Doctor insights on:
Do Some People Have Naturally High Blood Pressure
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
Important to treat: Patients with high blood pressure and diabetes need more agressive treatment than those without diabetes. The goal blood pressure for most patients is 140/80 mmhg, but for those with diabetes, our current guidelines recommend a lower target of 130/80. These two conditions do increase the risk of heart disease and kidney disease, and controlling blood pressure in diabetics can reduce this risk also. ...Read moreSee 4 more doctor answers
Keep trying: High blood pressure can be complicated and difficult to treat. There are many unusual causes. Response to treatment and medication can vary from patient to patient. However, almost always BP can be treated successfully. More evaluation, different medication regimens and treatments, specialists in hypertension should be tried till effective treatment is found. ...Read more
Low blood pressure: Low blood pressure (BP) is not really a disease condition. In general, for your health, the lower your bp, the better. The exception to this is when you get symptoms like lighted-headedness or dizziness when you stand up or feel like you're about to faint. There are individuals whose BP is 80/50, and they feel fine. Other people may have 100/60 and feel dizzy because that is low for them. ...Read more
Water follows sodium: People with hypertension take diuretics like hydrochlorothiazide as a first line treatment. Diuretics cause the kidneys to excrete more sodium into the urine, water follows sodium, therefore there is less water in the blood vessels. Pressure against the arterial walls therefore decreases. This is also incidentally why a dash diet works. Decreased sodium in the diet=lower pressure. ...Read moreSee 1 more doctor answer
Mild HTN: If the BP can be controlled without a diuretic, then none need be used. However, normal physiologic response to BP lowering is to retain fluid, so a diuretic makes great sense, acting synergistically with other BP meds. Moreover, diuretics complement the potassium retaining effect of some BP drugs by clearing potassium in the urine. Hctz (hydrochlorothiazide) is so gentle, you won't even know it's working-i promise! ...Read more
Do people transient ischemic attack have high blood pressure? Do they have hbd while have the symptoms?
Frequently yes: Tia's often reflect reduced perfusion to the smaller blood vessels in the brain. This happens from persistent vessel wall thickening (an adaptation in chronic htn). In addition to bleeding possibilities (which more typically cause persistent symptoms, not transient), minor fluctuations in cerebral perfusion can cause transient symptoms in patients with thickened, pruned distal cerebral vessels. ...Read moreSee 2 more doctor answers
Many problems: Obesity is a common cause, as is renal artery disease. Hormonal excess and glomerular disease can also be causes of high blood pressure. Kidney disease will cause it. In any case hypertension in a young person requires thoughtful examination and investigation of the patient by their phsician. ...Read more
Yes: Sperm movement/number are not affected by diabetes/high blood pressure. Erectile dysfunction is higher because of nerve/vessel damage and medications. Check for ovulation using basal temperatures or a kit. Glucose/blood pressure levels are tightly controlled to lower seizure risk, problems with large babies, fetal distress, induction. Consult a reproductive endocrinologist before conception. ...Read moreSee 1 more doctor answer
What do you advise if I'm on blood pressure meds. also people with normal blood pressure.how high can their numbers be at certain times?
Varies: If you are on meds and doing well stay on them and take them regularly It means they are working. BP varied through the day probably between 95 and 140 systolic for the average adult. People believe 120/70 is a solid number but it is not our BP changes minute by minute. Persons with high BP can at times get dangerously high with the diastolic ( lower #) going above 110 which increases risks ...Read more
Can you let me know how many strokes/heart attacks happen in people with normal cholesterol and blood pressure levels?
Stroke MI: Great question! myocardial infarction in individuals with no cholesterol, blood pressure, smoking, diabetes, or obesity is very rare but can happen. Stroke on the other hand is not uncommonly associated with blood cloths caused by certain heart rhythm abnormalities such as atrial fibrillation. ...Read moreSee 1 more doctor answer
A common...: ...Cause is narrowing of the artery that supplies blood to the kidneys, though there are others. ...Read more
HTN: The pattern of high blood pressure is that young people tend to have high diastolic pressure and elderly people tend to have high systolic pressure. Both/either are harmful and should be controlled. The cause of essential hypertension has never been adequately determined. There is a genetic component and obesity is a risk factor. ...Read moreSee 1 more doctor answer
How many people have strokes/heart attacks that have completely normal blood pressure levels and normal cholesterol levels?
CAD events: I don't know that anyone knows real numbers but it isn't insignficant, we all see such patients. ...Read more
It is possible: Personally, I do not but other people may. ...Read more
Blood pressure is a measurement of the force placed on the blood vessels and is comprised of the "systolic" pressure (the top number on a blood pressure meter) which is the peak pressure when the heart is pumping, and the "diastolic" pressure (the bottom number on a blood pressure meter) which is the pressure during the resting phase ...Read more
High Blood Pressure (Hypertension) (Definition)
Also known as hypertension, high blood pressure is a condition that occurs when blood pressure is 140/90 or higher. Newer recommendations state that greater than 130/80 should be considered high blood pressure. ...Read more
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