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Doctor insights on: Isolated Systolic Hypertension Causes

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Dr. Heidi Fowler
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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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 is the treatment for isolated systolic hypertension?

What is the treatment for isolated systolic hypertension?

Right: It is the treatment choices for hypertension -- there is not an isolated systolic hypertension. ...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 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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Are ARB's for Isolated Systolic Hypertension 50yr old best treatment with good BMI With healthy LifestyleI?Can they be used alone without diuretics?

Are ARB's for Isolated  Systolic Hypertension 50yr old best treatment with good BMI With healthy LifestyleI?Can they be used alone without diuretics?

For some patients: ARBs are a good choice for high blood pressure in some patients, and can be used without a diuretic. However, the best choice of medication is based on the other conditions a patient has, the other medications they are taking, race, and how high the blood pressure it. Your doctor will be able to make a recommendation for which medication is right for you. ...Read more

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My HR is 61. I'm on 60mg Diltiazem HRx2 daily. I still have isolated systolic hypertension. Doc wants to add Lisinopril. Will this lower my HR too muc?

My HR is 61. I'm on 60mg Diltiazem HRx2 daily. I still have isolated systolic hypertension. Doc wants to add Lisinopril. Will this lower my HR too muc?

Hypertension: Lisinopril works by addressing the hormones from the kidney and therefore will not slow the heart. You should work on the underlying cause of high blood pressure which is usually foods rich in sugar and processed foods with salt avoid these. Walk 15 minutes and drink plenty of water in between meals. ...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