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Doctor insights on: Diastolic Hypertension Emedicine

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What does the term diastolic hypertension mean?

What does the term diastolic hypertension mean?

Bottom number high: When measuring blood pressure (BP) one gets two numbers - systolic is the pressure during the time the heart is contracting and diastolic is during the time it is relaxing. BP is recorded as systolic over diastolic. Diastolic hypertension is when the bottom number is elevated above its normal maximum of 80-90. In younger patients, diastolic hypertension is related to more worrisome outcomes. ...Read more

Dr. James Krick
324 Doctors shared insights

Hypertension (Definition)

A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more


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What is the significance of diastolic hypertension?

What is the significance of diastolic hypertension?

Needs treatment: Either systolic or diastolic hypertension, or both, can lead to complications if not treated. It used to be thought that diastolic was worse than systolic but nowadays most experts feel that they are equally dangerous. Lack of treatment can result in damage to the heart, kidneys, and/or brain so get help even if you feel well. ...Read more

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I have isolated systolic hypertension of 150/70. All meds I've tried push the diastolic too low (<60). Which med lowers systolic but not diastolic?

I have isolated systolic hypertension of 150/70. All meds I've tried push the diastolic too low (<60). Which med lowers systolic but not diastolic?

None: Don't concern yourself with the diastolic number. It will come down with the systolic pressure. Some people have a diastolic pressure of zero and are fine. (the diastolic isn't really 0 - it's that our indirect method of measurement (using a cuff) isn't able to accurately measure true central diastolic pressure). ...Read more

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What is the best medicine to treat isolated systolic hypertension? My systolic elevates but diastolic is perfect. Other meds dropped diastolic too low

What is the best medicine to treat isolated systolic hypertension? My systolic elevates but diastolic is perfect. Other meds dropped diastolic too low

SYSTOLIC HYPERTENSIO: First and foremost, lifestyle changes should be instituted which include salt restriction, physical exercise, weight reduction, and limiting alcohol consumption. Regarding medication, ace inhibitors or arb's (angiotensin receptor blockers) are often prescribed for systolic hypertension with a goal of keeping the diastolic pressure above 70. Losartan which you take is an arb. ...Read more

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Seem to have tendancy to isolated systolic hypertension but diastolic stays normal. Docs tried meds but diastolic drops too low. How is this treated?

Seem to have tendancy to isolated systolic hypertension but diastolic stays normal. Docs tried meds but diastolic drops too low. How is this treated?

Pulse & Mean Press?: Heart output, pulse, sbp, mean & pres are far more important. Sbp typically read from only 1 heart beat, similar dbp. Usual difference (i.e. Pulse pressure = sbp-dbp) for a sitting relaxed healthy adult ~40 mmhg. Pp has highest relationship to mortality rates, sbp next most important (esp. Stroke rates), dbp low relationship. Ideally sbp < 120 mmhg & ability to be active, not compromised, is good. ...Read more

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What is the treatment for isolated systolic hypertension? Diastolic in the 60-80 range systolic 140-180.

What is the treatment for isolated systolic hypertension? Diastolic in the 60-80 range systolic 140-180.

Multiple regimens: Depending on age, a systolic of 140-180 does not mandate treatment if the diastolic is low. Ace inhibitors and beta blockers would be first line treatments if needed. ...Read more

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What is best treatment for stage 2 diastolic dysfunction? I don't have hypertension

What is best treatment for stage 2 diastolic dysfunction? I don't have hypertension

There are a number: Of medications to help reduce the symptoms and progression of diastolic dysfunction but this needs to be individualized for the patient. Make an appointment with your health care provider and ask for this to be addressed for you. ...Read more

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What does it mean when I take my blood pressure and systolic comes up prehypertension and diastolic comes up hypertension?

What does it mean when I take my blood pressure and systolic comes up prehypertension and diastolic comes up hypertension?

U need 2 lose weight: Don't sweat the specifics, you need to aggressively change your behavior to get in range if you have been diagnosed with essential hypertension. Try this health game, it can help you increase healthy behaviors and gives you actionable advice with each health number you input! Health gaming is a growing field of medicine!

https://itunes. Apple. Com/us/app/personal-medicine+/id846379884? m ...Read more

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Befor monthly period diastolic BP elevate to 88-90s then normal when my period starts. Can it be related to stress? Normal? Hypertension. Systolic normal

Befor monthly period diastolic BP elevate to 88-90s then normal when my period starts. Can it be related to stress? Normal? Hypertension. Systolic normal

Stress: Some women can get premenstrual symptoms with periods that are very stressful to them. This can be associated with increase in BP. Also some women crave for salty food premenstrually that can also contribute to increase in BP. Then premenstrual symptoms resolve with period and BP becomes normal. ...Read more

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I have idiopathic intracranial hypertension. I checked my BP during a headache and it was 130/117. Is this normal. It's the diastolic that seems weird?

I have idiopathic intracranial hypertension. I checked my BP during a headache and it was 130/117. Is this normal. It's the diastolic that seems weird?

High BP: You are correct, the 117 is high. However, a number of factors contribute to bp, and pain is one of them. When you are suffering with pain, especially severe pain, BP readings usually elevate. If you have no history of hypertension, you should take your BP at about the same time over multiple days and record it. Without a headache your BP should be normal. Then take BP with headache and compare. ...Read more

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Is there a solution for isolated systolic hypertension? Diastolic normal, resting HR 47. 54y/o very athletic Normal BMI.

Is there a solution for isolated systolic hypertension? Diastolic normal, resting HR 47. 54y/o very athletic Normal BMI.

This should: Be COMPLETELY EVALUATED including CARDIAC ECHO!!

SUBAORTIC stenosis (common in athletes) may be the reason for isolated systeolic hypertension!

Get this done soon!
Hope this helps!
Dr Z ...Read more

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How long do I have to live if I have diastolic dysfunction and moderate pulmonary hypertension. I take diuretics, norvasc (amlodipine)?

How long do I have to live if I have diastolic dysfunction and moderate pulmonary hypertension. I take diuretics, norvasc (amlodipine)?

No way to know: More people die with diastolic dysfunction than die of diastolic dysfunction. Only a doctor with access to your heart cath and exercise testing results can really make a meaningful prediction of your life expectancy and even then accuracy is questionable. ...Read more

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I have diastolic dysfunction, was wondering do I have to take medicine for that, is meds necessary. No high blood pressure. Tyvm

Diastolic dysfnc: If the heart muscle does not fully relax during that part of the cycle, it is called diastolic dysfunction. This is usually detected by echocardiographic (ultrasound) techniques. Mild cases may not need treatment but a cardiologist investigating this for you would want to figure out if you really have DD and why you have it. Depending on the underlying cause it might be significant in the future. ...Read more

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When does high blood pressure damage the heart at what systolic and diastolic pressures?

When does high blood pressure damage the heart at what systolic and diastolic pressures?

Depends: Typically over the long haul concern is raised over end organ damage (to the heart for example) if SBP>140 and/or DBP>90. ...Read more

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Is diastolic dysfunction grade 1 with mild concentric LVH can be reversed? If so, how? Note that the high blood pressure is well controlled

Depends: Depends on the cause. Although high blood pressure is a cause of diastolic dysfunction, it isn't the only cause. There are many medications than can help, many of which are considered "blood pressure" medication but can also be used as a second indication to treat what we call, "ventricular remodeling." Hope this helps ...Read more

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What cause hypertension?

Hypertension: There are several medical causes of hypertension such as renal artery stenosis, hyperthyroidism, but most often the cause is unknown often called essential hypertension. The most important factor is that you get and keep your blood pressure controlled. ...Read more

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Symptoms of hypertension?

Renal Failure&stroke: Problem is you usually don't notice anything. If hypertension persists untreated it can lead to renal (kidney) failure, stroke, heart disease, peripheral vascular disease, etc. At the very least, you can get your blood pressure checked in many supermarkets or pharmacies at their automated blood pressure machines. Desirable results would be less than 120/80 mm hg. ...Read more

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Can hypertension be cured?

Can hypertension be cured?

It depends: Some causes of hypertension are reversible, most are not because in 95% of the cases we do not know what causes the development of high blood pressure. I suggest you read the following article:
http://www. Heart. Org/heartorg/conditions/highbloodpressure/preventiontreatmentofhighbloodpressure/prevention-treatment-of-high-blood-pressure_ucm_002054_article. Jsp. ...Read more

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How to manage hypertension?

How to manage hypertension?

Treat high BP.: Hypertension can be treated without medication. Regular cardiovascular exercise, at least five days per week. DASH diet - salt < 2000mg daily, fiber (50 grams daily for women and 70 grams daily for men), lean protein sources and complex carbohydrates. Stress reduction - meditation and such. Sleep 6-9 hours nightly. Don't smoke cigarettes - ever. ...Read more

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Why does hypertension occur?

Why does hypertension occur?

Genes and time: The arteries (vessels that transport blood away from heart) are very elegant pipes lined with muscle and smooth tissue to allow blood to travel quickly where its neeeded and to stretch or pulse based on body needs. As we get older, cholesterol deposits make them stiffer and less flexible increasing the pressure. High dietary sodium, kidney disease, obesity can also increase the volume of blood. ...Read more

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What is portal hypertension?

Portal hypertension: This is an obstructive condition of the venous outflow from the liver, often associated with cirrhosis. It causes abdominal distension and fluid leak into the legs and abdomen. ...Read more

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How is hypertension controlled?

How is hypertension controlled?

Diet, exercise, meds: Htn requires a strong committment to treat effectively. Compliance with a weight loss diet, low salt and alcohol, coupled with regular aerobic exercise can help tremendously in keeping BP under control. For most, these will be necessary, along with meds in order to control BP adequately. Meds without lifestyle changes often just leads to more meds and side effects. Doing both works better. ...Read more

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How reversible is hypertension?

Not very: Usually it doesn't go away but if you're overweight and lose about 10% of your weight, you may see a significant drop in your bp. If you smoke or drink xs alcohol, changing these habits will also lower bp. For the majority though, once it diagnosed, it tends to require life long treatment for control. ...Read more

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What are symptoms of hypertension?

None: Usually none; that's why it's a silent killer. If it is very severe it sometimes causes a headache, vision and neurological changes. ...Read more

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Is hypertension a permanent thing?

Yes or no!!: If you have developed HTN due to obesity or bad food choices it can be reversible if it is genetic then less likely that it can be reversed. ...Read more