If a person who monitors their blood pressure at home does not see lower readings despite implementing lifestyle changes, they should get in touch with a doctor to determine the underlying cause of their high blood pressure. Effective strategies to manage high blood pressure include lifestyle changes, medications, and a combination of the two.
If a person cannot control their blood pressure, they are at risk of developing health complications, such as heart disease and stroke. Some people may be able to prevent high blood pressure from occurring. In other cases, some uncontrollable factors — such as biological sex, family history, and race — may increase the risk of high blood pressure. Healthful lifestyle changes, including eating a balanced diet and exercising regularly, may contribute to lower diastolic and systolic blood pressure.
They could also prevent other health complications relating to high blood pressure. Diastolic pressure is the bottom number of a blood pressure reading. When a person has high blood pressure, doctors often focus on the systolic number, but the diastolic number can, and often does, elevate as blood pressure increases.
High blood pressure is a serious, often symptomless condition that a person should take steps to decrease. Lifestyle changes such as reaching or maintaining a moderate weight and exercising regularly can help. A person should talk to their doctor if their blood pressure does not decrease in response to them making healthful lifestyle changes.
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When your blood is being actively pushed into your arteries during systole, the pressure in the arteries increases. The peak blood pressure during a heart contraction is called systolic. The pressure exerted on the blood vessels between heartbeats is called diastolic. Having high systolic blood pressure is most likely just a variation of "regular" hypertension. Isolated systolic hypertension is a more serious condition in which your systolic pressure rises well above mmHg millimeters of mercury , while the diastolic pressure remains below 90 mmHg.
While the symptoms are more or less the same as "regular hypertension," there tends to be a greater severity and frequency of them, including headaches, unsteadiness, blurring of vision, arrhythmia irregular heartbeats , and palpitations.
As worrisome as the condition can be, it is the underlying causes that concern healthcare providers as much, if not more. Isolated systolic hypertension tends to affect older people and is typically related to a known disease somewhere else in the body. While primarily seen in adults over 65, younger people can be affected as well. Having a persistently high systolic value is troubling as it can increase your risk of heart attack or stroke. It most likely means you have standard high blood pressure.
While the definition can vary by a person's age, weight, and health, isolated systolic hypertension is usually diagnosed when the systolic value is extremely high, often close to mmHg. Your healthcare provider will be able to tell the difference. Get our printable guide for your next healthcare provider's appointment to help you ask the right questions.
The aim of therapy is to keep your diastolic pressure at least 70 mmHg while bringing down your systolic blood pressure to below mmHg. In cases of true isolated systolic hypertension, the treatment would vary only by the combination of antihypertensive drugs used in tandem with the treatment of the underlying cause. If you've noticed your blood pressure readings show irregular elevation patterns, tell your healthcare provider. If the pattern is continuous, the practitioner can run different tests to make sure that there isn't some other, underlying problem that needs to be addressed.
I have normal systolic blood pressure, but my diastolic goes between 82 and 96 during the work day and goes down to normal at night or when there is no stress. Should I be concerned or is this normal? If you don't have other health issues that increase your risk of cardiovascular problems, the situation you describe — isolated diastolic hypertension — isn't dangerous now.
But it's not normal, either. People with elevated diastolic blood pressure often develop elevated systolic blood pressure over time. You can help prevent that by taking steps to lower your diastolic blood pressure to a normal level. A blood pressure reading, given in millimeters of mercury mm Hg , has two numbers. The first, or upper, number measures the pressure in the arteries when the heart beats systolic pressure.
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