Doctor insights on:
Palpable Radial Pulse Systolic Blood Pressure
Blood pressure is a measurement of the force placed on the blood vessels and is comprised of the "systolic" pressure (the top number on a blood pressure meter) which is the peak pressure when the heart is pumping, and the "diastolic" pressure (the bottom number on a blood pressure meter) which is the pressure during the resting phase ...Read more
Sympathetic nerves: During exercise the sympathetic nervous system is stimulated. The catecholamines released as well as direct stimulation on the heart result in a faster heart rate as well as increased contractility which raises cardiac output. This increases the rate of volume/pressure rise into the vasculature (dp/dt). This increases bp. ...Read more
BP: If the difference in BP between the right arm and left is > 15 mm Hg, it requires evaluation for peripheral vascular disease. A british study showed that this finding will also increase the risk of future stroke. Therefore, If the difference is consistently 15 mm Hg or greater, further evaluation is warranted ...Read more
18 yr old, 5'6" & 118 lbs female here. My systolic blood pressure settles around 110 and my diastolic can range from 60-72 usually. Is this low?
Pre-menopausal 55/f taking tylenol4 for chronic pain for several years. Recently after I take the meds my systolic blood pressure goes up. Is this bad?
See MD: Great that you're keeping track of your blood pressure. Suggest you see your primary care doctor who can evaluate recent blood pressure changes. Blood pressure can be elevated for many reasons. You'll feel better knowing why it's been elevated and what to do. ...Read moreSee 1 more doctor answer
Is it okay to have high systolic blood pressure and low diastolic blood pressure? Is that anything bad?
Vascular health....: Generally seen with hardening of arteries, a wide pulse pressure is an insight into disease of the vascular system. It is associated with an increase in risk of heart attack and stroke. Lowering the systolic bp, statins, aspirin, diabetes control, smoking cessation, healthy diet and exercise all play a part in decreasing the risk. ...Read more
Aging.: As we age vessels become stiffer. Stiffer vessels are associated with this. ...Read more
Bp: Diastolic can increase with exercise in many people especially hypertensives. It is related to diastolic runoff resistance during exercise. ...Read more
That's how it is: High blood pressure can manifest as just systolic, just diastolic or both. Any of the above may require treatment. At your age, it's unusual to see isolated systolic hypertension so you should have an echo to rule out aortic insufficiency which is a common treatable cause and very hard to hear with a stethoscope. ...Read more
I read that when you are exercising your systolic blood pressure can rise to 220. Why is this not a hypertensive crisis?
Definition: "a hypertensive emergency (formerly called "malignant hypertension") is hypertension (high blood pressure) with acute impairment of one or more organ systems (especially the central nervous system, cardiovascular system and/or the renal system) that can result in irreversible organ damage"
clearly not the case when you exercise which is a normal reflex response to the exercising... ...Read more
No: Systolic blood pressure occurs during contraction of the heart. The blood pressure falls progressively until the next contraction. Diastolic blood pressure is the pressure immediately before the subsequent contraction. Diastolic blood pressure can never be higher than systolic blood pressure. ...Read moreSee 2 more doctor answers
Wide pulse pressure: When systolic and diastolic are very far apart in the absence of obvious illness, your physician may look for a reason. This can be anything from unrecognized paget's of the bone, hyperthyroidism, aortic valve regurgitation, or just being excited over having your blood presure taken. For now, suggest you follow it closely. ...Read moreSee 1 more doctor answer
At what systolic blood pressure do you recommend a person 73 years old who does not show any thickening of the heart walll to go on medication?
Depends: In general terms, people with a systolic blood pressure consistently above 140mmhg and/or a diastolic pressure over 85mmhg need treatment to lower their blood pressure. Even if the patient shows no signs of atherosclerosis, I am sure there is some present. I just would go slow on lowering the pressure so the patient does not have se of the medication. Don't forget a dash diet and exercise! ...Read moreSee 2 more doctor answers