What does “Stage 2 hypertension” mean?

Hypertension is a relatively common condition in daily life, particularly prevalent among older adults. Hypertension is generally classified into stages; what does “Stage 2 hypertension” mean?

What is Stage 2 Hypertension?

Hypertension is typically categorized into three stages: - Stage 1: No evidence of target organ damage. Systolic blood pressure ranges from 140–159 mmHg and/or diastolic blood pressure ranges from 90–99 mmHg. - Stage 2: At least one sign of target organ damage is present. Systolic blood pressure ranges from 160–179 mmHg and/or diastolic blood pressure ranges from 100–109 mmHg. Target organ damage may include:   • Heart: Angina pectoris, myocardial infarction, heart failure   • Brain: Stroke, transient ischemic attack (TIA), hypertensive encephalopathy, vascular dementia   • Eyes: Retinal vasculature changes with papilledema

Patients with Stage 2 hypertension commonly experience symptoms such as dizziness, headache, and palpitations. These symptoms tend to worsen following fatigue or emotional fluctuations but may partially improve after adequate rest. As the disease progresses, additional symptoms—including limb numbness, chest tightness, memory impairment, and generalized malaise—may develop.

Patients with secondary hypertension require long-term antihypertensive medication therapy; dosage adjustments or medication substitutions must never be made without medical supervision. Lifestyle modifications are also essential, including weight control, sodium restriction, reduced fat intake, increased consumption of fresh vegetables and fruits, and foods rich in potassium and calcium. Regular physical activity should be incorporated, while emotional stress and mental tension should be avoided. We hope this information is helpful to you.