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Doctor insights on: Isolated Systolic Hypertension Treatment

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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

Dr. James Dukelow
325 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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Treatment for left ventricular hypertrophy caused by uncontrolled high blood press & tachycardia?

Treatment for left ventricular hypertrophy caused by uncontrolled high blood press & tachycardia?

Meds / cardiology: Lvh in most cases is a physiologic response to increased impediment to forward flow (hypertension or valvular obstruction most commonly). Occasionally a hereditary LVH (asymmetric) can occur which can lead to dynamic outflow obstruction (hypertrophic cardiomyopathy). This can lead to symptoms of obstruction (chest pain), or tachycardia and even death. It is diagnosed by echo w help from cardio. ...Read more

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Does a right atrium dilated, RV pressure of 25-30 mHg, IVC dynamics 5-10 mmHg subjective possibly of pulmonary hypertension or heart failure?

Does a right atrium dilated, RV pressure of 25-30 mHg, IVC dynamics 5-10 mmHg subjective possibly of pulmonary hypertension or heart failure?

If accurate, only: mildly ?ed. RA ~10 mmHg, RV systolic ~25 mmg Hg generally ~optimally healthy; similar to the values stated. Thus RA enlargement likely: mismeasurement (common, not rare; study image data yourself), marked tricuspid regurgitation, congenital variant, atrial muscle problem [eg advanced arterial disease in RA arteries; (lumens too small to see by angiography) producing RA ischemia/fibrosis], etc. ...Read more

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What treatment is needed for interatrial septum aneurysmal with pfo, severe tricuspid reguritation, elevated rvsp?

What treatment is needed for interatrial septum aneurysmal with pfo, severe tricuspid reguritation, elevated rvsp?

Syndrome : More information is needed to make a determination. Should consult with your doctor and if desired get additional opinion from another who has all the information about the patient. ...Read more

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Does constrictive pericarditis cause elevated right ventricular systolic pressure?

Does constrictive pericarditis cause elevated right ventricular systolic pressure?

Not until very late: Normally the right sided diastolic pressure increases, and will equalize with the right atrial and pulmonary capillary wedge pressure. If the disease persists to the point where left ventricular failure occurs, then the right ventricular systolic will rise. This is very late in the disease and the patient is very sick at that time. Look for other causes of high rv pressure, ie valve, lung issues. ...Read more

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Dr. Jesus Yap Dr. Yap
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Is there a heart valve disease that causes elevated systolic and diastolic blood pressures?

Dr. Jesus Yap Dr. Yap
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Is there a heart valve disease that causes elevated systolic and diastolic blood pressures?

No: Elevated systolic pressure seen in severe aortic regurgitation but not diastolic pressure . In fact diastolic pressure is low in ai resulting in wide pulse pressure . Also seen in arterio venous fistula. ...Read more

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What is systolic hypertension?

What is systolic hypertension?

High blood pressure: Blood pressure is a systolic number over a diastolic number: the heart never fully goes down to 0 pressure so there is a squeeze pressure and a coast or relax pressure. Systolic hypertension means the top number is too high. ...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 standard treatment for someone with pfo, tricuspid valve leaking severely, congestive heart failure with high blood pressure & is nursing?

Closure: Patients with severe tricuspid regurgitation may develop cyanosis and dyspnea because of the direction of tricuspid regurgitation across the pfo. Device closure may be clinically beneficial. ...Read more

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Is there diastolic murmur in pulmonal stenosis?

Is there diastolic murmur in pulmonal stenosis?

Pulmonary stenosis: The pulmonary valve opens when the right ventricle contracts. This is during systole. So, if there is pulmonary stenosis, the murmur would be observed during systole. If the valve would be leaking, however, that would be heard when the valve is supposed to be closed or during diastole... ...Read more

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Is mod to sever aorta stenosis with peak/mean pressure gradient of 57.06mmhg/37.30mmh requiring aorta valve replacement stat?

Is mod to sever aorta stenosis with peak/mean pressure gradient of 57.06mmhg/37.30mmh requiring aorta valve replacement stat?

It could be: It depends upon whether symptoms are present. If the aortic stenosis is causing chest pain, congestive heart failure, shortness of breath or blackouts then this is usually regarded as a reason for prompt treatment. If there are no symptoms then watchful waiting is sometimes appropriate. BTW some patients in this age group qualify to have the valve implanted through a catheter via the groin. ...Read more

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Echo findings are within normal limits except for mild to moderate right ventricular enlargement right ventricular systolic pressure 21 mmhg systolic BP 112 ...What does this mean is it bad?

Echo findings are within normal limits except for mild to moderate right ventricular enlargement 
right ventricular systolic pressure 21 mmhg systolic BP 112 ...What does this mean is it bad?

Left-to-right shunt?: The assessment of right ventricular size by is not highly accurate. If the right ventricle truly is enlarged (better assessed by mri) the most likely cause is a left-to-right shunt. "pre-tricuspid" left-to-right shunts cause rv enlargement. Possibilities include anomalous pulmonary vein connection or atrial septal defect. These are not always evaluated in an adult echo lab. ...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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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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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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What are the best drugs used in the treatment of systolic hypertension?

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

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Which is the best drugs used in the treatment of systolic hypertension?

Which is the best drugs used in the treatment of systolic hypertension?

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

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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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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

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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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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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

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Solution for isolated systolic hypertension 158/70 and triglycerides 220? Total cholesterol normal, not overweight, daily exercise, healthy diet.

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

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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 ?

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

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I have over night systolic hypertension ?

I have over night systolic hypertension ?

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

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What does it mean when someone says systolic hypertension?

See below: Systolic is the higher reading when blood pressure is checked some people specially older may have only this number elevated , while most others have both if both are elevated , they need to be treated. ...Read more

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What's systolic hypertension?

HighSystolicPressure: Systolc Hypertension also called Isolated Systoli Hypertension is when there is normal Diastolic Oressure and the Systolic Blood Pressure is high only ...Read more

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What is systolic hypertension?

High blood pressure: Blood pressure is a systolic number over a diastolic number: the heart never fully goes down to 0 pressure so there is a squeeze pressure and a coast or relax pressure. Systolic hypertension means the top number is too high. ...Read more

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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

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


Dr. Payam Mehranpour
2,113 doctors shared insights

Hypertension (Definition)

Hypertension is defined as elevated blood pressure systolic over 140 and diastolic over ...Read more