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Symptoms Of Low Blood Pressure In Elderly Individuals
As long as you feel OK, a low blood pressure reading is generally nothing to worry about. Doctors are not usually concerned about a low BP in otherwise healthy individuals.
So, when is blood pressure too low? You should see your healthcare provider if you experience hypotension symptoms such as:
What The Studies Found And What They Mean
In one of the observational studies, published Oct. 16, 2016, in the Journal of the American College of Cardiology, researchers analyzed the medical records of more than 11,000 adults collected over a period of three decades as part of the Atherosclerosis Risk in Communities Study. They found that people who had low diastolic blood pressure were twice as likely to have subtle evidence of heart damage compared with people whose diastolic blood pressure was 80 to 89 mm Hg. Low diastolic values were also linked with a higher risk of heart disease and death from any cause over 21 years.
For the second, published Oct. 29, 2016, in The Lancet, researchers analyzed data from CLARIFY, a registry of more than 22,600 people with heart disease from 45 countries. They determined that, compared with people who had systolic blood pressure of 120 to 139 mm Hg and diastolic pressure of 70 to 79, people with a systolic blood pressure of 140 mm Hg or higher were more likely to experience heart attacks or strokes, to be hospitalized with heart failure, or to die within a five-year period. But the same was true for heart attacks, heart failure, and death in people with low blood pressure .
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How To Lower Blood Pressure
If youâre over 70 and have been told that your blood pressure is too high, donât let the conditionâs lack of symptoms keep you from working to get it into a healthy range. Make it a point to:
Review all your medications with your doctor.âMany people will need medication to manage their blood pressure,â Andromalos says. But be sure to tell your doctor about all other prescriptions you may have and any over-the-counter medications that you take, such as non-steroidal anti-inflammatory drugs or decongestants because they can raise your blood pressure, Dr. Vaishnava says.
Move more. Regular, moderate exercise can help you lower your blood pressure, the Mayo Clinic states. Find an activity you enjoy so that youâll stick with it cycling, walking, swimming or dancing, for instance. Strength training and high intensity interval training also can help lower your blood pressure.
Lose weight. The higher your body mass, the harder your heart has to work to pump critical blood. Losing even a small amount of weight can help lower your blood pressure, the Mayo Clinic states.
Who Is At Risk Of Having Low Blood Pressure
Low blood pressure typically isnt a problem for most adults. However, if your blood pressure drops suddenly or you experience symptoms, it may cause serious side effects. The U.S. National Library of Medicine indicates that a drop as little as 20 mmHg can cause problems.
So what causes your blood pressure to drop and when does it put you at risk? Minor and temporary things can affect blood pressure, like getting up too fast after sitting, standing for long periods of time, or dehydration. Similarly, certain health conditions are risk factors for hypotension, including:
- Heart conditions
- Serious trauma
- Shock caused by blood loss
If you experience low blood pressure, youre at a higher risk for fainting and shock, which can require medical treatment if vital organs. Keep track of your blood pressure regularly so you get to know whats normal for you and what may be too low. A single measurement lower than normal isnt cause for alarm but if you experience other symptoms, talk to your doctor.
For more information about low blood pressure or to find a doctor, contact the UPMC Heart and Vascular Institute.
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How Is High Blood Pressure Diagnosed
Blood pressure checks are part of routine doctor visits. To check your blood pressure, your healthcare provider will place an inflatable cuff around your arm and use a pressure-measuring gauge.
Before giving a diagnosis of high blood pressure, your physician will likely take two or three readings during separate appointments. This is because blood pressure varies throughout the day, and some people may be anxious before or during a doctor visit, causing elevated blood pressure.
If your blood pressure is consistently 130/80 millimeters of mercury or higher, you will most likely be diagnosed with high blood pressure.
In 2017, the American Heart Association updated its definition of high blood pressure from the previous 140/90 mmHg or higher. The guidelines recommend earlier intervention to prevent further increases in blood pressure that could lead to health problems.
If you have high blood pressure, your physician will take a full medical history and conduct a physical exam. Other routine tests may be given, including a blood test, urine test, cholesterol test, and an electrocardiogram or echocardiogram to check for signs of heart disease.
Causes And Risk Factors Of High Blood Pressure
The following can increase your chances of developing high blood pressure.
Older age The risk of high blood pressure increases as you age.
According to the U.S. National Health and Nutrition Examination Survey , 70 percent of adults age 65 or older have hypertension.
The risk of prehypertension and high blood pressure has been increasing in recent years in young people, too, including children and teens, possibly because of the rise of obesity in these populations.
Race High blood pressure is more common in Black American adults than in white or Hispanic American adults.
Family history Having a family history of high blood pressure increases your risk, as the condition tends to run in families.
Being overweight The more you weigh, the more blood you need to supply oxygen and nutrients to your tissues. As the volume of blood circulating through your blood vessels increases, so does the pressure on your artery walls. Obesity especially abdominal obesity also increases stiffness in arteries, which raises blood pressure.
Lack of physical activity People who are inactive tend to have a higher heart rate and higher blood pressure than those who are physically active. Not exercising also increases the risk of being overweight.
Dietary choices What you choose to eat can increase your risk for hypertension, including in the following ways:
Alcohol consumption Drinking more than two drinks a day for men and more than one drink a day for women may raise your blood pressure.
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Nearly Half Of Us Adults Have High Blood Pressure
Blood pressure is simply a measurement of the pressure of blood pushing against the walls of the arteries. If blood pressure stays high for a long time, it can cause damage to organs, including your heart, brain, kidneys, and eyes.
According to the Centers for Disease Control and Prevention , nearly half of adults in the United States 47 percent or 116 million people have hypertension, which is defined as a systolic blood pressure greater than 130 milimeters of mercury or a diastolic blood pressure greater than 80 mmHg or are taking medication for hypertension.
About Low Blood Pressure
The heart pumps a constant supply of blood around the body. The blood flows through different networks in the body, for example, arteries, veins and capillaries. Blood pressure is a measure of the force of the blood on the walls of the arteries as the blood flows through them.
It’s measured in millimetres of mercury and recorded as two measurements:
- systolic pressure the pressure when your heart beats and squeezes blood into your arteries
- diastolic pressure the pressure when your heart rests between beats
For example, if your systolic blood pressure is 120mmHg and your diastolic blood pressure is 80mmHg, your blood pressure is 120 over 80, which is commonly written as 120/80.
Normal blood pressure is between 90/60 and 140/90. If you have a sustained reading of 140/90 or more, you have high blood pressure . This puts you at greater risk of developing serious health conditions, such as heart attack or stroke.
People with a blood pressure reading under 90/60 are usually regarded as having low blood pressure.
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Dizziness May Be A Symptom Of Heart Disease
One simple cause of dizziness is sudden movement, like when you get up too suddenly from your seat or bed. But sometimes dizziness is a sign of a heart condition. Among the cardiovascular-related causes of dizziness are leaking or narrow heart valves, arrhythmias like atrial fibrillation, and atherosclerosis, says Patricia Blau, PhD, associate professor of physical therapy at the University of Texas Southwestern Medical Center in Dallas. These can cause dizziness because they reduce blood flow to the brain, according to VEDA.
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What Is Low Blood Pressure In Teens
Low blood pressure happens when the blood pressure levels are less than normal. The normal blood pressure for a teenager is around 110/70mmHg . followed by the lower value.)
In children aged ten years or less, blood pressure lower than 90/50mmHg is defined as low blood pressure or hypotension .
Low blood pressure can be categorized into three types, the symptoms of which can range from mild to severe.
- Neurally mediated hypotension : It occurs when the child stands for a long time or encounters an upsetting or scary situation. It causes dizziness. However, children usually outgrow NMH .
- Orthostatic hypotension: It occurs while standing up suddenly from a sitting or lying position. It happens when the body is unable to adjust to the sudden change in the blood flow. However, the blood pressure will be back to normal after a few seconds .
- Severe hypotension: It can develop due to severe infections, allergic reactions, severe blood loss due to an injury, or a shock. Severe hypotension can cause complications by preventing the blood from reaching the brain, thus making it a life-threatening condition. In such cases, immediate medical attention is necessary .
Hypertension Prevention Factors You Can Control
Your age, a family history of hypertension, and ethnicity are among the hypertension risk factors that are out of your control. When it comes to preventing high blood pressure, the idea is to focus on the risk factors that you can change.
“We can’t do anything about our age, but we can do something about our lifestyle,” says Olugbenga Ogedegbe, MD, MPH, a clinical hypertension specialist, the director of the Center for Healthful Behavior Change, and a professor in the department of Population Health at NYU Grossman School of Medicine in New York City.
To avoid a hypertension diagnosis, make these healthy lifestyle choices.
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Check Your Blood Sugar
Diabetes and high blood sugar levels may lead to low blood pressure. Volume depletion can occur from the diuresis that follows high blood sugar levels. This is when your body tries to expel glucose via increased urination.
Consider using a home monitor to check your blood sugar levels throughout the day. See your doctor to find out the best diet, exercise, and medication plan to help balance blood sugar levels.
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Serious Injuries And Shock
Low blood pressure can also be caused by serious injuries or burns, particularly if you have lost a lot of blood. This can mean that there is less blood being pumped around your body. Low blood pressure can also occur if you go into shock after having a serious injury.
Other kinds of shock are described below.
Anaphylactic shock, or anaphylaxis, is caused by an allergic reaction to something â for example, a wasp sting or a peanut. During an allergic reaction, your body produces a large amount of a chemical called histamine, which causes your blood vessels to widen and leads to a sudden, severe drop in blood pressure.
Cardiogenic shock occurs when your heart cannot supply enough blood to your body, so your blood pressure drops. This can happen during a heart attack.
Diastolic Blood Pressure: How Low Is Too Low
- May 17, 2015
Blood pressure consists of two numbers. Systolic pressure, the force exerted on blood vessels when the heart beats, is the upper number. Diastolic pressure, the force exerted when the heart is at rest, is on the bottom in more ways than one. Systolic pressure attracts the lions share of attention from physicians and patients, says UAB cardiologist Jason Guichard, M.D., Ph.D.
Physicians are busy people, and like it or not they often focus on a single number, Guichard said. Systolic blood pressure is the focus, and diastolic pressure is almost completely ignored. That is a mistake, he argues. The majority of your arteries feed your organs during systole. But your coronary arteries are different they are surrounding the aortic valve, so they get blood only when the aortic valve closes and that happens in diastole.
Diastolic pressure has been getting more attention lately, however, thanks in part to an influential paper in Hypertension, written in 2011 by Guichard and Ali Ahmed, M.D., then a professor of medicine in UABs Division of Gerontology, Geriatrics and Palliative Care and now the associate chief of staff for Health and Aging at the Veterans Affairs Medical Center in Washington, D.C.
Most people are trying to lower their blood pressure. What would you define as too low, and why is that a problem?
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