Doctor insights on:
High Systolic Normal Diastolic Pressure
Bp: the first thing we do is recheck the values to be sure they are consistent. If the systolic is only a little bit high, we'd just watch it but if its say more than 150 then we'd consider work up and treatment if necessary. Is your doctor concerned about your blood pressure?
See doc, likely meds: Elevated systolic and diastolic BP implies likely needs for meds to control bp. If elevations are borderline high (130-140/80-90), would suggest checking at home, and then consider weight loss, alcohol and salt restriction to help. If frequent rechecks still show BP often in excess of 140/90, need to start med, along with physical exam and lab tests.
A little high: I am assuming you mean systolic of 130, not 13. A systolic of 130 is normal for most people but there are some conditions where we would like it a bit lower. Diastolic blood pressure should definitely be below 90 and 80 would be even better. A single measurement of a high blood pressure is not concerning but if the diastolic stays high you should see MD. Also avoid salt, caffeine and alcohol.See 1 more doctor answer
Lately my diastolic pressure's high -- 90 to 95 -- but my systolic pressure's okay, 115 to 130. My diet needs improvement but my bmi's about 20 and i walk a couple miles most days. Any advice?
Higher dbp: Any family history of high blood pressure? Usually in young people the diastolic blood pressure is higher than systolic in hypertensive patient. If you do not have a history of HTN i would reccomend you to check it a couple of times per week , if the diastolic BP is higher than 90 you might need 24 h BP monitoring to confirm hypertension.See 1 more doctor answer
Several reasons: Most high blood pressure is idiopathic (no reason, you just have it) whether it is systolic or diastolic. It runs in families so if your parents have it, you are more likely to get it. There are occasion cases secondary to specific causes such as adrenal tumors, kidney problems, or narrowing of the aorta (called coarctation) and that is called secondary hypertension.See 1 more doctor answer
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.See 1 more doctor answer
Most idiopathic: Most systolic or diastolic hypertension is 'essential" (no reason, you just have it). It does run in families. There are certain unusual causes such as adrenal tumors and blockage in the arteries that supply the kidney which cause "secondary hypertension". (there is a cause.) coarctation of the aorta is another example of "correctible hypertension.".See 1 more doctor answer
Is diastolic pressure of 90 mm Hg too high for a person in their 20s? If so, what are the recommendations for lowering it?
Diastolic BP: Blood pressure is generally reported with two numbers: the systolic (top) number, & the diastolic (bottom, lower) number. Both are important, & high blood pressure is a cause of stroke, kidney disease, & heart disease. If the blood pressure is consistently high in a young person, evaluation for treatable causes of secondary hypertension may be indicated.
Heart cycle: The heart is a pump that works in a cycle. Each heart beat has 2 components: systole when heart contracts to pump blood and diastole when heart relaxes to fill with blood. That is why each blood pressure measurement has 2 numbers: the upper one is systolic blood pressure and lower one is diastolic blood pressure.See 1 more doctor answer
Pulsatile flow: Blood flows through the arteries in a pulsatile fashion, propelled by rhythmic contractions of the left ventricle. The pulsatile flow means that the pressure is higher in systole (when the heart contracts) and lower in diastole (when the heart relaxes). Systolic pressure is the peak pressure and diastolic pressure is the lowest pressure.
Arteries and veins: Systolic pressure is the pressure in your artery during during cardiac contraction as blood rapidly flows into the arteries . It measures to certain degree the elasticity of the vessel . Diastolic pressure is the pressure after contraction when no active flow is going and measures the resting tone of the artery . CVP is the venous pressure closest to the heart or the vena cavae.
Changes are common: Usually systolic and diastolic BP will drop minimally while standing unless you are dehydrated. If you are healthy and do not have hbp, there is no use in measuring BP and could be generate plenty of anxiety. If you want to be healthy, i rather you spend your energy in exercising and eating right.
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