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A 49-year-old male asked:

How low should your blood pressure be before you call a doctor pressure is 89/55 with pulse of 95

2 doctor answers4 doctors weighed in
Dr. Robert Koch
Cardiology 32 years experience
Generally : Generally speaking, low systolic blood pressure is an issue only if accompanied by symptoms of light-headed dizziness or angina chest pain or labored breathing. An asymptomatic lower systolic pressure may actually be protective or helpful if a patient has valvular heart disease or coronary heart disease. General guidelines for hypertensive treatment are currently under review by the joint national commission. A natural, physiologic systolic BP would usually run about 120 mmhg, although many healthy young adults have systolic bps in the 90 - 110 range. Consult your doctor or ask a cardiologist to provide second opinion if this remains a concern for you. Remember that heart healthy diets, weight control, and daily exercise remain the cornerstone treatments for continued physical health and longevity.
Dr. Daniel Weiss
Endocrinology 47 years experience
It : It depends. If you feel fine and are not on blood pressure medication no problem. Some normal people run this low. But if you are on medication for high blood pressure, we would typically reduce the dose or pills if your pressure is running this low. There are no good data to support lowering blood pressure below a systolic pressure ( the upper number) below 130 despite any guidelines. The usual target is below 140 for the systolic. Lastly, you ought to check the accuracy of your monitor. Bring it in to have it compared with the office measurement. Wrist monitors tend to be less accurate.

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Last updated May 6, 2018


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