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| *Women health>>>High Blood Pressure |
Why is my systolic reading for my blood pressure always high although my diastolic reading is usually below 90 |
my systolic reading is most times over 130 and reach as high as 165-170. am I at risk of getting a stroke it means your blood pressure is not being monitored correctly. please tell this your doctor about this and my advise is to go for ECG, 2d echo and tread mill test, and complete blood test for renal function test. if you are a diabetic patient, go for glycocillated hemoglobin test which tells to what extent your sugar levels are controlled.you need not worry if the hyper tension reaches 165 or 170. but better consult the physician and under go the above referred to tests. wish you a happy healthy life. If your systolic reading is up as high as 165-170 for an extended period of time, there are many risks to your health, including potentially stoke. It is probably best to see your doctor and he/she may prescribe medication to help you to lower your Blood pressure. systolic blood pressure is always indicative to 2 things which r : 1-heart rate 2-stroke volume (volume of blood pumped by the heart during 1 beat) while diastolic blood pressure is indcative to peripheral resistance offered by blood vessels to blood circulating in them. ur diastolic blood pressure is normal,while systolic is high so u may have 2 things which r increased heart rate (arrythmias or tachycardia) OR increased systolic volume (increased force of contraction of heart) this condition of inc. pulse pressure (difference sys. between dias.) can be stimulated normally when u r in fright or flight (stress) conditions when ur body secretes adrenaline in blood. pathologicaly in pheochromocytoma (benign tumor in supra renal glands ),medications u take,anxiety. u need to make complete blood picture ,urine analysis and abdominal ultrasound High systolic pressure with nearly normal diastolic indicates anxiety, stress and suddenly increased physical exercise.The danger of stroke is very limited. Isolated systolic hypertension, which is what you are describing is often brought on in advancing age (50+). For every 20 points aboove 115 systolic you double your chance of having a stroke. The simplest thing to do when seeking to lower blood pressure is taking the sodium out of the diet. (soda and even corn flakes as well as processed foods contain a high amount of sodium). If you have already taken this step read further. You do need some sodium but try cutting your current intake in half. There are two treatments indicated for Isolated systolic hypertension, one is a long acting diuretic and the other is an intrinsically long-acting dihydropyridine calcium channel blocker (Norvasc, Plendil, etc.). Used in tandem you should see relief in your blood pressure. A couple of caveats--don't seek to lower your blood pressure quickly as this can cause reflex hypertension and watch your dosage on the diuretic (HCTZ 25mg and stop). In ISH patients a long acting ccb of the aforementioned class was associated with a 72% reduction in stroke events in a high-risk diabetic population. You could also opt for another generic diuretic chlorthalidone but take a very small dosage 12.5mg as it can cause potassium wasting. The advantage of chlorthalidone is it's long activity period and relatively few side-effects at lower dosages. With all due respect to Dr. Mag reducing the peripheral pressure and fluid volume would do more to decrease your blood pressure than slowing down your heart or decreasing it's contractility, both of which are physiologic responses to increased pre-load (volume) and afterload (the pressure the heart is working against). In fact there is no primary prevention evidence that the medicines used to do what Dr. Mag is suggesting (beta blockers) have a positive effect on primary (first event) outcomes and there is some indication that doing so may actually lead to more strokes when compared to active treatment (Life trial). Sorry so long winded, hope this helps. Pfizer-training Richard Grimm, MD PhD Syst-Eur diabetic sub-analysis Analysis of LIFE trial |
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