two different days are both at or above 140 systolic and/or 90 diastolic.

Risk factors

Modifiable: a high-salt diet, high saturated and trans fat, little fruit and vegetable, inactivity, tobacco, alcohol, overweight and obesity, and air pollution. Not modifiable: family history, age over 65, and co-existing diabetes or kidney disease.

Symptoms

Most people feel nothing. Very high pressure (usually 180/120 or higher) can cause severe headache, chest pain, dizziness, difficulty breathing, nausea, vomiting, blurred vision, confusion, nosebleeds or abnormal heart rhythm. With those symptoms and high pressure, seek care immediately.

Treatment, as WHO describes it

Lifestyle changes: a low-salt healthy diet, weight loss, activity, quitting tobacco. Some people also need medicines, chosen by their doctor. WHO gives a goal under 130/80 for people with cardiovascular disease, diabetes, chronic kidney disease or high cardiovascular risk, and under 140/90 for most others. Common medicine classes include ACE inhibitors, which relax blood vessels.

Sources

Last reviewed: 9 October 2026. Reviewer: none yet. This page is general education and is not medical advice. Figures are WHO's and may have been updated since.