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High Systolic Blood Pressure Meaning

Can Aspirin Lower Your Blood Pressure

Cardiac Nursing Assessment Systolic Diastolic Hypertension Blood Pressure Vitals KAMP

High blood pressure is a risk factor for heart diseaseand for years, a low dose of daily aspirin has been considered a safe and healthy way to prevent heart disease. Its reasonable, therefore, to associate aspirin with lowering blood pressure, as a key way of preventing heart attacks and strokes.6 dic 2021

High Blood Pressure And Older Adults

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High blood pressure, or hypertension, is a major health problem that is common in older adults. Your bodys network of blood vessels, known as the vascular system, changes with age. Arteries get stiffer, causing blood pressure to go up. This can be true even for people who have heart-healthy habits and feel just fine. High blood pressure, sometimes called “the silent killer,” often does not cause signs of illness that you can see or feel. Though it affects nearly half of all adults, many may not even be aware they have it.

If high blood pressure isn’t controlled with lifestyle changes and medication, it can lead to serious health problems, including cardiovascular disease such as heart disease and stroke, vascular dementia, eye problems, and kidney disease. The good news is that blood pressure can be controlled in most people.

Getting To Know Systolic And Diastolic Blood Pressure

Systolic pressure, or the upper number in your blood pressure measurement, indicates the pressure in your arteries when your heart beats or during the contraction of heart muscles. The normal systolic pressure is 120 mmHg or millimeters of mercury. Anything above 120 up to 139 mmHg is a sign of prehypertension while 140 mmHg and above indicates high blood pressure.

On the other hand, diastolic pressure, or the lower number, measures the pressure in your arteries when your heart muscles are relaxed and blood refills your heart or pressure in your arteries in between two heartbeats. The normal reading for diastolic pressure is less than 80 mmHg. If yours went 90 and above, it could mean you have hypertension.

In other words, the optimal blood pressure is 120/80. Anything beyond or below these numbers could indicate heart problems and you need to consult a doctor as soon as possible to avoid further complications.

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Medicines For High Blood Pressure

Why are different people given different medicines?

People respond differently to blood pressure medicines. A number of things can affect how you respond to each medicine, including your ethnic background, age and how much salt you eat. It can take some trial and error to find the medicine or combination of medicines that works best for you.

Younger, non-black people tend to respond slightly better to ACE inhibitors and angiotensin receptor blockers. Older people and those of African or Caribbean origin tend to respond better to calcium-channel blockers and thiazide diuretics.

These will usually be the first medicines youre offered, aiming to keep the number of medicines needed to a minimum. Read more about .

Should I be taking aspirin as well?

If you have high blood pressure, your doctor might recommend that you take aspirin if you are at a higher risk of heart attacks or strokes, for example, if you have had an ischaemic stroke caused by a blood clot or heart attack in the past. This is because aspirin thins your blood and prevents blood clots from forming.

Do not start taking aspirin regularly unless your doctor advsises you to because aspirin’s ability to prevent clots can raise the risk of bleeding from the stomach and intestines, it might also be linked to a higher risk of strokes caused by burst blood vessels.

Primary High Blood Pressure

What is high blood pressure and what is systolic and diastolic?

While the specific cause of primary high blood pressure remains unknown, there is compelling evidence to suggest that a number of risk factors increase your chances of developing the condition.

These risk factors include:

  • age – the risk of developing high blood pressure increases as you get older
  • a family history of high blood pressure – the condition seems to run in families
  • being of Afro-Caribbean or South Asian origin
  • high amount of salt in your diet
  • lack of exercise
  • excessive alcohol consumption

A number of health conditions, such as diabetes and kidney disease, have also been linked to an increase risk of developing primary high blood pressure.

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What Are The Medical Uses For Stimulants

Approved medical uses for stimulants include

  • attention-deficit hyperactivity disorder ,
  • treatment-resistant depression.
  • Some formulations are used for treating obesity.

Because of their addictive potential, some stimulants are no longer recommended for treating asthma and other nervous system disorders.

Good Sleep Can Prevent And Manage High Blood Pressure

Most people experience a dip in blood pressure during the deepest stage of sleep , which is the body’s normal and healthy reaction to sleep. Not having that nighttime dip is a risk factor for heart disease and may increase daytime blood pressure.

Typically people spend 90 minutes to two hours in slow wave sleep per night. A recent study published in Hypertension found that men who got less slow wave sleep each night were a higher risk for hypertension than men who got more deep sleep.

While sleep disorders, like sleep apnea, and age can both affect the amount of deep sleep you get, there are steps you can take to ensure a good night’s sleep. Getting seven to eight hours of sleep a night, maintaining a consistent sleep schedule and being more active during the day can help improve the quality of your sleep.

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Lowering Systolic Blood Pressure More May Cut Health Risks

One major study found that lowering systolic blood pressure to well below the commonly recommended level also greatly lowered the number of cardiovascular events and deaths among people at least 50 years old with high blood pressure.

When study participants achieved a systolic blood pressure target of 120 mmHg compared to the higher target of 140 mmHg recommended for most people, and 150 for people over 60 issues such as heart attack, stroke and heart failure were reduced by almost one-third, and the risk of death by almost one-fourth.

“That’s important information, because more lives may be saved and more deaths may be prevented if we maintain lower blood pressure in certain patients,” says Lynne Braun, NP, PhD, a nurse practitioner at the Rush Heart Center for Women.

Braun cautions, however, that your personal blood pressure target depends on a variety of things, including your current blood pressure, lifestyle, risk factors, other medications you are taking and your age. “Every person has to be evaluated as an individual,” she says. “Realistically, we can’t get everybody down to 120, and trying to do so may create unintended problems.”

It can be dangerous, for instance, to keep an older person on medications that have unsafe side effects, such as diuretics , which can cause dehydration and dizziness in older adults.

And there can be other issues involved with taking multiple medications, such as cost and compliance.

How Is It Diagnosed

High Systolic Low Diastolic Blood Pressure – What happens? Solution!

Because it is such a common problem, blood pressure is checked at most healthcare visits. High blood pressure is usually discovered during one of these visits. If your blood pressure is high, you will be asked to return for follow-up checks. If repeated checks of your blood pressure show that it is higher than 140/90, you have hypertension.

Your healthcare provider will ask about your life situation, what you eat and drink, and if high blood pressure runs in your family. You may have urine and blood tests. Your provider may order a chest X-ray and an electrocardiogram . You may be asked to use a portable blood-pressure measuring device, which will take your pressure at different times during day and night. All of this testing is done to look for a possible cause of your high blood pressure.

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What Happens If Systolic Pressure Is High And Diastolic Is Normal

Isolated systolic hypertension is when your systolic blood pressure is high, but your diastolic blood pressure is normal. It can occur naturally with age or can be caused by a variety of health conditions including anemia and diabetes. ISH should still be treated even though your diastolic pressure is normal.07.12.2018

What Are Monoamine Oxidase Inhibitors What Are The Side Effects

Monoamine oxidase inhibitors or MAOIs were the first class of antidepressants to be developed. They fell out of favor because of concerns about interactions with certain foods and numerous drug interactions. MAOIs elevate the levels of norepinephrine, serotonin, and dopamine by inhibiting an enzyme called monoamine oxidase. Monoamine oxidase breaks down norepinephrine, serotonin, and dopamine. When monoamine oxidase is inhibited, norepinephrine, serotonin, and dopamine are not broken down, increasing the concentration of all three neurotransmitters in the brain.

Monoamine oxidase also breaks down tyramine, a chemical present in aged cheese, wines, and other aged foods. Since MAOIs inhibit monoamine oxidase, they decrease the breakdown of tyramine from ingested food, increasing the level of tyramine in the body. Excessive tyramine can elevate blood pressure and cause a hypertensive crisis. Patients treated with MAOIs should adhere to recommended dietary modifications that reduce the intake of tyramine. Interestingly, the 6 mg/24 hour dose of selegiline transdermal system does not require dietary restrictions because at this dose EMSAM does not substantially inhibit tyramine. Higher selegiline transdermal system doses require dietary restrictions.

What are the side effects of MAOIs?

Symptoms of hypertensive crises include

Other side effects and adverse events of MAOIs include:

Sexual side effects may diminish with time or a reduction in dose.

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What Do Blood Pressure Numbers Indicate

The higher number represents the pressure while the heart is beating.

The lower number represents the pressure when the heart is resting between beats.

The systolic pressure is always stated first and the diastolic pressure second. For example if a persons blood pressure is 122/76 , the systolic pressure is 122 and the diastolic pressure is 76.

Physical Activity And Sports

Blood Pressure Chart and 5 keys to healthy Blood Pressure
How much activity is needed to lower my blood pressure?

To lower your blood pressure, aim to do at least 30 minutes of moderate activity five times a week. Moderate activity is activity that gets you slightly warm and out of breath, but you should still be able to have a conversation brisk walking, swimming, cycling and gardening for example.

If you are starting from scratch, or you have other medical conditions, you may need to build up to this level gradually. You can break your session up into 15 minutes twice a day or ten minutes three times a day.

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What Is Isolated Systolic Hypertension

ISH is when you have a systolic blood pressure reading of 140 mm Hg or higher, and a diastolic blood pressure reading of less than 80 mm Hg.

Even though only one of the two numbers is elevated, ISH is still considered a type of high blood pressure. In fact, ISH is the type of high blood pressure in people older than 65.

Like other types of high blood pressure, isolated systolic hypertension can raise your risk of:

  • other health conditions

Additionally, a 2015 study found that ISH can increase the risk of heart disease and death in young adults.

ISH can also be a warning sign of other conditions such as anemia or hyperthyroidism.

Isolated Systolic Hypertension In Younger Adults

The elderly are not the only ones who can get isolated systolic hypertension. Younger people get it also but many times they slip through the cracks and dont receive the proper diagnosis 6. This can happen for several reasons including:

  • High systolic blood pressure in the young is often considered an anomaly that will go away.
  • Younger people often have worse diets consisting of fast foods and high sodium.
  • Athletes in school often take steroids to increase their athletic performance and build up strength and muscle.
  • Some risk factors affect all ages including young adults.
  • Younger people often skip regular physicals.

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An Unresolved But Important Clinical Problem: How To Treat Very High Sbp With Too Low Dbp

In practice, when we decrease sBP to the target level, we also diminish dBP if the dBP level drops too much, we can actually increase mortality in an iatrogenic way. The explanation is simple: when BP is too low , provided it lasts, this results in tissue hypoperfusion and poor outcomes, although not all studies have confirmed this J-curve phenomenon. A fall in BP is particularly dangerous in patients with hemodynamically significant stenosis of the arteries, because a low prestenotic BP will result in even lower poststenotic pressure. To prevent tissue hypoperfusion, the HTN guidelines recommend that in-treatment dBP should be 70 mm Hg .

To the best of our knowledge, no definite answer to this question has been provided by RCTs. However, it would not be so difficult to take the RCT records of patients who had SH with dBP < 70 mm Hg at baseline and analyze outcomes with pretreatment sBP value as a continuous variable.

High Systolic Blood Pressure Explained

Which Is More Important, Systolic or Diastolic Blood Pressure?

High systolic blood pressure, also known as isolated systolic hypertension , occurs when your systolic blood pressure is 140mm Hg or higher and the diastolic pressure is less than 90mm Hg. It is the most common type of hypertension among people of 65 years and above and puts younger people at risk of heart attack or stroke.² ³

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Blood Pressure Is Linked To Other Medical Issues

High blood pressure can be the first indication of a serious underlying condition. When a patient comes in with high blood pressure, doctors will check their urine and kidney function do an electrocardiogram to check the size of the heart and look for lung changes.

Stress on the blood vessels makes people with hypertension more prone to heart disease, peripheral vascular disease, heart attack, stroke, kidney disease and aneurysms. Correspondingly, chronic conditions such as diabetes, kidney disease, sleep apnea and high cholesterol increase the risk for developing high blood pressure.

In some women, pregnancy can contribute to high blood pressure, leading to preeclampsia. Postpartum blood pressure typically goes back to normal levels within six weeks. However, some women who have high blood pressure during more than one pregnancy may be more likely to develop high blood pressure and other cardiovascular diseases as they age.

Some of these medical issues can also cause spikes in high blood pressure .

What Is The Best Treatment For Isolated Systolic Hypertension

Treatment of ISH with diuretics, calcium channel blockers , and angiotensin II inhibitors is effective in reducing systolic blood pressure, preventing cardiovascular morbid events, and lowering mortality these agents may have to be used in combination to achieve the systolic blood pressure goal of < 140 mm Hg.

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Women Who Consume A Lot Of Caffeine Should Reduce Their Consumption When Pregnant

In general, doctors recommend women reduce caffeine consumption when pregnant. Caffeine is a stimulant which can increase your heart rate, something that should be avoided during pregnancy. Caffeine also crosses the placenta and while an adult woman can handle the caffeine, a developing baby may not be able to. Studies have shown caffeine can cause birth defects, premature delivery, and miscarriage. Moderate levels of caffeine may be ok. Consult your doctor.

Isolated Systolic Hypertension During Pregnancy

Blood Pressure Reading [ULTIMATE GUIDE]

High blood pressure, including isolated systolic hypertension poses various risks during pregnancy including:

  • Placental abruption
  • Heart valve problems

I wrote a whole blog post about Isolated Systolic Hypertension which dives into the topics in more detail. You can read it by clicking here, Isolated Systolic Hypertension.

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What Should I Do If I Have High Blood Pressure

If your healthcare provider has diagnosed you with high blood pressure, they will talk with you about your recommended blood pressure target or goal. They may suggest that you:

  • Check your blood pressure regularly with a home blood pressure monitor. These are automated electronic monitors and are available at most pharmacies or online.
  • Quit smoking and/or using tobacco products.
  • Work on controlling anger and managing stress.

Heart Attack And Heart Disease

High blood pressure can damage your arteries by making them less elastic, which decreases the flow of blood and oxygen to your heart and leads to heart disease. In addition, decreased blood flow to the heart can cause:

  • Chest pain, also called angina.
  • Heart attack, which happens when the blood supply to your heart is blocked and heart muscle begins to die without enough oxygen. The longer the blood flow is blocked, the greater the damage to the heart.
  • Heart failure, a condition that means your heart cant pump enough blood and oxygen to your other organs.

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