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Doctor insights on: Palpable Radial Pulse Systolic Blood Pressure

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Blood pressure 129/68. I already Exercise everyday. How do I lower my systolic blood pressure?

Blood pressure 129/68. I already Exercise everyday. How do I lower my systolic blood pressure?

Just fine: I wouldn't worry about lowering the top number any more. Cont with exercise, healthy diet and focus on keeping those numbers close to these values as you get older. ...Read more

Dr. John Landi
2 Doctors shared insights

Blood Pressure (Definition)

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


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What physiological signals in the heart change systolic blood pressure with exercise?

What physiological signals in the heart change systolic blood pressure with exercise?

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

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Why is my systolic blood pressure consistently 5-10 points higher in right arm than left?

Why is my systolic blood pressure consistently 5-10 points higher in right arm than left?

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

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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?

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 more

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Is it okay to have high systolic blood pressure and low diastolic blood pressure? Is that anything bad?

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

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Could you tell me what's the best way to lower my systolic blood pressure?

Could you tell me what's the best way to lower my systolic blood pressure?

So many meds: There are dozens of meds that will do this. If you want to try it without meds, avoid salt, lose weight, and exercise. ...Read more

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For what reasons might systolic blood pressure increase with exercise but diastolic doesn't?

Bp: Diastolic can increase with exercise in many people especially hypertensives. It is related to diastolic runoff resistance during exercise. ...Read more

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Is it safe to ride a rollercoaster with high systolic blood pressure?

Is it safe to ride a rollercoaster with high systolic blood pressure?

No: Get your blood pressure under control before activities that could raise it to dangerous levels and cause stroke or heart attack. ...Read more

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Why is my systolic blood pressure high but not my diastolic? I need some advice.

Why is my systolic blood pressure high but not my diastolic? I need some advice.

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

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I read that when you are exercising your systolic blood pressure can rise to 220. Why is this not a hypertensive crisis?

I read that when you are exercising your systolic blood pressure can rise to 220. Why is this not a hypertensive crisis?

Definitions...: 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

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What are systolic blood pressure and diastolic blood pressure?

What are systolic blood pressure and diastolic blood pressure?

See below: Systolic is the pressure in the arteries when the heart contracts.
Diastolic is the pressure when the heart relaxes. ...Read more

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Will diastolic blood pressure ever exceed systolic blood pressure?

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 more

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Would it be just fine to have high systolic blood pressure and low diastolic blood pressure?

Would it be just fine to have high systolic blood pressure and low diastolic blood pressure?

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 more

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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?

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 more

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What's recommendation if my diastolic blood pressure is high (80-90) but systolic blood pressure is normal (115-125)?

Since you have: Hypertension I would prefer your blood pressure be in systolic range of 90 to 120 and diastolic of under 75. This can be done by maximizing your medications and also exercise and dietary changes that result in weight loss. Good luck. ...Read more