Doctor insights on:
Diastolic Hypertension Treatment
My father is almost ninety and is under hypertension treatment how high shd the highest and lowest BP readings be to be safe for him at this point?
BP in elderly.: We used to think that older people could tolerate higher BP readings ("isolated systolic hypertension of the elderly"), but now we know that their upper limit of acceptable is really just like everyone else - no higher than 140/90, and the lower the better (although too low is not good either). Bringing the top number down to 130 and even 120 would result in lower risk of mortality. ...Read more
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
Does isolated diastolic hypertension (e.g., 127/96) need any medical attention? Is preconception IDH associated with any pregnancy risks? Thank you!
Yes: Especially in someone your age. Up to age 50 diastolic HTN can be more common than systolic HTN. ...Read more
White coat hypertens: I believe you're referring to white "coat" hypertension whereby your blood pressure is normal at home but due to anxiety of going to doctor's office, your blood pressure increases in presence of his/her white coat. I suppose we could take off our white coats. Better yet, measure your BP at home & then bring in your cuff for calibration. Then compare calibrated office readings to home BP to prove. ...Read more
Healthy lifestyle: Weight loss, exercise and salt restriction may be helpful for some patients but the majority of patients need medication. It's much safer to treat high blood pressure with medication than it is to get a stroke for not treating. Healthy lifestyle should always be our first choice if we have that luxury. Don't wait too long though. ...Read moreSee 1 more doctor answer
Too general: The question is too non-specific. There are multiple ways to treat hypertension and dependent on how high a BP and the other circumstances existing, the treatment is different. Sometimes, lowering the BP too much is not even a good idea (like in a stroke patient). ...Read moreSee 1 more doctor answer
Get it evaluated: I cannot even try to visualize what you mean by blood pockets. Have a doctor take a look and he/she will be able to tell you what is going on. ...Read more
Multitudinous: I think you mean hypotension (drop in blood pressure), since spinal anesthesia paralyses the nerves maintaining blood pressure, and so, naturally, it drops. By implication, these drugs "squeeze" blood vessels, to raise resistance, and therefore increase pressure. Commonly used drugs might be ephedrine, (ephedrine sulfate) or phenylephrine. In more extreme cases, epinephrine or norepinephrine might be used. ...Read more
Paroxysmal Htn: Avoid salt. Some people are salt sensitive and avoiding salt is as potent as taking meds (in some patients). The way to diagnose HTN is by BP diary. Check BP first thing in morning (sitting down, both feet on ground). Do it for 7-10 day. If average is >135/85 (both or either number) see you doctor. The correct number depends on your medical profile. ...Read more
Does over treatment of hypertension i.e below normal level, cause any harm to kidneys or any other organs?
Under perfusion: You want to take exactly the right amount of medicine for blood pressure control --not too much, not too little. You can monitor your blood pressures at home these days. If you took too much medicine and the level is below normal, be careful about falls. Drink some fluids and/or take in some salt - that will raise the BP back up. Best to call your doc for management. A brief time with low BP is OK ...Read more
I'm advised to take bisoprolol instead of nebivolol. Which one is better between nebivolol & bisoprolol for the treatment of hypertension.
Which is the preferred treatment to control hypertension (co-diovan80/12.5mg) or amlodipine 5mg in patient with b.urea59, s.creatinine1.58, age72.?
What is the treatment of hypertension and diabetes melletus type one and diabetes mellitus type 2 and what is the diagnosis for each disease and how w?
Diet, exercise and: Weight loss are good for both. Diabetes is diagnosed on the basis of your blood sugar and other lab tests; hypertension by checking your blood pressure. Your doctor can advise you and help with diagnosis and treatment for both. Many behavior modifications and treatments are available. More info can be found @ diabetes. Org and webmd. ...Read more
PH Treatment: Fda approved treatments include oral endothelin receptor antagonists (eras), ambrisentan and bosentan; oral phosphodiesterase inhibitors, tadalafil and sildenafil; and prostanoids (iloprost, epoprostenol, and treprostinil) that can be delivered via inhalation or by intravenous or subcutaneous infusion. The "best" treatment of pulmonary hypertension (ph) should be discussed with your doctor. ...Read moreSee 1 more doctor answer
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