Blood pressure of 144mmHg generally refers to systolic blood pressure of 144mmHg, which belongs to the range of first-degree hypertension and is abnormal. It may be caused by physiologic factors and does not require treatment. However, it may also be caused by primary hypertension, cardiovascular lesions, etc. and requires prompt treatment. 1. Physiological factors:The blood pressure range of normal adults in a quiet state is more stable. If there is strenuous exercise, emotional excitement, etc. 15~30 minutes before the measurement, and the measured systolic blood pressure is 144mmHg, there can be no need for special treatment, and the blood pressure can be recovered to the normal range after adequate rest and emotional stabilization and re-measurement. 2. Pathologic factors: (1) Primary hypertension: primary hypertension may be related to heredity, environment, body weight, drugs and other factors, and patients may have headache, dizziness, fatigue, fatigue, insomnia and other symptoms. (2) Cardiovascular lesions: The presence of cardiovascular diseases such as aortic insufficiency, aortic stenosis, complete atrioventricular block, etc. can also lead to increased blood pressure. 3. Systolic blood pressure 144mg can be adjusted first by adjusting lifestyle and diet, which usually can be restored to normal level. Such as appropriate exercise, reduce weight, avoid excessive intake of sugar, fat, salt, etc.. After non-pharmacological interventions, the effect of blood pressure control is not obvious, then you need to take drugs under the guidance of a doctor for treatment. Commonly used drugs include hydrochlorothiazide, nifedipine, and chlorosartan. Measurement of blood pressure of 144mmHg should be taken seriously, increase the number of blood pressure measurements, and when high blood pressure and discomfort occurs, it should be timely to go to the hospital, and if necessary, be given appropriate treatment by the doctor.