Pre-hypertension: Symptoms, Risk Factors, Treatment

What Is Prehypertension?

In  stage 1 hypertension, also known as prehypertension, the systolic (top number) reading is 120 mmHg-139 mmHg, or the diastolic (bottom number) reading is 80 mmHg-89 mmHg.

Prehypertension is a warning sign that you may get high blood pressure in the future. High blood pressure increases your risk of heart attack, stroke, coronary heart disease, heart failure, and kidney failure. There’s no cure for high blood pressure, but there is treatment with diet, lifestyle habits, and medications.

We know that starting as low as 115/75 mmHg, the risk of heart attack and stroke doubles for every 20-point jump in systolic blood pressure or every 10-point rise in diastolic blood pressure for adults aged 40-70.

Who Is at Risk for Prehypertension?

Nearly half of all adults older than age 18 have prehypertension or hypertension, as measured by average of two or more readings at two or more doctor’s visits.

According to the American Heart Association, 59 million people in the U.S. have prehypertension.

People with prehypertension may have a greater risk for other cardiovascular disease (CVD) risk factors. These risk factors — such as high cholesterol, obesity, and diabetes — are seen more in people with prehypertension than in those with normal blood pressure.

Is Prehypertension a Result of Aging?

You may wonder if high blood pressure happens with aging, but experts say no.

Some populations across the globe have minimal rise in blood pressure with aging. In some parts of Mexico, the South Pacific, and other parts of the world, people have very low salt intake. In these areas, the age-related rise in blood pressure is small compared with the U.S.

Is There Treatment for Prehypertension?

Prehypertension is a warning sign. It means that you’re at a greater risk of high blood pressure. Depending on your blood pressure and risk factors for heart disease, you may only need to make a few lifestyle adjustments. Here are some strategies to help you manage prehypertension:

• Lose weight if you are overweight. Being overweight increases the risk of high blood pressure. However, losing weight can lower high blood pressure. Studies show that modest weight loss can prevent hypertension by 20% in overweight people with prehypertension.
• Exercise regularly.Exercise helps you lose weight. Exercise also helps lower blood pressure.
• Eat plenty of fruits, vegetables, whole grains, fish, and low-fat dairy. Studies show high blood pressure can be lowered and prevented with the DASH diet. This[TM1] diet is low in sodium and high in potassium, magnesium, calcium, protein, and fiber.
• Cut back on dietary salt/sodium. A diet high in sodium (salt) can increase blood pressure. A low-sodium diet can lower high blood pressure — or prevent it. Aim for less than 2,300 milligrams of sodium daily (about 1 teaspoon of table salt).
• Eat foods low in saturated and trans fat and cholesterol. Diets high in saturated fat (meats and high-fat dairy), trans fat (some margarine, snack foods, and pastries) and cholesterol (organ meats, high-fat dairy, and egg yolks) may lead to obesity, heart disease, and cancer.
• Eat a plant-based or vegetarian diet. Add high-protein soy foods to your diet. Increase servings of fruits and vegetables by adding one serving at a time. You can add a serving of fruit at lunchtime. Then add a serving of vegetables at dinner.
• Drink only in moderation. Drinking excess alcohol can increase blood pressure. Limit drinking to no more than two drinks a day for men, and one drink a day for women.

It’s important to get your blood pressure checked regularly. Know your blood pressure number. Let your doctor know if your blood pressure number is higher.

You can monitor your blood pressure between doctor’s visits with a home blood pressure monitor. Or, you can use an electronic blood pressure monitor at your local pharmacy, grocery store, or fire station.

Talk to your doctor about your blood pressure. Ask if diet and exercise can help lower your risk of getting high blood pressure.

Is Your Blood Pressure Normal?

At just about every visit, your health provider will check to see if you have normal blood pressure. Taking a blood pressure reading is a simple, painless test performed with a blood pressure monitor to measure the pressure within your arteries.

Are you doing everything you can to manage your heart condition? Find out with our interactive checkup.

Blood pressure is measured with two numbers: systolic pressure (the top number) which is the pressure when your heart beats, and diastolic pressure (the bottom number) which is the pressure when your heart is relaxed.

Ideally, your blood pressure should be 120/80 millimeters of mercury (mmHg) or less, according to Gbenga Ogedegbe, MD, MPH, MS, a clinical hypertension specialist, director of the Center for Healthful Behavior Change, and associate professor of medicine for the division of general internal medicine at New York University School of Medicine in New York City. Blood pressure within the ranges of 120-139/80-89 mmHg is technically considered normal but “pre-hypertensive,” meaning that it puts you at risk of developing hypertension, or high blood pressure, in the future.

Variations in Normal Blood Pressure

Dr. Ogedegbe says to think of a traffic light when you evaluate your blood pressure readings. “Green is anything less than 120/80, yellow is 120-139/80-89, and red is when your blood pressure is 140/90 and above,” Ogedegbe says. People whose systolic blood pressure is 140 mmHg or greater or whose diastolic blood pressure is 90 mmHg or greater are said to be hypertensive, or have high blood pressure.

Everyone’s blood pressure fluctuates, but normal blood pressure means that yours is usually less than 120/80 mmHg. “Before we can say somebody has high blood pressure, we like to see them take their blood pressure on two separate occasions at least a month apart,” says Ogedegbe.

If your blood pressure is high at one visit, your doctor will probably suggest that you come back for another reading or use a home blood pressure monitor to track your blood pressure before diagnosing you as hypertensive.

A high blood pressure reading at a doctor visit could also be due to what health care providers call “white coat hypertension.” Some people have in-office blood pressure readings that are temporarily elevated due to the anxiety of being at the doctor’s.

At the other end of the spectrum is low blood pressure. Ogedegbe says that blood pressure is generally considered to be low when either systolic blood pressure is less than 90 mmHg or diastolic blood pressure is less than 60 mmHg.

If you have low blood pressure and do not have any worrisome symptoms, such as dizziness, headaches, or an abnormal heart rate, it is probably not a concern. But if your blood pressure is severely low — less than 80/50 mmHg — or you experience a sudden drop in blood pressure, consult your health care provider.

Home Blood Pressure Management and Monitoring

Avoiding white coat hypertension is one of the advantages that home blood pressure monitoring has over in-office monitoring. Home monitoring gives your doctor a truer picture of what your blood pressure is in your own environment. Another advantage is that it allows your doctor to take the average of several blood pressure readings, instead of relying on a single reading in the medical office.

To best manage your blood pressure at home, follow these guidelines:

• Ask your doctor what type of blood pressure monitor he or she recommends and have it calibrated against the monitor at your doctor’s office.
• Avoid smoking, drinking caffeinated beverages, or exercising for 30 minutes before you take your blood pressure.
• Relax in a chair with one arm on a table and the other arm at heart level.
• Place the blood pressure cuff over your upper arm (see your device’s instructions for proper placement).
• Take two or three blood pressure readings daily and record your results on a chart, including the date and time of day (it is best to take readings at the same time each day).
• Call your health care provider if you get an at-home reading that is too high or too low.

Knowing your blood pressure is important part of health management, since undiagnosed hypertension puts you at risk for a variety of other conditions. Make sure to consult your doctor if you have any concerns or questions about your blood pressure numbers.

Return to the Hypertension Awareness Center.

High Blood Pressure in Pregnancy

When most people think about high blood pressure and pregnancy, one of the first things that might come to mind is preeclampsia. And while preeclampsia is a blood pressure condition that affects pregnant and sometimes postpartum women, there’s actually a lot more to having high blood pressure than you might think.

We’ve rounded up all the need-to-knows about this common—and highly treatable—condition that affects 5% to 8% of all pregnancies in women ages 20 to 44 across the U.S.

What is considered high blood pressure during pregnancy?

Blood pressure (the force of blood that pushes against the walls of your arteries) is one of the most closely monitored vitals throughout your pregnancy and after delivery. And for good reason: if your blood pressure gets too high, it can put extra stress on your body, leading to health issues for you and for your baby.

In order to diagnose high blood pressure, also called hypertension, your healthcare provider will monitor your blood pressure readings and classify any higher-than-normal readings into one of three categories (a normal blood pressure reading is below 120/80 mm Hg):

• Elevated blood pressure (120-129/<80): A systolic pressure ranging from 120-129 mm Hg and a diastolic pressure below 80 mm Hg.
• Stage 1 hypertension (130-139/80-89): A systolic pressure ranging from 130-139 mm Hg or a diastolic pressure ranging from 80-89 mm Hg.
• Stage 2 hypertension (>140/>90): A systolic pressure of 140 mm Hg or higher or a diastolic pressure of 90 mm Hg or higher.

If you experience any of the higher readings, your doctor will work with you to find the right treatment plan for you. This may involve diet, exercise and medication.

Causes and types of high blood pressure in pregnancy

Researchers are still stumped as to the exact causes of high blood pressure during pregnancy. And while some women will go into pregnancy already dealing with high blood pressure, others develop it sometime over the course of the 40 weeks of pregnancy.

There are four types of high blood pressure in pregnancy:

• Gestational hypertension. Gestational hypertension is high blood pressure that develops after 20 weeks of pregnancy. It often causes only a small rise in blood pressure, but in certain cases can be more severe. There are no signs of preeclampsia, such as protein in the urine or signs of other organ damage. Gestational hypertension disappears after you give birth.
• Chronic hypertension. Chronic hypertension is high blood pressure that you have before you get pregnant or that develops before 20 weeks of pregnancy. Unlike other types of high blood pressure, it won’t go away after you give birth, but it can be managed.
• Chronic hypertension with superimposed preeclampsia. This condition occurs when chronic hypertension leads to preeclampsia. It develops in women who had chronic hypertension before getting pregnant and then develop worsening high blood pressure and symptoms of preeclampsia such as protein in the urine.
• Preeclampsia. Preeclampsia is a blood pressure condition that occurs after the 20th week of pregnancy and involves elevated blood pressure readings in conjunction with possible signs of damage in other organs, like the liver and kidneys.

Symptoms of high blood pressure in pregnancy

It’s tough to miss many of the symptoms of pregnancy. (We’re looking at you, swollen ankles and 10 pm cookie cravings!) But signs of hypertension during pregnancy aren’t always so obvious.

Symptoms of high blood pressure in pregnancy range from mild to severe and include:

• Elevated blood pressure reading. Your doctor checks your blood pressure at every prenatal appointment for a reason; since you often won’t feel any different, getting a blood pressure reading is the only true way to know if you’re developing hypertension. A provider will often look for multiple high readings a few hours apart to confirm a high blood pressure diagnosis.

• Preeclampsia symptoms. These can include:

  • Protein in your urine (one of the many reasons your doctor is always asking you to pee in a cup during your appointments!)
  • Severe headaches
  • Changes in vision (blurred vision, seeing spots, light sensitivity)
  • Shortness of breath
  • Upper abdominal pain, often under your ribs on the right side.

Don’t wait if you’re experiencing any of these symptoms and feel like something might not be right—it’s always worth a call or a visit to your healthcare provider to check in.

Risks of high blood pressure during pregnancy

Although it may be tough to think about the risks to you or your baby if you’re diagnosed with hypertension during your pregnancy, the good news is that many are preventable with the right blood pressure management and treatment.

Risks of high blood pressure during pregnancy for the woman include:

• Organ damage
• Future cardiovascular disease
• Placental abruption

Risks for the baby include:

• Decreased blood flow to the placenta
• Growth restriction
• Premature delivery

How to prevent high blood pressure during pregnancy

It may sound obvious, but taking care of you is one of the best ways to take care of your baby both during and after pregnancy, including when it comes to preventing high blood pressure.

While there’s no surefire way to prevent high blood pressure, keeping up with your prenatal appointments and staying as healthy as possible through diet and exercise are two major things you can do to ward off hypertension.

Since high blood pressure doesn’t always present with obvious symptoms, it’s important to never miss a prenatal or postnatal checkup so your doctor can keep tabs on your blood pressure readings over time and keep an eye out for any red flags.

And although there’s certainly nothing wrong with having a cookie (or two…) throughout your pregnancy, do your best to eat a healthy and well-balanced diet as much as you can.

Eating right and staying active can have a hugely positive impact not only on your blood pressure, but on you and your baby too.

If you do have a high blood pressure during your pregnancy, there are treatments available, from blood pressure medications to increased monitoring, you and your doctor can discuss to help keep you and baby healthy.

High blood pressure (hypertension) | healthdirect

As blood is pumped by the heart around the body, the pressure with which it pushes against the walls of blood vessels changes.

When the heart is squeezing blood into the arteries, the pressure is high.

When the heart is relaxed, the pressure is lower.

Your blood pressure is a measurement taken of the highest reading and the lowest reading. It is given as 2 figures — highest (systolic) over lowest (diastolic).

• Systolic — pressure in the artery as the heart contracts. This is represented by the top, higher number.
• Diastolic — pressure in the artery when the heart is relaxing and being filled with blood. This is represented by the bottom, lower number.

What is high blood pressure?

Your blood pressure is high if the reading is higher than 140/90 mmHg, which is considered to put you at higher risk of having a heart attack or stroke (cardiovascular disease). That is, you have high blood pressure if the higher figure (systolic) is higher than 140, or the lower figure (diastolic) is higher than 90, or both.

This is also known as hypertension. More than one third of Australians over the age of 18 have high blood pressure.

If your blood pressure is below this figure, however, you are considered to have a reduced cardiovascular risk.

There are lower blood pressure targets of below 130/80 mmHg for people with cardiovascular disease, diabetes, kidney disease and other associated clinical conditions.

Why is your blood pressure important?

Your blood pressure is important because if it is too high, it affects the blood flow to your organs. Over the years, this increases your chances of developing heart disease, stroke, chronic kidney disease, eye disease, erectile dysfunction and other conditions.

Very occasionally, people with very high blood pressure are at serious risk of problems and need urgent treatment in hospital to reduce the risk of a stroke or heart attack.

Current Australian guidelines recommend that if you have persistent raised blood pressure over 160/100 mmHg, but are at low risk of having a stroke or heart attack, you should talk to your doctor or specialist about taking medication to lower your blood pressure.

For further information, visit the Choosing Wisely Australia website.

If you’re over 18, you should have your blood pressure checked by your doctor at least every 2 years, or more often if advised.

ARE YOU AT RISK? — Are you at risk of type 2 diabetes, heart disease or kidney disease? Use our Risk Checker to find out.

What causes high blood pressure?

For most people, the cause of high blood pressure is not known. However, it is clear that various conditions and behaviour make high blood pressure more likely. These are known as risk factors and include:

• leading a sedentary lifestyle (with little or no exercise)
• smoking
• being overweight
• a diet with a high salt intake
• high blood cholesterol
• a family history of high blood pressure
• high alcohol consumption
• diabetes

In a few people, there is an identifiable cause, such as narrowing of the arteries to the kidney or some hormonal conditions.

What are the symptoms of high blood pressure?

Most people with high blood pressure have no symptoms, and feel quite well. This is why it’s important to see your doctor and have your blood pressure checked regularly, especially if you have one or more of the risk factors listed above.

A few people with very high blood pressure may experience headache, dizziness or the sudden effects of diseases of the arteries such as chest pain or stroke.

Check your symptoms with healthdirect’s online Symptom Checker to
get advice on when to seek medical attention.

How is high blood pressure diagnosed?

Your blood pressure varies from day to day, even from moment to moment. Generally, if a person has a blood pressure reading taken on 3 separate occasions that is greater than 140/90 mmHg, they have high blood pressure. Your doctor may ask you to monitor your blood pressure at home, or wear a monitor over a 24-hour period, to see how it varies and to make sure they get an accurate reading.

What is the treatment for high blood pressure?

Mild high blood pressure can often be treated by making lifestyle changes, including:

• doing regular physical activity
• stopping smoking
• improving your diet to reduce salt, reduce fat and eat plenty of fruit and vegetables
• losing weight
• limiting your alcohol intake to no more than 2 drinks per day for men, or 1 drink per day for women with high blood pressure

However, lifestyle changes may not be enough. Some people also need medication to help reduce blood pressure levels to normal. While medicines are usually very effective at lowering blood pressure, they may cause side effects in some people.

Usually doctors will start a person on a low dose of a medicine and see how it goes. If it doesn’t work well enough, or if there are troublesome side effects, other medicines will be used, sometimes in combination, until the blood pressure is controlled. This can take time. Some people will take medicines for life, although others will find that continuing to lose weight and changing their diet reduces the need for medicines.

Someone whose blood pressure is very high or causing symptoms such as headache, or if they have conditions such as heart disease or diabetes, may need urgent treatment with medicines to bring the blood pressure down to normal levels.

The Royal Australian College of General Practitioners recommends that you regularly review with your doctor or specialist any medications you are taking for high blood pressure or high cholesterol to assess the ongoing benefits and risks. For further information, visit the Choosing Wisely Australia website.

Preventing high blood pressure

If you can follow a healthy diet, keep to a healthy weight and avoid smoking, you will reduce your chances of having high blood pressure.

More information

There are a number of resources and services available if you need help or more information on high blood pressure:

New Blood Pressure Guidelines Raise Controversy

New blood pressure guidelines could be dangerous for some.

En español l It sounded like great news for thousands of older people: New blood pressure guidelines might free them from the anxiety of taking powerful medications to control their blood pressure, and the side effects those pills sometimes brought.

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But almost immediately, several members of the panel of medical experts recommending the change strongly dissented and warned that the new guidelines could endanger some people.

The result has been confusion similar to that created late last year with the muddled rollout of new guidelines for using cholesterol-lowering statin drugs.

The controversy began when a panel of 17 national experts announced in December that, based on a five-year analysis of the best available research, the target for treating high blood pressure should be nudged a little higher for those age 60-plus and for those with diabetes or kidney disease. Its findings were published in the Journal of the American Medical Association.

However, five panel members disagreed and published a follow-up article in the Annals of Internal Medicine warning that the change could put more patients at risk for heart disease and stroke.

Do you think it’s okay to change these guidelines? Join the discussion

The American Heart Association has also resisted the change, saying that it could undermine recent progress in reducing deaths from these conditions.

“Hypertension is such a strong risk factor, especially if you have other diseases. This is not the time to loosen control over blood pressure,” says the group’s president, Mariell Jessup, M.D., medical director of the University of Pennsylvania’s heart and vascular center.

Guidelines from the previous panel in 2003 defined high blood pressure in older adults as 140/90 or above, meaning that’s the threshold for taking medication to bring those numbers down. (The top number represents the pressure inside the arteries when the heart beats, and the bottom number is the pressure between beats, when the heart rests.)

High blood pressure – hypertension

High blood pressure is when the pressure of your blood on your artery walls is abnormally high, potentially causing artery damage and health problems over the long term.

Known medically as hypertension, high blood pressure affects up to 1 in 5 New Zealanders and is a significant contributor to the incidence of heart disease and stroke. Nearly two-thirds of people admitted to hospital with a heart attack have high blood pressure. 

It is advisable, therefore, to have blood pressure measured regularly, such as during routine visits to your doctor. High blood pressure is preventable and treatable, through lifestyle changes and medications. 

General information

Arteries are blood vessels that carry blood from your heart to all parts of your body (veins are the blood vessels that carry your blood back to your heart). As blood travels from your heart it exerts pressure against the artery walls. A blood pressure reading is a measurement of this force and has two components:

• The higher number is the “systolic” reading and is the pressure in the arteries when the heart beats, forcing blood around the body. 
• The lower number is the “diastolic” reading and is the pressure in the arteries when the heart is relaxed after a beat.  

The New Zealand Heart Foundation says an ideal blood pressure for most people is 120/75 mmHg or less, while high blood pressure is when blood pressure is consistently around or above 140/90 mmHg. It is recommended that people with a history of heart disease, diabetes, or a high risk of heart attack or stroke, lower their blood pressure to less than 130/80 mmHg.

Blood pressure varies throughout the day in response to factors such as excitement, stress, and exercise. Blood pressure also increases with age, so what may be a normal blood pressure reading for someone in their 60’s may be considered abnormally high for someone in their 20’s.

Signs and symptoms

There are usually no signs and symptoms of hypertension until the condition has been present for a long time, causing damage to blood vessels and internal organs (particularly the heart and kidneys). 

In general, the longer high blood pressure is present and the higher it is, the more likely it is that damage will occur. People with prolonged hypertension are at greater risk of developing medical conditions such as: 

• Stroke
• Enlarged heart
• Heart attack
• Kidney failure
• Heart failure
• Aneurysm (a bulge in an artery wall which, if ruptured, can lead to serious internal bleeding)
• Damage to the retina of the eye.

Causes

In approximately 95% of cases there is no one specific cause of hypertension. This is referred to as “essential” hypertension. In the other 5% of cases hypertension is due to specific factors such as kidney disease or various gland disorders and is called “secondary” hypertension. With “secondary” hypertension, treating the underlying cause will often relieve high blood pressure.

Some people have a condition known as “white coat” hypertension. This is where the blood pressure goes up when they get it checked – usually due to anxiety. They may require 24-hour blood pressure monitoring to determine if they really do have hypertension or not.

Risk factors

It can be difficult to predict who will develop hypertension but there are various known risk factors for the condition, the most important of which is being overweight.

Known risk factors include: 

• Being overweight or obese
• Increasing age
• Inactive lifestyle
• Excessive alcohol intake (more than two standard drinks per day)
• Family history of hypertension
• Male gender (although female risk increases after menopause)
• A diet high in salt (sodium)
• Smoking
• Stress
• Excessive caffeine intake (eg: coffee, tea, and some soft drinks)
• Use of oral contraceptive medications
• Adrenal gland and thyroid disorders
• Use of illegal drugs, e.g. cocaine, amphetamines
• Certain chronic medical conditions, e.g. kidney disease, diabetes and sleep apnoea.

Diagnosis

For a diagnosis of hypertension to be made the blood pressure must be elevated for several readings over time. If blood pressure readings remain elevated your doctor may order blood tests, urine tests, an ECG (tracing of the heart’s electrical activity), a chest x-ray, and examine the blood vessels in the eye with a special light (ophthalmoscope). These tests assess for any damage already caused by the hypertension. 

Treatment

For cases of essential hypertension, treatment is aimed at controlling the hypertension and maintaining blood pressure at an acceptable level. In cases of secondary hypertension, treatment is aimed at identifying and treating the underlying cause as well as controlling the hypertension.

A decision as to whether or not to treat hypertension will depend on a number of factors including the patient’s age, the level of blood pressure, and other medical conditions and risk factors. 

In general, treatment of hypertension will focus on two main areas – lifestyle changes and medications. If your blood pressure is not significantly elevated the doctor may initially recommend lifestyle changes to lower the blood pressure. Your blood pressure will be regularly monitored for any improvement. However, if lifestyle changes alone do not adequately lower blood pressure within a 3- to 6-month period, then a combination of lifestyle changes and medications may be recommended.

Lifestyle changes: 

Medications: 

There are a wide variety of medications available to treat hypertension, all of which work in different ways. It may take some time to determine the right medication – one that lowers your blood pressure to a better level, but with minimal side effects. 

Some of the different classes of medications used to treat hypertension include: 

• Diuretics (e.g. bendrofluazide) work by removing excess water and sodium from the body in the form of urine. This decreases the volume of blood circulating around the body, helping to reduce blood pressure
• Beta-blockers (e.g. metoprolol) act on the nervous system to slow the heart rate, which puts less pressure on the heart, as well as helping to relax the blood vessels
• Calcium channel blockers (e.g. diltiazem) work by slowing the entry of calcium into the heart and blood vessel walls. This relaxes the blood vessels so they dilate (widen) and thus lower blood pressure
• Angiotensin-converting enzyme (ACE) inhibitors (e.g. cilazapril) work by blocking the formation of a particular chemical in the blood called angiotensin. This helps to dilate blood vessel walls and reduce salt and water retention in the body and so decreases blood pressure
• Angiotensin receptor blockers (ARBs) (e.g. losartan) work by blocking the action of angiotensin in the body, which relaxes blood vessels thus lowering blood pressure
• Vasodilators (e.g. hydralazine) relax the muscles in the walls of the blood vessels causing them to dilate and so reduce blood pressure. 

It is sometimes necessary to take more than one type of medication to effectively treat hypertension. Some of these medications may not be appropriate if other pre-existing medical conditions are present. For this reason, it is important to talk to your doctor about other medical conditions and any other medications being taken. 

It is also important to talk to your doctor about any side effects experienced whilst taking blood pressure medications (especially in the first few weeks) as either the dose or the medication may need to be altered. Side effects may include fatigue, cold hands and feet, cough, skin rash, impotence, and light-headedness.

It is often necessary for blood pressure medication to be taken on a long-term basis and it is important not to stop taking the medication without medical advice. It is also necessary for the blood pressure to be regularly monitored to assess the effectiveness of treatment.

Prevention

Lifestyle changes that reduce risk factors can reduce your risk of developing high blood pressure. Monitoring and early detection are also important.

It is generally recommended that men over 45 years of age and women over 55 years of age should have their blood pressure checked regularly. It is also recommended that the following groups of people have their blood pressure checked regularly: 

Further support

The Heart Foundation provides resources such as pamphlets and cookbooks and offers support and information to people with conditions such as hypertension and heart disease. 

Contact details are as follows:

The National Heart Foundation of New Zealand
Freephone: 0800 863 375
Website: www.heartfoundation.org.nz 

There are branches in most New Zealand regions. Consult the Heart Foundation website (‘Find a Branch’) or your local phone book for contact details.

References

National Heart Foundation of New Zealand (2019). Managing high blood pressure (Pamphlet). Auckland: The National Heart Foundation of New Zealand. https://www.heartfoundation.org.nz/shop/heart-healthcare/managing-high-blood-pressure.pdf 
National Heart Foundation of New Zealand (Date not stated). Blood pressure: A risk factor for heart attack and stroke (Poster). Auckland: The National Heart Foundation of New Zealand. https://www.heartfoundation.org.nz/shop/heart-healthcare/blood-pressure-poster.pdf 
Mayo Clinic (2018). High blood pressure (hypertension) [Web Page]. Rochester, NY: Mayo Foundation for Medical Education and Research. https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/symptoms-causes/syc-20373410 [Accessed: 09/10/19] 
NHS (2015). High blood pressure (hypertension) (Web Page). Redditch: National Health Service (NHS) England. https://www.nhs.uk/conditions/high-blood-pressure-hypertension/ [Accessed: 14/10/19]O’Toole, M.T. (Ed.) (2017). Hypertension. Mosby’s Dictionary of Medicine, Nursing & Health Professions (10th ed.). St Louis, MI: Elsevier. 

Last Reviewed – October 2019

How to Get High Blood Pressure Back to Normal After Exercise

Have your blood pressure checked by a health care professional or keep tabs on it at home using a portable unit.

Image Credit: SDI Productions/E+/GettyImages

Regular exercise is a key tool for maintaining a healthy blood pressure or, if you have high blood pressure, for lowering it. Yes, your blood pressure will increase during exercise, but that’s normal. Cooling down after you work out helps your blood pressure return to its normal state.

Read more: What Is Normal for Blood Pressure?

Healthy Blood Pressure Levels

The only way to determine whether you have low blood pressure, healthy blood pressure or high blood pressure is to have your blood pressure measured. You can do this by making an appointment with your doctor, going to a local pharmacy that has a digital blood pressure machine or by purchasing a blood pressure machine and testing it at home.

The American Heart Association says blood pressure is measured in millimeters of mercury and expressed as two numbers. A normal readers should be lower than 120 over 80.

Your blood pressure is considered elevated if the systolic (top number) is between 120 and 129 and the diastolic (bottom number) is less than 80. High blood pressure, also called hypertension, is when the top number is 130 to 139 or the bottom number is 80 to 89. That’s known as stage 1 hypertension.

Stage two occurs at 140 or higher for the top number or 90 or higher for the lower number. If your systolic blood pressure exceeds 180 or your diastolic pressure is higher than 120, that’s considered a hypertensive crisis.

How Exercise Affects Blood Pressure

Exercise and blood pressure are related. When you exercise, your heart gets stronger, which makes it easier for your heart to pump blood, thus lowering your blood pressure, explains the Mayo Clinic.

That makes it important to speak to your doctor before stopping any antihypertensive medication. If your blood pressure is already healthy, regular exercise can help it stay that way.

How much exercise is enough? Adults need at least 150 minutes of moderate-intensity exercise a week, or 75 minutes of vigorous-intensity aerobic exercise a week, according to the Physical Activity Guidelines for Americans, issued by the U.S. Department of Health and Human Services. Adults should also include strength training that covers all muscle groups two or more days each week.

Weight training can cause a spike in blood pressure, but the long-term benefits to healthy blood pressure far outweigh the temporary spike for most people, Mayo Clinic notes. If you have high blood pressure, remember these tips from Mayo when strength training:

• Avoid holding your breath while
  exercising. Doing so can cause dangerous spikes in your blood pressure. Breathe
  throughout your workout.
• Choose lighter weights rather than
  straining yourself with heavier ones. Stick to lighter weights with more
  repetitions rather than heavier weights with fewer repetitions.
• Watch out for these symptoms: dizziness,
  feeling severely out of breath, chest pain or pressure. If you feel any of
  these symptoms while exercising, stop immediately.

Read more: About Systolic & Diastolic Blood Pressure During Exercise

Blood Pressure After Exercise

Exercise causes a temporary increase in blood pressure due to your heart pumping faster to circulate blood and bring oxygen to your muscles. Your systolic blood pressure rises as a result.

“Blood pressure elevations are normal during exercise,” says Vijay Jotwani, MD, a sports medicine physician with Houston Methodist Specialty Physician Group. “The extent of increase in blood pressure and the timing of how long blood pressure stays elevated will depend on the intensity of exercise. A resting blood pressure number would ideally be taken two hours after stopping exercise, but in most cases, blood pressure will gradually normalize within 20 minutes of stopping exercise.”

To bring your blood pressure back to its normal levels, you’ll need to properly cool down after you exercise. If you stop abruptly, your blood pressure could drop drastically, making you feel sick or even making you pass out, according to the American Heart Association (AHA).

The AHA recommends walking or stretching to cool down. Walk for about five minutes or until your heart rate lowers to 120 beats a minute. Hold each stretch for 10 to 30 seconds. Breathe out as you get into your stretch, and breathe in and out liberally while holding the stretch. Your breathing will return to normal, your elevated heart rate will come back to its usual rhythm and your increased body temperature will start to return to normal.

1:87 TATRA-138 with a snowplow, army of Czechoslovakia, manufactured by Igra

1:87 TATRA-138 with a snowplow, army of Czechoslovakia, manufactured by Igra

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Russia, Saint Petersburg, Central, Saint Petersburg

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90,000 Leaving the Feast of the Nativity of Christ./ Patriarchia.ru

Readings of the Week before Epiphany are read on January 1 (see Typikon, December 26, “Decree on the Apostles, and on the Gospels …”, 3rd “behold”).
Ordinary readings on January 2, 3 and 5 can be omitted in view of the Epiphany apostasy.
Readings of St. Philip (at Matins and Liturgy) are read if a service is performed to him.
Readings of St. Theophanes (at Matins and Liturgy) are read if a service is performed to him.
Readings of St. Gregory is read if a service is performed to him.
Serbian Orthodox Church commemorates St.Savvas, Archbishop. Serbian, on another day – January 14 st. Art.
Readings of St. Irinarkha is recited if a service is performed to him.
Reading equal to ap. Nina (at Matins and Liturgy) are read if a service is performed to her.
If the polyeleos service of St. Cyril and Mary, then the Gospel of Matthew, 43 credits, XI, 27–30 is read at matins, and the readings of the day and the monks are read at the liturgy: Gal., 213 credits, V, 22 – VI, 2. Matthew, 10 credits, IV, 25 – V, 12.
Readings of St. Maxim the Greek (at matins and liturgy) are read if a service is performed to him.
Reading sshmch. Vladimir is read if a service is performed for him. If the service in honor of St. Gregory the Theologian is performed in conjunction with the service of the schmch. Vladimir, Metropolitan of Kiev, then at the liturgy the Apostle – the day, the saint (under conception) and the martyr: Heb., 334 credits., XIII, 7-16, and the Gospel – the day and saints: John, 36 credits., X, 9 –16 (the Gospel readings of St. Gregory and St. Vladimir coincide). If only polyeleo service is performed sshmch. Vladimir, Metropolitan of Kiev, then the Gospel of Luke is read at matins, 67 credits., XII, 32-40, and at the liturgy – readings of the day and the holy martyr: Heb., 334 credits., XIII, 7-16. John, 36 credits, X, 9-16.
By the definition of the Council of Bishops in 1992, the celebration of the Council of New Martyrs and Confessors of Russia was established to be celebrated on January 25 (if this date coincides with a Sunday) or on the next Sunday after it. In connection with the difference in practices adopted in the Russian Church Abroad and in the Church in the Fatherland regarding the time of the celebration of the Council of New Martyrs and Confessors of the Russian Church, the Council of Bishops in 2013 determined to establish the celebration of the Council of New Martyrs and Confessors of the Russian Church: January 25 (old style), in case coincidences of this number with Sunday; on the Sunday preceding this date, if January 25 (according to the old style) falls on the days from Monday to Wednesday; on a Sunday following this date, if January 25 (Old Style) falls on Thursday through Saturday.
Commemoration of the departed was established by the decision of the Holy Synod of the Russian Orthodox Church of January 30, 1991 on the basis of the decision of the Local Council of 1917-1918.
Readings of St. Nikita, Bishop Novgorodsky, are read if a service is performed to him.
Readings of unmercenaries mchch. Cyrus and John are read if the service is performed to them.
This year 2020 marks the 50th anniversary of the glorification of the Equal-to-the-Apostles. Nicholas, Archbishop. Japanese (1970), and 150 years since the establishment of the Russian Spiritual Mission in Japan (1870).
If a polyeleos service is performed in honor of the icon of the Mother of God, called “The Seeking of the Perished,” then the Gospel of Luke, 4 credits, I, 39–49, 56 is read at the matins, and readings of the day and the Mother of God are read at the liturgy: Phil., 240 cred., II, 5–11. Luke, 54 credits, X, 38–42; XI, 27-28. If the polyeleos service of St. Feodosia, archbishop. Chernigov, then at matins the Gospel of John is read, 36 credits, X, 9-16, and at the liturgy – readings of the day and the saint: Heb., 335 credits, XIII, 17-21. Luke, 24 credits, VI, 17-23.
If on this day the polyeleos service of St.Tikhon, then at Matins the Gospel of John is read, 36 credits, X, 9-16, and at the liturgy – readings of the day and the saint: Heb., 318 credits, VII, 26 – VIII, 2. John, 36 credits. , X, 9–16.
Reading St. Alexis is read at matins if on that day the service in honor of the Iberian Icon of the Mother of God is not performed (while at the liturgy – readings of the day and the saint).
Readings of St. Alexis is read at the liturgy if a service is performed for him.
If the service is performed schmch. Hermogenes, then at the liturgy prokeimenes and alleluiaries – the Week of Cheese and Hieromartyr, and reading – of the day and the Hieromartyr: Heb., 335 credits, XIII, 17–21. John, 36 credits, X, 9-16.
If on February 23 the polyeleos service in honor of the uncovering of the relics of Blessed. Matrona of Moscow, then at Vespers after the Triodi’s parasites – three paras of Blessed. Matrons.
If the polyeleos service is performed in honor of the uncovering of the relics of Blessed. Matrona of Moscow, then at matins the Gospel of Matthew is read, 104 credits, XXV, 1–13, and at the liturgy – readings of the day, the great martyr Theodore (conceived) and blessed: Gal., 208 credits, III, 23–29. Luke, 33 credits, VII, 36-50.
If the polyeleos service in honor of the icon of the Mother of God called the “Reigning” will be postponed to March 1, then at Vespers after the parimias of the Triodi there will be three parimias of the Mother of God: Gen. XXVIII, 10-17. Ezek. XLIII, 27 – XLIV, 4. Prov. IX, 1-11.
If on this day a polyeleos service is performed in honor of the icon of the Mother of God, called the “Reigning”, then the Gospel of Luke, 4 credits, I, 39-49, 56 is read at matins, and the readings of the day are read at the liturgy: Heb., 309 cred., III, 12-16. Mark, 6 credits, I, 35–44, and the Virgin: Phil., 240 credits, II, 5–11. Luke, 54 credits, X, 38–42; XI, 27-28.
This instruction is included in the month with the blessing of His Holiness Patriarch Kirill on May 26, 2017.
If the polyeleos service of St. Zosimas, then the Gospel of Matthew, 43 credits, XI, 27-30 is read at matins, and the readings of the day and the monk are read at the liturgy: Gal., 213 credits, V, 22 – VI, 2. Matthew, 10 credits. , IV, 25 – V, 12.
Readings of blzh. Matrons (at Matins and Liturgy) are read if a service is performed to her.
Serbian Orthodox Church commemorates St.Nikolay (Velimirovich) twice a year: March 5, Art. Art. (the day of his blessed death) and April 20 (the day of the transfer of his relics).
By the decision of the Council of Bishops of the Russian Orthodox Church on November 29 – December 4, 1994, it was established that on Victory Day – May 9 (April 26), a special annual commemoration of the deceased soldiers, for the faith, the Fatherland and the people, laid down their lives, and all those who died in pain during the Great Patriotic War wars of 1941-1945.
With the blessing of His Holiness Patriarch Kirill, on this day during the service of the Divine Liturgy at the Litany for the dead, special petitions are made “for leaders and soldiers …”in the Liturgical Instructions).
If the polyeleos service of St. Ignatius, then the Gospel of John is read at matins, 35 credits. (from half), X, 1-9, and at the liturgy – readings of the day and the saint: Heb., 318 credits., VII, 26 – VIII, 2. John, 36 credits., X, 9-16.
If the polyeleos service of St. Paphnutia, then at Matins the Gospel of Matthew is read, 43 credits, XI, 27–30, and at the liturgy – readings of the day and the monk: Gal. 213 credits, V, 22 – VI, 2. Matthew, 10 credits. , IV, 25 – V, 12.
book Boris and Gleb (at Matins and Liturgy) are read if they have a service.
Readings of St. Theodosius (at Matins and Liturgy) is recited if a service is performed to him.
If the polyeleos service of St. Nil Sorsky, then at Matins the Gospel of Matthew is read, 43 credits, XI, 27-30, and at the liturgy – readings of the day and the monk: Gal., 213 credits, V, 22 – VI, 2. Luke, 24 credits ., VI, 17–23.
Reading sshmch. Hermogenes (at Matins and Liturgy) are read if a service is performed to him.
In the Greek Colored Triodion on this day, rites are also given, similar to the sequence of the services of Easter week, with the chanting of Easter hours.
The celebration was added to the month with the blessing of His Holiness Patriarch Kirill on October 6, 2018.
If the polyeleos service of St. Euphrosyne, led. book Moscow, then at matins the Gospel of Matthew is read, 16 credits, VI, 1–13, and at the liturgy – readings of the day and the reverend: Gal., 208 credits, III, 23–29. Matthew 104 credits XXV 1-13.
Readings bgv. led. book Dimitry Donskoy (at matins and liturgy) are read if a service is performed to him.
Readings of Equal-to-the-Apostles Constantine and Helena are read if they are performing a service.
In the ministerial Apostle and the Gospel, other readings for the repose of Trinity parental Saturday are indicated: 1 Sol., 270 credits, IV, 13–17. John, 16 credits, V, 24-30.
Reading rights. John the Russian (at matins and liturgy) are read if a service is performed to him.
Readings of St. Luke (at Matins and Liturgy) is read if a service is performed to him.
If the polyeleos service of rights is performed on this day. John of Kronstadt, then the Gospel of Matthew, 16 credits, VI, 1–13 is read at matins, and at the liturgy – readings of the day and the righteous: Heb., 311 credits, IV, 14 – V, 6. Matthew, 11 credits, V, 14-19.
On the eve of Great Lent, after the Meat-Passing Week, the eating of meat stops, and after the Cheese-Powder Week – other speedy food. After Petrov the meat-and-mouth (as in “Paschalia of the Sighted by Key Words” the Typikon calls the present day of the spell), the eating of any meager food immediately stops (see Typikon, chapter 33 (“see”), chapter 51).
If the service is performed blgv. Tsarevich Demetrius, then at the liturgy – readings of the day and blessed. prince: 2 Tim., 292 credits, II, 1-10. John, 52 credits, XV, 17 – XVI, 2.
If the polyeleos service of St. Methodius, Abbot of Peshnosh, then at matins the Gospel of Matthew is read, 43 credits, XI, 27-30, and at the liturgy – readings of the day and the monk: Gal., 213 credits, V, 22 – VI, 2. Luke, 24 credits, VI, 17-23.
Readings of St. Barlaam is recited if a service is performed for him.
If the polyeleos service of All the Monastic Fathers of Athos is celebrated, then the Gospel of Matthew, 43 credits, XI, 27–30 is read at matins, and at the Liturgy – the readings of All the Monk Fathers of Athos: Gal., 213 credits, V, 22 – VI, 2. Luke, 24 credits, VI, 17–23, and days.
Readings of St. Cyril Beloezersky is read if a service is performed to him.
If the polyeleos service of rights is performed. Alexy of Moscow, then at matins the Gospel of Matthew is read, 11 credits, V, 14–19, and at the liturgy – readings of the day and the righteous: Heb., 311 credits, IV, 14 – V, 6. Matthew, 11 credits ., V, 14–19.
The name of the Venerable Confessor Tamari (Mardzhanova) was included in the month with the blessing of the Holy Synod of the Russian Orthodox Church on December 28, 2017.The glorification was performed by the Georgian Orthodox Church.
Readings of St. John of Tobolsk (at Matins and Liturgy) are read if a service is performed to him.
If a polyeleos service is performed in honor of the icon of the Mother of God, called “It is worthy to eat,” then the Gospel of Luke, 4 credits, I, 39–49, 56 is read at matins, and readings of the day and the Virgin Mary are read at the liturgy: Phil., 240 cred., II, 5–11. Luke, 54 credits, X, 38–42; XI, 27-28.
If the polyeleos service of St. Methodius of Peshnoshsky, then the Gospel of Matthew is read in the morning, 43 credits., XI, 27-30, and at the liturgy – readings of the monk: Gal., 213 credits., V, 22 – VI, 2. Luke, 24 credits., VI, 17-23, and days. If the polyeleo service is performed sshmch. Vladimir, Metropolitan of Kiev, the Gospel of Luke, 67 credits, XII, 32-40 is read at matins, and the Hieromartyr’s readings are read at the liturgy: Heb., 334 credits, XIII, 7-16. John, 36 credits, X, 9-16, and days.
The celebration in honor of the Voronin Icon of the Mother of God on this day was established with the blessing of His Holiness Patriarch Kirill on September 1, 2018.
Readings of St. Jonah is recited if the service is performed to him. If the polyeleos service of St. Michael, then at the liturgy – readings of the day and St. Michael: Heb., 318 credits., VII, 26 – VIII, 2. John, 36 credits., X, 9-16.
Readings of St. Theophanes (at Matins and Liturgy) are read if a service is performed to him. If the praise service of St. Tikhon of Kaluga or St. Tikhon of Lukhovsky, then at the liturgy – readings of the day and the monk: Gal., 213 credits., V, 22 – VI, 2. Luke, 24 credits., VI, 17–23.
Readings of the Most Holy Theotokos (at Matins and Liturgy) are read if a service is performed in honor of the Bogolyubskaya Icon of the Mother of God.
If the polyeleos service of St. Job or St. John Maximovitch, then the Gospel of John is read at matins, 35 credits. (from half), X, 1-9, and at the liturgy – readings of the day and the saint: Heb., 318 credits., VII, 26 – VIII, 2. John, 36 credits., X, 9-16.
Readings of St. Maxim the Greek is read if a service is performed to him.
If a polyeleos service is performed in honor of the Council of the Monk Fathers of Pskov-Pechersk, then at the liturgy – readings of the day and the monks: Gal., 213 credits, V, 22 – VI, 2. Luke, 24 credits., VI, 17–23.
Reading prmts. Fevronias are read if a service is performed to her.
Readings bgvv. book Peter and Prince. Fevronias are read if the service is performed for them.
According to the definition of the Holy Synod of the Russian Orthodox Church on December 26, 2012, in the days of the memory of Blgvv. book Peter and Prince. Fevronia at the Divine Liturgy should add special petitions to the augmented litany (see in the “Liturgical Instructions”).
On May 29, 2013, the Holy Synod approved the text of the prayer of Sts. blgvv. Peter and Fevronia for inclusion in liturgical rites and readings at the end of the Divine Liturgy on the days of commemoration of the holy spouses (see.in the Liturgical Instructions).
If the polyeleos service of St. Ambrose of Optina, then the Gospel of Matthew, 43 credits, XI, 27-30 is read at matins, and the readings of the day and the monk is read at the liturgy: Gal., 213 credits, V, 22 – VI, 2. Luke, 24 credits ., VI, 17–23.
If the polyeleos service of St. Sergius and Herman, then at matins the Gospel of Matthew is read, 43 credits, XI, 27-30, and at the liturgy – readings of the monks: Gal., 213 credits, V, 22 – VI, 2. Luke, 24 credits. , Vi, 17–23, and days.
Readings of the Passion-Bearers (at Matins and Liturgy) are read if the service is performed to them.If the polyeleos service of St. Andrei Rublev, then at matins the Gospel of Matthew is read, 43 credits, XI, 27-30, and at the liturgy – readings of the day and the monk: Heb., 334 credits, XIII, 7-16. Luke, 24 credits, VI, 17-23. If a polyeleos service is performed by blgv. led. book Andrei Bogolyubsky, then the Gospel of Matthew, 36 credits, X, 16–22 is read at matins, and the readings of the day and the blessed prince are read at the liturgy: Rom., 99 credits, VIII, 28–39. John, 52 credits, XV, 17 – XVI, 2.
Readings of St. Andrew of Crete is read if a service is performed to him.
Reading prmts. led. book The Elisabeths are read if the service is performed to her.
Readings of St. Euphrosyne of Moscow is read if a service is performed to her. If the polyeleos service of St. Euphrosyne, the Gospel of Matthew, 16 credits, VI, 1-13 is read at matins.
If the polyeleos service is performed, only St. Anthony, then the Gospel of Matthew, 43 credits, XI, 27–30 is read at matins, and at the liturgy – readings of the day and the monk: Gal., 213 credits, V, 22 – VI, 2. Matthew, 10 credits. , IV, 25 – V, 12.
Exaltation in the service of the Position of the Robe: “We magnify Thee, the Life-Giving Christ, and we honor all the Divine Vestments, Your honest position.”
If the polyeleo service is performed equal to ap. Olga, then in the morning glorification: “We magnify thee, Holy Equal-to-the-Apostles Princess Olga, as if the morning dawn in our land, which has shone forth and the light of faith has proclaimed the Orthodox people to its people.” Selected verses of the psalms: “Seeking the Lord, and hearing me”, “Thou hast told me the ways of the belly”, “I will bless the Lord, who has given me understanding,” “I will take out the Lord’s foreknowledge, as if there is at my right hand.”
If the polyeleo service is performed sshmch. Hilarion, Archbishop. Vereisky, then at matins the Gospel of Matthew is read, 36 credits, X, 16-22, and at the liturgy – readings of the day and the holy martyr: Heb., 318 credits, VII, 26 – VIII, 2. John, 36 credits. , X, 9–16.
Readings of the Most Holy Theotokos (at Matins and Liturgy) are read if a service is performed in honor of the Icon of the Mother of God, called the Three-Handed.
If the polyeleos service of St. Nicodemus the Holy Mountain, then the Gospel of Matthew is read at matins, 43 credits., XI, 27-30, and at the liturgy – readings of the day, for Tuesday (conceived) and the monk: Heb., 335 credits., XIII, 17-21. Luke, 24 credits, VI, 17-23.
With the blessing of His Holiness Patriarch Alexy II, instead of the 36th conception of the Gospel of John, the 55th conception of the Gospel of Matthew can be read.
According to the decision of the Council of Bishops of the Russian Orthodox Church in 2008, on the day of the Holy Equal-to-the-Apostles Prince Vladimir, July 15/28, the service should be celebrated “according to the charter of the great holiday.” With the blessing of His Holiness Patriarch Kirill, on this day solemn services are to be performed annually in all churches of the Russian Orthodox Church with a prayer service at the end of the liturgy for a special rite (see.in the Liturgical Instructions).
Otherwise: Abalatskaya (see Sergius (Spassky), Archbishop Full Months of the East. Vladimir, 1901. M. 1997r. T. 2. S. 219, 368; Bulgakov S. V. Handbook for clergy. K. , 1913. M., 1993. T. 2.S. 1566).
Readings mts. Christines are read if the service is performed to her.
Readings of St. Moses Ugrin is read if a service is performed to him.
The Bulgarian Orthodox Church commemorates Equal to the Apostles. Clement twice a year: July 27 (the day of his blessed death) and November 25 (v.Art.).
Readings of St. Pitirim of Tambovsky is read if a service is performed to him.
If the polyeleo service of the martyr. John the Warrior, then at matins the Gospel of John is read, 51 credits., XV, 9-16.
If the polyeleo service is performed sshmch. Benjamin, Met. Petrograd, then at matins the Gospel of Matthew is read, 36 credits, X, 16–22, and at the liturgy – readings of the day, for Friday (for conception) and the martyr: Rom., 99 credits, VIII, 28–39. Luke, 106 credits, XXI, 12-19.
Readings blzh. Basil is read if a service is performed for him.
Readings of St. Anthony is read if a service is performed to him.
Readings of St. Mitrofan (at Matins and Liturgy) are read if a service is performed to him.
Reading prmch. Domestications are read if a service is performed for him.
If the polyeleos service of St. Zosimas and Savvaty, then the Gospel of Matthew, 43 credits, XI, 27–30 is read in the morning, and the readings of the day and the monks are read at the liturgy: Gal. 213 credits, V, 22 – VI, 2. Luke, 24 cred., VI, 17–23.
If the polyeleos service of the Council of New Martyrs and Confessors of Solovetsky is celebrated, then at the liturgy – readings of the day and new martyrs: Rom., 99 credits, VIII, 28–39. Luke, 105-106 credits, XXI, 8-19.
If the polyeleos service of St. Tikhon (from 13 August), then the Gospel of John, 36 credits, X, 9-16, is read at the matins, and the readings of the day and the saint are read at the liturgy: Heb., 318 credits, VII, 26 – VIII, 2. Mt. ., 11 credits, V, 14–19.
Readings of St. Tikhon (at matins and liturgy) are read if a service is performed to him.
If the vigil service of the Transference of the Image Not Made by Hands is performed, then the Gospel of Luke is read at matins, 48 ​​credits. (from half), IX, 51–56; X, 22-24.Magnification: “We magnify Thee, the Life-Giving Christ, and we honor all the glorious image of Thy Most Holy Face.”
If a polyeleos service is performed in honor of the Don Icon of the Mother of God, then at matins the Gospel of Luke, 4 credits, I, 39–49, 56 is read, and at the liturgy – readings of the day and the Mother of God: Phil., 240 credits, II, 5-11. Luke, 54 credits, X, 38–42; XI, 27-28.
The celebration was included in the months according to the definition of the Holy Synod of the Russian Orthodox Church of July 27, 2013.
On July 13, 2015, the Holy Synod of the Russian Orthodox Church designated the first Sunday in September as the annual day of special prayer for God’s creation (the first Sunday after August 18, according to Art.Art.) and approved the rite of prayer singing for the preservation of the creation of God (see in the “Liturgical Instructions”), which should be performed annually on this day in all churches of the Russian Orthodox Church.
The readings of the monks are read if the service of St. Fathers of Kiev-Pechersk or Venerable. Savva Krypetskiy.
On July 25, 2014, the Holy Synod of the Russian Orthodox Church restored the annual celebration of the Day of Sobriety on the day of commemoration of the Beheading of John the Baptist, recommending that the bishops and clergy perform the Prayer Singing on this day for those suffering from the ailment of wine drinking (see.in the Liturgical Instructions).
If the polyeleos service is performed blgv. book Daniel, then the Gospel of Matthew, 11 credits, V, 14–19 is read at matins, and at the liturgy – readings of blgv. book Daniel: 2 Cor., 181 credits, VI, 1-10. Luke, 24 credits, VI, 17-23, and days.
If the service is performed blgvv. book Peter and Prince. Fevronia, then at the liturgy – readings of the day and blgvv. book Peter and Prince. Fevronia: Gal., 213 credits, V, 22 – VI, 2. Matthew, 10 credits, IV, 25 – V, 12.
According to the definition of the Holy Synod of the Russian Orthodox Church of December 26, 2012, …book Peter and Prince. Fevronia at the Divine Liturgy should add special petitions to the augmented litany (see in the “Liturgical Instructions”).
On May 29, 2013, the Holy Synod approved the text of the prayer of Sts. blgvv. Peter and Fevronia for inclusion in liturgical rites and readings at the end of the Divine Liturgy on the days of commemoration of the holy spouses (see in the “Liturgical Instructions”).
Among the names of the forty virgins of fasting women found in the months, there are names that are often used in the Greek tradition when giving a name in the Sacrament of Baptism (for example, the names Athena, Chariklea, Antigone, Aspasius, Penelope, Urania, Marianthus, Cleo, Feano, Elpinica).
If the polyeleos service of St. Anthony and Theodosius, then the Gospel of Matthew is read at matins, 43 credits, XI, 27-30, and at the liturgy – readings for Monday, Tuesday (under conception) and the monks: Gal., 213 credits, V, 22 – VI, 2. Luke, 24 credits, VI, 17-23.
If the polyeleos service of St. Joasaph, then at matins the Gospel of John is read, 36 credits, X, 9-16, and at the liturgy – readings of the day and the saint: Heb., 318 credits, VII, 26 – VIII, 2. John, 36 credits. , X, 9–16.
The celebration takes place on September 7 (if this number coincides with a Sunday).
If the praise service of St. Joseph Volotsky together with the service of the Godfathers, then at the liturgy – readings of the day (Tuesday): Gal., 212 credits., V, 11–21. Mark, 28 credits, VII, 5–16, the reverend (conceived): Gal., 213 credits, V, 22 – VI, 2. Matt. 43 credits, XI, 27–30, and Godfathers: Gal., 210 credits (from the floor), IV, 22–31. Luke, 36 credits, VIII, 16-21.
The celebration was added to the month with the blessing of His Holiness Patriarch Kirill on November 22, 2017.
If the praise service of the martyr is performed.Michael and Theodore, together with the service of the great martyr Ephstathius, then at the liturgy – readings of the Sabbath after the Exaltation, the day (under conception) and the saints: Eph., 233 credits., VI, 10-17. Luke, 106 credits, XXI, 12-19.
Readings of St. Demetrius is recited if the polyeleos service is performed for him.
If on this day a service is performed in honor of St. Tikhon, then at the liturgy readings of the saint are also read: Heb., 318 credits., VII, 26 – VIII, 2. John, 36 credits., X, 9-16.
If the polyeleo service is performed sshmch. Peter, Met. Krutitsky, then at matins the Gospel of Matthew is read, 36 credits., X, 16–22, and at the liturgy – readings of the holy martyr: Rom., 99 credits, VIII, 28–39. Luke 106 credits XXI 12-19 for Friday and Saturday.
The celebration was established on the Sunday before September 29 (October 12, O.S.) with the blessing of the Holy Synod of the Russian Orthodox Church on December 28, 2018.
Celebration of prmts. led. book Elizabeth on the day of her discovery in the mine of her holy relics was installed with the blessing of His Holiness Patriarch Kirill on June 7, 2016.
If the polyeleos service of St.Cyril and Mary, then at the liturgy – readings of the day and the monks: Gal., 213 credits., V, 22 – VI, 2. Matthew, 10 credits., IV, 25 – V, 12. If the polyeleos service of the prmts. led. book Elisabeth, then at the liturgy – readings of the day and the monastic martyr: 2 Cor., 181 credits., VI, 1-10. Luke, 33 credits, VII, 36-50.
Readings of St. Michael (at Matins and Liturgy) is read if a service is performed to him. If the service is performed sshmch. Gregory, then at the liturgy – readings of the day, for Wednesday (under conception) and the martyr: 1 Cor., 166 credits., Xvi, 13-24. Mt. 103 credits, XXIV, 42–47.
If the service of svtt is performed. Guria and Barsanuphius, then at the liturgy – readings of the day and saints: Heb., 335 credits., XIII, 17-21. Matthew, 11 credits, V, 14-19.
The names of the holy Primates of the Russian Orthodox Church, Metropolitans Theognost, Cyprian, Photius, Gerontius and Joasaph, were included in the Cathedral of Moscow saints with the blessing of His Holiness Patriarch Kirill of Moscow and All Russia on March 6, 2017.
The common memory of the reverends, martyrs and confessors who shone in the Optina Hermitage was established on the day of the celebration of the Council of the Venerable Optina Elders (October 11/24) with the blessing of His Holiness Patriarch Kirill on October 27, 2016.The celebration was included in the month with the blessing of His Holiness Patriarch Kirill on January 31, 2018.
If the polyeleo service is performed only sshmch. Thaddeus, Archbishop. Tverskoy, then at matins the Gospel of Matthew is read, 36 credits, X, 16–22, and at the liturgy – readings of the day and the martyr: Rom., 99 credits, VIII, 28–39. Luke, 106 credits, XXI, 12-19. When combining the polyeleo service in honor of the Iberian Icon of the Mother of God with the polyeleo service of the schmch. Thaddeus, Archbishop. Tverskoy, in the morning the Gospel of Luke is read, 4 credits., I, 39–49, 56, and at the liturgy – readings of the day, the Mother of God (conceived) and the martyr.
Readings of St. Afanasy isp. (at matins and liturgy) are read if a service is performed to him.
Readings of St. Demetrius (at Matins and Liturgy) are read if a service is performed to him. If the polyeleos service of St. Job, then at matins the Gospel of Matthew is read, 43 credits, XI, 27–30, and at the liturgy – readings of the day and the monk: Gal., 213 credits, V, 22 – VI, 2. Luke, 24 credits. , VI, 17–23.
This instruction is included in the month with the blessing of His Holiness Patriarch Kirill on May 26, 2017.
The conciliar memory of the Fathers of the Local Council of the Russian Church of 1917-1918 is included in the month with the blessing of the Holy Synod of the Russian Orthodox Church on May 4, 2017.
Readings of St. Tikhon (at matins and liturgy) are read if a service is performed to him. If the polyeleos service of the Fathers of the Local Council of the Russian Church of 1917-1918 is celebrated, then the Gospel of Matthew, 36 credits, X, 16-22, is read at matins, and the readings of the day and of the Fathers of the Local Council are read at the liturgy: Rom., 99 credits, VIII, 31–39.Luke, 105-106 credits, XXI, 8-19.
Readings of St. Barlaam is recited if a service is performed for him.
Readings of St. Paul is read if a service is performed to him.
If the service of blzh. Maximus, then at the liturgy – readings of the day and the blessed one: Gal., 213 credits, V, 22 – VI, 2. Matthew, 10 credits, IV, 25 – V, 12.
Readings of St. Nikon is read if a service is performed for him.
Readings of St. Gregory is read if a service is performed to him.
Otherwise: Abalatskaya (see Sergius (Spassky), Archbishop Full Months of the East.Vladimir, 1901.M. 1997r. T. 2.S. 219, 368; Bulgakov S. V. Handbook for clergymen. K., 1913. M., 1993r. T. 2.P. 1566).
If the polyeleo service is performed sshmch. Seraphim, then at matins the Gospel of Matthew is read, 36 credits, X, 16–22, and at the liturgy – readings of the day and the martyr: Rom., 99 credits, VIII, 28–39. Luke, 106 credits, XXI, 12-19.
Reading rights. Filaret is read if a service is performed to him.
Readings of St. Savvas are read if a service is performed for him.
According to the Ustav, on the Week of Saints, the forefathers at the liturgy are supposed to read the Gospel of those called to the supper (Luke, 76 credits), that is, the ordinary Gospel of the 28th Week. Therefore, on Week 28, the Gospel of Week 29 should be read (Luke, 85 credits), which this year fell on the Week of the Holy Forefathers.
Readings of St. Neela is recited if service is performed to him.
Readings of St. Joasaph (at Matins and Liturgy) is read if a service is performed to him.
Readings of the martyrs are read if a service is performed for them.
In the Week of Saints, the forefather, according to the Rule, reads the Apostle of the 29th Week (Col., 257 credits).
In the Week of the Saints, the forefather, according to the Rule, reads the Gospel of the 28th Week (Luke, 76 credits).
If the polyeleo service is performed sshmch. Hilarion, Archbishop. Vereisky, then at matins the Gospel of Matthew is read, 36 credits, X, 16-22, and at the liturgy – readings of the day and the holy martyr: Heb., 318 credits, VII, 26 – VIII, 2. John, 36 credits. , X, 9–16.
If the service of the rights is performed. Simeon of Verkhotursky, then at the liturgy – readings of the day and the righteous: Gal., 213 credits, V, 22 – VI, 2. Luke, 24 credits, VI, 17-23. If the polyeleo service is performed sshmch. Thaddeus, Archbishop. Tverskoy, then at matins the Gospel of Matthew is read, 36 credits, X, 16–22, and at the liturgy – readings of the day and the martyr: Rom., 99 credits, VIII, 28–39. Luke, 106 credits, XXI, 12-19.
Apostolic Readings Rights. John and schmch. Ignatius match.
Readings of St. Macarius (at Matins and Liturgy) is recited if a service is performed to him.

98

Legal act

Name:

Order of the Department for State Protection of Cultural Heritage Sites of the Republic of Bashkortostan dated May 24, 2019 No. 138 “On Approval of the Borders of the Cultural Heritage Site
of regional significance “Nikolo-Berezovsky architectural complex
(26 objects) “, located at: Republic of Bashkortostan,
Krasnokamsky district, with.Nikolo-Berezovka, st. Lenin, d.51, d.55, d.57, d.59,
d. 65, d. 67, d. 69, d. 71, d. 80, d. 84, d. 84, d. 86, d. 87, d. 88, d. 89, d. 90, d. 91, d. 92,
house 93, house 94, house 96, house 97, house 98, house 98A, house 102, st. Chevereva, 51, object
cultural heritage of regional significance “Nicholas Church”,
located at: Republic of Bashkortostan, Krasnokamsk district,
with. Nikolo-Berezovka, st. Lenin, d. 100, identified cultural object
heritage “Nikolo-Berezovsky architectural complex: Residential House”,
located at: Republic of Bashkortostan, Krasnokamsk district,
with.Nikolo-Berezovka, st. Lenin, d. 71 (68), the identified object of cultural
heritage “Nnkolo-Berezovsky architectural complex: Zemskaya school”,
located at: Republic of Bashkortostan, Krasnokamsk district,
with. Nikolo-Berezovka, st. Lenin, d. 93 and the identified object of cultural
heritage “Nikolo-Berezovsky architectural complex: House of Residential”
located at the address: Krasnokamsk district, with. Nikolo-Berezovka,
st. Lenin, d. 102 “

Registered:

State Committee of the Republic of Bashkortostan for Justice 25 June 2019 No. 13225

Date of official publication:

June 28, 2019

Official Publication Number:

201906280021

.