Doctor insights on:
Isolated Systolic Hypertension Treatment
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
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
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
Right: It is the treatment choices for hypertension -- there is not an isolated systolic hypertension. ...Read more
Several Drugs: I suppose your question is about Isolated Systolic Hypertension.I will list the groups as there are many 1Diuretics like Hydrochlorthiazide 2Calcium channel Blockers like Cardizem 3Beta Blockers like Coreg 4Nitrites 5Angiotensin Convering Enzymes like Lisnopril 6Angiotensin Receptor Blockers like Valsartan All these drugs can be used in Isolated SystolicHypertension ...Read more
ACEI ; carvedilol: Acei = angiotensin converting enzyme inhibitors were first ; continue best track record to reduce mortality rates for congestive heart failure (1 result of HTN ) but commonly do not improve heart function, just slow decline. Fat soluble ones, e.g. Perindopril best. Adding on carvedilol, with care (along with aggressively txing drivers of arterial disease) usually improves heart function over time. ...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
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
Is there a solution for isolated systolic hypertension? Diastolic normal, resting HR 47. 54y/o very athletic Normal BMI.
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
Solution for isolated systolic hypertension 158/70 and triglycerides 220? Total cholesterol normal, not overweight, daily exercise, healthy diet.
It is unlikely: that you will be able to modify these abnormal findings without additional pharmacological intervention. An extreme diet of withholding sodium (<1gm) and very low carbohydrate might help but would be unpleasant. Your health care provider should be able to advise you and prescribe additional medication that will allow you to improve the numbers while still living an acceptable life style. ...Read more
My father is almost ninety and is under hypertension treatment how high shd the highest and lowest BP readings be to be safe for him at this point ?
BP in elderly.: We used to think that older people could tolerate higher BP readings ("isolated systolic hypertension of the elderly"), but now we know that their upper limit of acceptable is really just like everyone else - no higher than 140/90, and the lower the better (although too low is not good either). Bringing the top number down to 130 and even 120 would result in lower risk of mortality. ...Read more
Diagnosis and: treatment depends on level and extent of hypertension. If severe, metabolic causes need to be excluded. Most of the time, cause cannot be pinned down, so it is called "essential hypertension." But it still needs control to minimize damage to end organs, such as brain, heart, eyes, and kidneys. ...Read more
Can lae be reversed once the cause such as hypertension has been identified and longterm treatment is initiated?
LAE: If LAE is present because of a process which can be treated to normal hemodynamics, then LAE may be reversible. ...Read more
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