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.
Early diagnosis and treatment can help reduce the impact of high blood pressure on your cardiovascular system as well as your risk of heart disease. Looking to start a diet to better manage your high blood pressure? Our nutrition guide can help. Am J Med. Isolated systolic hypertension in young and middle-aged adults and year risk for cardiovascular mortality: the Chicago Heart Association Detection Project in Industry study.
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This content does not have an Arabic version. See more conditions. Request Appointment. Isolated systolic hypertension: A health concern? Products and services. Is having a high top number systolic blood pressure, but a normal bottom number diastolic , cause for concern? Answer From Sheldon G. With Sheldon G. Thank you for Subscribing Our Housecall e-newsletter will keep you up-to-date on the latest health information.
Please try again. Something went wrong on our side, please try again. Show references Basile J, et al. Overview of hypertension in adults. Accessed March 15, Bavishi C, et al.
The American Journal of Medicine. Bakris GL, et al. Isolated systolic hypertension. Elsevier Saunders; Accessed March 18, Egan BM. Treatment of hypertension in older adults, particularly isolated systolic hypertension. McEniery CM, et al. Some people that should consider doing this include:. You should always keep a log of your readings. If you find that your readings are consistently high, you should make an appointment with your doctor to discuss them. 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. This is because untreated high blood pressure, including ISH, can lead to a risk of things like heart attack and stroke. Be sure to have regular physical checkups with your doctor during which your blood pressure is taken. If you have high blood pressure, your doctor will work with you to develop a plan to manage it.
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