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A significant reduction in systolic blood pressure (the top number) can reduce the risk of heart disease and stroke. But how important is the diastolic (bottom) number?

What Is The Cause Of Low Diastolic Blood Pressure

What Is The Cause Of Low Diastolic Blood Pressure

When it comes to controlling blood pressure, doctors tend to focus on reducing the upper (systolic) number, and for good reason.

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“It has been well established that intensive treatment of systolic pressure can help reduce the risk of heart disease or stroke,” says Dr. Stephen Juraschek, a blood pressure specialist at the Harvard-affiliated Beth Israel Deaconess Medical Center’s Hypertension Center.

But what about the bottom number (diastolic)? It also plays an important role in the heart, although it is often overlooked.

Two numbers of blood pressure measures the heart at work and rest. Systolic blood pressure is the blood pressure when the heart beats to pump blood throughout the body. The higher the number, the harder the heart pumps blood.

Diastolic pressure is the pressure during the pause between heartbeats. Dr. Juraschek said: “This pressure helps the coronary arteries to deliver oxygen to the heart muscle.

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According to current guidelines, normal blood pressure is a systolic number less than 120 millimeters of mercury (mm Hg) and a diastolic number less than 80 mm Hg. A systolic number of 120 to 129, with a diastolic reading of less than 80, is considered “high.”

When it comes to determining blood pressure (blood pressure), any number can be a sign if it is consistently high. For example, you are diagnosed with Stage 1 hypertension if your systolic blood pressure is 130 to 139 or your diastolic blood pressure is 80 to 89 — or both. Stage 2 high blood pressure is defined as (or both) 140 or higher systolic or 90 or higher diastolic.

“It’s important to keep both of these numbers because usually, if the systolic is high, so is the diastolic,” says Dr. Jurassic.

What Is The Cause Of Low Diastolic Blood Pressure

However, there are exceptions. While systolic blood pressure increases with age as blood vessels weaken and narrow, diastolic blood pressure decreases after age 50.

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Why? Nerves become thinner with age. When it becomes too stiff, the arteries that expand with the systolic blood pressure have a harder time returning between heartbeats, causing the diastolic blood pressure to drop.

Another cause of low diastolic blood pressure is endothelial dysfunction, a condition in which the arteries in the heart become closed instead of open.

It is also possible to have only a high systolic number, a condition known as isolated systolic hypertension. This is a common type of high blood pressure among adults. Isolated systolic hypertension occurs because the smaller arteries have difficulty allowing the blood pressure to rise. Blood flowing too fast through these arteries can damage the lining, accelerating the buildup of cholesterol plaque. This also tightens and relaxes the arteries, which raises the systolic blood pressure while the diastolic blood pressure remains normal.

Is diastolic pressure too high? While lowering is good for blood pressure, you don’t want any number to drop too low. A very low systolic blood pressure increases the likelihood of weakness, lightheadedness, and fainting.

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Surprisingly, a low diastolic number can indicate a high risk of heart disease, according to a study published Feb. 1, 2021, in

. The study included people with a high risk of heart disease who received medication to lower their systolic blood pressure.

The researchers found that among those with a systolic blood pressure of less than 130, a diastolic blood pressure of less than 60 mm Hg was associated with heart attacks and strokes. However, those with diastolic blood pressure between 70 and 80 mm Hg had a significantly lower risk of heart disease.

What Is The Cause Of Low Diastolic Blood Pressure

For most adults, the goal should be to keep the systolic blood pressure close to 120 mm Hg, and possibly a little lower, as long as the diastolic blood pressure is 60 mm Hg or higher.

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Lifestyle changes such as reducing sodium intake, increasing potassium, exercising more, and maintaining a healthy weight are always the mainstays of treatment, even if you need medication.

The least common problem is diastolic pressure with a normal or slightly elevated number. The treatment plan here is the same, with lifestyle changes first and antihypertensives when needed.

Matthew Solan is the editor-in-chief of Harvard Men’s Watch. He previously served as editor-in-chief of UCLA’s y Years and as a contributor to Duke Medicine’s News and Weill Cornell Medical College’s… View Full Bio

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Pdf) Systolic And Diastolic Blood Pressure: Do We Add Or Subtract To Estimate The Blood Pressure Burden?

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What Is The Cause Of Low Diastolic Blood Pressure

One in three American adults has high blood pressure. Known to be a serious disease, many people do not even know they have it, because high blood pressure has no symptoms or warning signs. But when high blood pressure is accompanied by bad cholesterol and blood sugar, damage to your arteries, kidneys, and heart accelerates. Fortunately, high blood pressure is easy to diagnose and treat. In a Special Report,

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, explore how you can keep your blood pressure in the y type by simply making lifestyle changes, such as losing weight, exercising, and eating well.

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Blood pressure is the force of blood against the walls of blood vessels as blood moves through the circulatory system. Blood pressure rises and falls throughout the day and varies according to our activity. It’s important to know your blood pressure, because high or low blood pressure can lead to health problems. Let’s take a closer look at the blood pressure level to understand what it means if the blood pressure is high or low.

It’s normal for your blood pressure to fluctuate throughout the day depending on what you eat, how stressed you are, and whether you exercise. Blood pressure is measured using two numbers: systolic (top number) and diastolic (bottom number). Systolic blood pressure measures the pressure in the arteries when the heart beats, and diastolic blood pressure measures the pressure in the arteries when the heart relaxes between beats. Here is a blood pressure chart from the American Heart Association (AHA) to help you better understand how to measure blood pressure:

What Is The Cause Of Low Diastolic Blood Pressure

Normal blood pressure is below 120/80 mmHg and above 90/60 mmHg. Blood pressure outside of this range can indicate high blood pressure (hypertension) or low blood pressure (hypotension). Both systolic and diastolic numbers are important. However, systolic blood pressure (the upper number) is given more attention because systolic blood pressure may be associated with an increased risk of stroke and heart disease.

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As people age, the risk of developing high blood pressure increases. Adults aged 19-40 will have blood pressure that ranges between 90-135/60-80 mmHg. The most recent hypertension guidelines of 2017 call these young people as systolic blood pressure if the systolic blood pressure is 130-139 or the diastolic blood pressure is between 80-89, however, the treatment depends on their calculated risk of heart attack.

According to the American Heart Association (AHA), the types of high blood pressure are the same for men and women. Women and men are equally likely to develop high blood pressure at some point in their lives. Although high blood pressure is not directly caused by gender, the AHA explains that high blood pressure can be affected by pregnancy, childbirth, or menstruation.

Birth control pills can increase blood pressure in women. This is especially difficult for women who are overweight,

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