1 00:00:01,658 --> 00:00:05,935 Let's talk about hypertension, I'll write that here: hypertension 2 00:00:05,935 --> 00:00:11,505 And hypertension basically means high blood pressure 3 00:00:11,505 --> 00:00:19,541 and we actually categorize it in different groups. So let's use my blood pressureof 115/75 as an example 4 00:00:19,541 --> 00:00:20,597 And I had drawn thisfigure for where where I had blood pressure on this side 5 00:00:20,597 --> 00:00:28,710 and I had time on this side. 6 00:00:28,710 --> 00:00:32,401 And I said my blood pressure does something like that 7 00:00:32,401 --> 00:00:33,424 where the peak is 115 8 00:00:33,424 --> 00:00:36,082 this is the systolic blood pressure 9 00:00:36,082 --> 00:00:41,337 and I said that the lowest point is 75. 10 00:00:41,337 --> 00:00:43,437 And that was my diastolic blood pressure. 11 00:00:43,437 --> 00:00:50,352 We know that everyone has a different blood pressure, so let's organize blood pressure 12 00:00:50,352 --> 00:00:54,069 into groups. let's say what group goes where 13 00:00:54,069 --> 00:00:56,742 so to do that I'm gonna draw a couple number lines. 14 00:00:56,742 --> 00:01:00,477 So I have here in brown, I'll do my systolic blood pressure 15 00:01:00,477 --> 00:01:05,890 on this side and I'll do the diastolic on the other side. 16 00:01:05,890 --> 00:01:07,778 And we're going to actually put them next to eachother 17 00:01:07,778 --> 00:01:15,782 and I'll try to make them about the same size 18 00:01:15,782 --> 00:01:16,855 like that. So let's say this is really high pressure 19 00:01:16,855 --> 00:01:24,643 This would be like 200, and this is all in millimeters of mercury (mmHg). 20 00:01:24,643 --> 00:01:30,847 200 mmHg. and at the very bottom would be zero. 21 00:01:30,894 --> 00:01:31,473 So let's make them kind of the same. 22 00:01:31,473 --> 00:01:37,028 And that means that up here would be about 100 23 00:01:37,028 --> 00:01:39,834 and this would be about 120, this about 140, 24 00:01:39,834 --> 00:01:51,702 let's say this is maybe 160, and this is 180. 25 00:01:51,702 --> 00:01:55,463 And I'm gonna do the same thing here, this is about 100. 26 00:01:55,788 --> 00:01:59,444 Except I'm gonna go on the other side. 27 00:01:59,444 --> 00:02:04,423 Let's say this is about 80, and this is 60, 40, 20 28 00:02:04,423 --> 00:02:10,552 Maybe I didn't draw it as well, but I think you get the idea. 29 00:02:10,552 --> 00:02:15,593 So this is my number line, and the reason I drew the systolic numbers higher 30 00:02:15,593 --> 00:02:22,196 than the diastolic is that we know the systolic pressure is always going to be higher than the diastolic pressure. 31 00:02:22,196 --> 00:02:25,844 So that is why I separated it out. But you can imagine that 32 00:02:25,936 --> 00:02:28,499 these numbers go up and these go down 33 00:02:28,561 --> 00:02:30,186 I'm just being lazy and not drawing it all out. 34 00:02:30,186 --> 00:02:35,120 So let's say that my pressure is 115, this is my systolic pressure. 35 00:02:35,120 --> 00:02:38,112 let's do that one first. Where does that fit? 36 00:02:38,142 --> 00:02:41,811 Well on this number line, 115 would be about right here. 37 00:02:41,857 --> 00:02:48,060 And actually anything below 120 is kind of in the green zone 38 00:02:48,060 --> 00:02:51,596 and this goes all the way down to zero 39 00:02:52,196 --> 00:02:57,412 So let's say my systolic was 97 or 103, that would all be in the green zone. 40 00:02:57,412 --> 00:03:03,576 And what I mean by that is I would say that I do not have hypertension. 41 00:03:03,576 --> 00:03:08,068 So that's kind of a nice, safe area to have your blood pressure in terms of hypertension. 42 00:03:08,114 --> 00:03:12,413 Now for diastolic pressures, we know that diastolic pressures are 43 00:03:12,459 --> 00:03:15,263 the low range of a blood pressure. 44 00:03:15,570 --> 00:03:19,141 And so those numbers are going to be lower. 45 00:03:19,294 --> 00:03:23,277 Here, anything below 80 is considered in that green zone 46 00:03:23,277 --> 00:03:27,343 Below 80 is where you want to be. 47 00:03:27,343 --> 00:03:30,518 And I want to be very specific, I don't mean to say that 48 00:03:30,518 --> 00:03:33,383 a blood pressure of 5 would be good. 49 00:03:33,383 --> 00:03:37,642 What I mean is that you don't have hypertension, so you don't have HIGH blood pressure. 50 00:03:37,642 --> 00:03:41,013 And that's very different from having low blood pressure. 51 00:03:41,013 --> 00:03:44,943 So just for right now the green zone in terms of high blood pressure. 52 00:03:44,943 --> 00:03:48,351 Now let's say my systolic blood pressure was a little bit higher 53 00:03:48,351 --> 00:03:52,276 say it's between 120 and 140, somewhere in here 54 00:03:52,276 --> 00:03:56,898 then I'm in the yellow zone, and that yellow zone means that 55 00:03:56,898 --> 00:04:00,399 I don't have hypertension, but I'm getting there, so I'm getting closer 56 00:04:00,399 --> 00:04:03,206 and this would be "Pre-hypertension" 57 00:04:03,298 --> 00:04:07,926 On the other side, on the diastolic side, we use 90 as a cut-off 58 00:04:07,926 --> 00:04:12,148 I'll write in 90, and anything between 80 and 90 would be 59 00:04:12,148 --> 00:04:17,179 kind of in that yellow zone, and that's your pre-hypertension zone 60 00:04:17,179 --> 00:04:21,063 That's pre-hypertension, so you're still not there yet. 61 00:04:21,063 --> 00:04:24,832 Now in terms of high blood pressures, again you don't want high blood pressures 62 00:04:24,832 --> 00:04:28,185 but in terms of getting there, if you're above 140 63 00:04:28,185 --> 00:04:31,792 you're in hypertension, this zone right here 64 00:04:31,792 --> 00:04:35,977 140-160 in particular is considered stage 1 hypertension 65 00:04:35,977 --> 00:04:46,211 and between 90-100 for diastolic is stage 1. 66 00:04:46,242 --> 00:04:53,282 And now if you have something above 160 for systolic blood pressure 67 00:04:53,282 --> 00:04:58,750 Above 160, even higher than 200, so let's say you have 201, 68 00:04:58,750 --> 00:05:01,936 that'd be stage 2. 69 00:05:02,213 --> 00:05:06,980 So you can see that the higher you go, the higher your stage number 70 00:05:06,980 --> 00:05:10,304 and the same is true on this side(diastolic). 71 00:05:10,304 --> 00:05:13,570 So let's say you have a really high diastolic, well above 100, 72 00:05:13,570 --> 00:05:18,729 you'd have stage 2 hypertension 73 00:05:18,729 --> 00:05:22,899 all the way down there, so this is stage 2. 74 00:05:22,899 --> 00:05:26,416 So i'm just gonig to do a couple quick examples for you. 75 00:05:26,416 --> 00:05:30,215 So let's say, I'll do them in yellow (different color). 76 00:05:30,215 --> 00:05:41,939 So let's say that you have 145 as a systolic and your diastolic is, let's say, 87. 77 00:05:41,939 --> 00:05:49,351 Well 145 is right here, and 87 (I'm gonna do it in the same color to be consistent) 78 00:05:49,351 --> 00:05:57,286 145 is right here, and 87 is in here. 79 00:05:57,286 --> 00:06:05,089 So you're systolic is stage 1 hypertension, and your diastolic is in pre-hypertension. 80 00:06:05,089 --> 00:06:10,052 So when you're in different stages for the diastolic and the systolic, what you do, 81 00:06:10,052 --> 00:06:14,265 the rule is that you go with the higher stage. 82 00:06:14,265 --> 00:06:21,047 So in this case, stage 1 is higher, so this person would be considered stage 1 hypertension. 83 00:06:21,047 --> 00:06:24,332 Now we can do one more example, just to make sure you get it. 84 00:06:24,332 --> 00:06:27,618 So let's do a different color, I'll do the next one in red. 85 00:06:27,803 --> 00:06:36,099 So let's say you have 126 over 101. 86 00:06:37,068 --> 00:06:45,241 So this person, 126 is actually right here, and 101 is right above the 100 mark right there. 87 00:06:45,241 --> 00:06:51,184 So this person is actually pre-hypertensive if you're looking at just your systolic value, 88 00:06:51,184 --> 00:06:56,765 but they're actually in stage 2 hypertension if you're looking at their diastolic value. 89 00:06:56,765 --> 00:07:00,777 So overall, they're going to be in stage 2. 90 00:07:00,777 --> 00:07:04,794 Becaseu the rule, again, is that you go with the higher stage. 91 00:07:04,794 --> 00:07:08,794 So that's how you figure out what stage of hypertension someone is in.