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Doctor insights on: Diastolic Hypertension Treatment

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Cure for orthostatic hypertension?

Cure for orthostatic hypertension?

Cure for Orthostasis: Volume repletion. Rise from supine to standing slowly. Compression stockings. High sodium intake. Drugs such as midodrine or fludrocortisone. ...Read more

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Dr. Sheila Smith
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 systolic hypertension?

What is systolic hypertension?

High blood pressure: Blood pressure is a systolic number over a diastolic number: the heart never fully goes down to 0 pressure so there is a squeeze pressure and a coast or relax pressure. Systolic hypertension means the top number is too high. ...Read more

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What treatment option integrates treatment for high blood pressure, arteriosclerosis, atherosclerosis, and coronary heart?

What treatment option integrates treatment for high blood pressure, arteriosclerosis, atherosclerosis, and coronary heart?

Best to Address All: The LDL & HDL lipoproteins (protein particles which carry all fats in the water outside cells, see NMR particle test) are the primary issue, along with blood glucose (optimal hba1c ?5.0%), blood pressure (sbp ?120 mmhg), no smoking & several other issues, known & not. Thus best to address all issues in unisyn, do not aim for normal. Instead aim for excellence: absence of drivers of the disease. ...Read more

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Is pulmonary hypertension treatable?

Is pulmonary hypertension treatable?

PAH is treatable: FDA approved treatments include oral endothelin receptor antagonists, ambrisentan and bosentan; nitric oxide pathway, riociguat, tadalafil and sildenafil; and Prostanoids (iloprost, epoprostenol, and treprostinil) that can be oral, inhaled, or intravenous or subcutaneous infusion. These treatments widen lung blood vessels and ease the symptoms of Pulmonary Arterial Hypertension ...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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Managemnt of hypotesion.Systolic bp90.Distolic 58.Pul85?

Managemnt of hypotesion.Systolic bp90.Distolic 58.Pul85?

Family practice : Are you symptomatic. Dizzy or lightheaded when you stand up. Are you on medication that could lower your bp. Your heart rate is normal so being anemic , although still a possibility, is low. See your dr if there may be a concern for you. ...Read more

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Does a right atrium dilated, RV pressure of 25-30 mHg, IVC dynamics 5-10 mmHg subjective possibly of pulmonary hypertension or heart failure?

Does a right atrium dilated, RV pressure of 25-30 mHg, IVC dynamics 5-10 mmHg subjective possibly of pulmonary hypertension or heart failure?

If accurate, only: mildly ?ed. RA ~10 mmHg, RV systolic ~25 mmg Hg generally ~optimally healthy; similar to the values stated. Thus RA enlargement likely: mismeasurement (common, not rare; study image data yourself), marked tricuspid regurgitation, congenital variant, atrial muscle problem [eg advanced arterial disease in RA arteries; (lumens too small to see by angiography) producing RA ischemia/fibrosis], etc. ...Read more

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Is there a heart valve disease that causes elevated systolic and diastolic blood pressures?

Is there a heart valve disease that causes elevated systolic and diastolic blood pressures?

No: Elevated systolic pressure seen in severe aortic regurgitation but not diastolic pressure . In fact diastolic pressure is low in ai resulting in wide pulse pressure . Also seen in arterio venous fistula. ...Read more

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Which medications treat CHF (congestive heart failure) and diabetes?

Which medications treat CHF (congestive heart failure) and diabetes?

CHF and diabetes: Regrettably this is not an uncommon combination. On the very positive side you doctors - Endocrinologist and Cardiologist - will take good care of you. Of course you have a role in keeping your diabetes under control. ...Read more

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Is hypertension curable?

Is hypertension curable?

Controllable: There is no cure for essential hypertension but for some people it can be controlled through exercise, low sodium diet, and weight loss. For those who do not respond to these measures, anti hypertensive medications will always be necessary for blood pressure control. ...Read more

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What is systolic & dystolic bp?

What is systolic & dystolic bp?

See below: Systolic pressure(top number) is the pressure measured when the heart is contracting and ejecting blood. Diastolic pressure(bottomnumber) is the pressure measured when the heart is relaxing and filling with blood. ...Read more

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How is pulmonary hypertension vs. Regular hypertension?

How is pulmonary hypertension vs. Regular hypertension?

Very different: Pulmonary hypertension is high pressure in the lungs and associated with chest pain, shortness of breath and fainting spells. Essential or systemic hypertension is different and is high pressure in blood vessels outside of the lungs. It can cause headaches, cheat pain but usually no fainting spells. ...Read more

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What is congestive heart failure treatment for elderly?

What is congestive heart failure treatment for elderly?

Salt monitoring: Treatment consists of a good dietary regimen with monitoring of salt intake about 2000 mg salt per day. Second aspect pf therapy is pharmacologic therapy which will be individualised based on the type of heart faiure and other factors that your cardiologist will decide. ...Read more

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What are systolic and diastolic pressure?

What are systolic and diastolic pressure?

Pressure in arteries: The pressure in the arteries when the heart contracts is the systolic blood pressure and when it relaxes the pressure is the diastolic pressure. It could be measured directly by putting a needle into an artery or indirectly with a blood pressure cuff. ...Read more

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Difference between pulmonary hypertension and pulmonary atrial hypertension?

Difference between pulmonary hypertension and pulmonary atrial hypertension?

PH and PAH: Pulmonary hypertension (PH) is often first detected by echocardiogram and may be caused by a variety of conditions. Pulmonary arterial hypertension (PAH) is caused narrowing of the small lung arteries and must be diagnosed by heart catheterization. PAH requires treatment by an expert specialist. ...Read more

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Does constrictive pericarditis cause elevated right ventricular systolic pressure?

Does constrictive pericarditis cause elevated right ventricular systolic pressure?

Not until very late: Normally the right sided diastolic pressure increases, and will equalize with the right atrial and pulmonary capillary wedge pressure. If the disease persists to the point where left ventricular failure occurs, then the right ventricular systolic will rise. This is very late in the disease and the patient is very sick at that time. Look for other causes of high rv pressure, ie valve, lung issues. ...Read more

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