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Doctor insights on: Isolated Diastolic Hypertension

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Dr. Patricia Foster
320 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 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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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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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 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

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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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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

Dr. Jason Berman
156 doctors shared insights

Isolation (Definition)

Isolation is a clinical finding in which a person spends most of his time by himself, either by his own choosing or due ...Read more