Hello, : Hello, there is little information here. Although it differs by age, a general idea about blood pressures follows. The first number is the systolic pressure and the second number is the diastolic blood pressure. These are measured in millimeters of mercury. You don’t use one blood pressure reading to make a diagnosis. Normal = less than 120/80. Pre-hypertension = 120-139/ 80 -89. Hypertension (stage 1) = 140-159/ 90 — 99. Hypertension (stage 2) = greater than 160/ 100. Both hypertensive crisis and hypertensive emergency are greater than 180 / 120 with evidence of acute organ damage differentiating between the two. Hypertension urgencies are marked elevations of bp, (often with blood pressure higher than 180/110 mm hg) and the person may have a headache, shortness of breath or swelling in their feet as well as possible chronic end organ damage. There are many unkowns here. Is the blood pressure cuff the correct size? Are these repeated measurements? Is the person being treated for hypertension? Is the person markedly emotionally upset or in significant pain? If the measuremets are accurate, 185/ 115 is dangerous and medical attention should be sought. If the blood pressure has not come back down/ there are symptoms, that person should be seen at the emergency room.
Answered 4/14/2018
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A : A blood pressure of 185/115 could absolutely be fatal or it could be something that someone could live with for a long time and not have any symptoms. That's the problem with high blood pressure; there are almost always no symptoms. That is until someone who has had a blood pressure of 160/90 or 185/115 suddenly can't speak or walk, because he's having a stroke that, if not fatal, could wind him up in a wheelchair and diapers for the rest of his life. I've seen far too many patients in their 50's and 40's even in that same, desperately sad situation. Human beings are not destined to live to 82. Without vaccines, sanitation, antibiotics, and (yes) blood pressure medication, we'd all be happy to make it to age 45. The average lifespan in 19th century london was 27 years old. Our bodies are amazing things, but they're not perfect. Even the healthiest eating, most vigorous exercising person can have a blood pressure that is higher than it should be to avoid dying from heart attack, stroke, kidney failure, or succumbing to blindness. If you have high blood pressure but decide that you don't want to take medication because of side effects or because you want to live more naturally, i fully support that. But realize that naturally, most of us would already be dead. I see patients who down handfuls of vitamins multiple times a day, who refuse to treat their elevated blood pressure. There has never been a single study that shows that any vitamin supplementation regimen reduces risk of heart attack, stroke, and kidney failure, yet the studies that show that high blood pressure medications do all that and more would fill the typical town library to capacity. These are old medications. Some have been around for fifty years. They've proven themselves safe and effective. Most all are generic, so you don't have to worry about your doctor being influenced by a seductive drug rep to push pills on you. Untreated high blood pressure is one of the biggest public health problems in this country, and it causes hundreds of thousands of deaths a year. So, yes, a blood pressure of 185/115 can kill. It could kill you in an hour or a decade, but the great thing is, you don't really have to ask that question, because there are effective, safe ways to lower it, and in turn increase your chance of living the lifespan that modern science has given us the chance to attain.
Answered 1/4/2021
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2 doctors weighed in across 2 answers
3 doctors weighed in across 2 answers
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