39 . 39 year old, 6â€™2â€™â€™, 320 pound male with( resting?) blood pressure of 168/111 and pulse of 88. Normal resting blood pressure range (age 35 to 39 years old): minimum systolic 111 & minimal diastolic 78; average systolic 123 and average diastolic 82; maximum systolic 135 and maximum diastolic 86. Body mass index was approximately 41.09 if weighed without clothing. A bmi of 40 or above is consistent with morbid obesity. Was the blood pressure repeated? Is this in the normal range for the BP readings this man gets? Was this a resting blood pressure? Were their other factors that raised blood pressure? Recommendation: see doctor.
Dr. . Dr. Fowler has outlined well the normal range of blood pressures for someone your age and size. I agree with her recommendation. Another thing to consider is the size of the blood pressure cuff used to take your blood pressure. You likely need a large cuff to get an accurate reading on you blood pressure. Blood pressure normally varies throughout the day. A single reading that is high does not mean you have high blood pressure. Recording your blood pressure at home and at work may provide additional information. Once blood pressure rises above 115/75 mm hg, the risk of cardiovascular disease begins to increase. At the level of 168/111, you are at significant risk for complications affecting your kidneys, your eyesight, and your heart. Home blood pressure monitoring can help you keep closer tabs on your blood pressure. Home blood pressure monitors are widely available, and you don't need a prescription. If your blood pressure is under control, you may be able to make fewer visits to your doctor if you monitor your blood pressure at home. You can help keep your blood pressure from being high with diet and other measures. The dietary approaches to stop hypertension (dash) diet emphasizes fruits, vegetables, whole grains and low-fat dairy foods. Maintain a healthy weight, donâ€™t smoke, restrict salt, exercise, avoid stimulants and excess caffeine, reduce stress to the degree possible, and consider meditation/relaxation. Here is a link to the dash diet.