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What Is Blood Pressure, Really? Blood pressure is simply the force of blood pushing against your artery walls every time your heart beats. The top number (systolic) is the pressure when your heart squeezes. The bottom number (diastolic) is the pressure when your heart relaxes and refills. Think of it like water moving through a garden hose: If the pump (your heart) pushes harder or the hose (your arteries) gets tighter, pressure rises. If the pump weakens or the hose gets wider, pressure falls.
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