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What are the early warning signs of high blood pressure? If your blood pressure is extremely high, there may be certain symptoms to look out for,including: Severe headache. Fatigue or confusion. Vision problems. Chest pain. Difficulty breathing. Irregular heartbeat. Blood in the urine. Pounding in your chest, neck, or ears. When should you be concerned about blood pressure? More than 120 over 80 and less than 140 over 90 (120/80-140/90): You have a normal blood pressure reading but it is a little higher than it should be, and you should try to lower it. Make healthy changes to your lifestyle.
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