Doctor insights on:
Isolated Diastolic Hypertension Causes
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
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
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
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
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
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
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
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
Is there a solution for isolated systolic hypertension? Diastolic normal, resting HR 47. 54y/o very athletic Normal BMI.
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 does it mean when I take my blood pressure and systolic comes up prehypertension and diastolic comes up hypertension?
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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
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
I have idiopathic intracranial hypertension. I checked my BP during a headache and it was 130/117. Is this normal. It's the diastolic that seems weird?
High BP: You are correct, the 117 is high. However, a number of factors contribute to bp, and pain is one of them. When you are suffering with pain, especially severe pain, BP readings usually elevate. If you have no history of hypertension, you should take your BP at about the same time over multiple days and record it. Without a headache your BP should be normal. Then take BP with headache and compare. ...Read more
How long do I have to live if I have diastolic dysfunction and moderate pulmonary hypertension. I take diuretics, norvasc (amlodipine)?
No way to know: More people die with diastolic dysfunction than die of diastolic dysfunction. Only a doctor with access to your heart cath and exercise testing results can really make a meaningful prediction of your life expectancy and even then accuracy is questionable. ...Read more
What should I do? My echocardiagram shows mild mitral regurgitation, mild diastolic dysfunction, mild tricuspid regurgitation and mild pulmonary hypertension
Abnormal echo: Your doctor should be able to give you specific advice based on your situation and history. ...Read more
My Mother 47 is experiencing petechiae on chest, hypertension systolic140-170 and diastolic 100-120 pedal edema that leaves brusing arms
High BP: Please she needs her BP be controlled ASAP ...Read more
I have diastolic dysfunction, was wondering do I have to take medicine for that, is meds necessary. No high blood pressure. Tyvm
Diastolic dysfnc: If the heart muscle does not fully relax during that part of the cycle, it is called diastolic dysfunction. This is usually detected by echocardiographic (ultrasound) techniques. Mild cases may not need treatment but a cardiologist investigating this for you would want to figure out if you really have DD and why you have it. Depending on the underlying cause it might be significant in the future. ...Read more
Depends: Typically over the long haul concern is raised over end organ damage (to the heart for example) if SBP>140 and/or DBP>90. ...Read more
Is diastolic dysfunction grade 1 with mild concentric LVH can be reversed? If so, how? Note that the high blood pressure is well controlled
Depends: Depends on the cause. Although high blood pressure is a cause of diastolic dysfunction, it isn't the only cause. There are many medications than can help, many of which are considered "blood pressure" medication but can also be used as a second indication to treat what we call, "ventricular remodeling." Hope this helps ...Read more
Anemia HTN: Yes Mostly systolic due to increased heart rate and ejection. However much more likely that HTN has damaged your kidneys. Your Kidneys produce a hormone that keeps your red blood cell count normal. When the kidneys fail this hormone may go down and result in anemia. So need more information. I specialize I this and am available got second opinion. ...Read more
Uncontrolled hyperte: The most common cause is non compliance with prescribed treatment due to side effects, not able to afford meds and just ignoring the condition as it has no symptoms in most cases. Other causes are renal artery stenosis, hyperaldosteronism. Excessive salt intake, nonsteroidal drug use and other over the counter drugs, obstructive sleep apnea and chronic kidney disease. ...Read more
Many problems: Consistent elevated blood pressures above 140 or 90 mmhg can lead to blood vessel damage, atherosclerosis and blockages. Over time, high blood pressure can cause heart attacks, angina, strokes, heart failure (CHF) and kidney failure. Diet (weight loss and low salt), less alcohol, and more exercise can reduce bp. Drug treatment is safe and effective, though some people need more than one drug. ...Read more
Hypertension: Please rephrase the question, can't understand it as written. ...Read more