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Old 10-26-2004, 01:59 PM   #1
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Scout- HB User
Question 134/80 or 122/90??

Which of these two readings is 'better' and why?

Could smeone explain this to me? Thanks

Scout

 
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Old 10-27-2004, 06:21 AM   #2
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Re: 134/80 or 122/90??

There really isn't much difference between the two. Neither reading is really that bad.

In that past, the 134/80 would have been considered the better reading. The gold standard used to be 140/90. And, the focus was more on diastolic blood pressure. And, this was because the systolic can vary so much. Also, white coat (anxiety) tends to influence the systolic more. So, this used to not be as much of a problem.

In today's thinking (not necessarily better), either the systolic or the diastolic blood pressure is important. And, there is starting to be some focus on "pulse pressure". This is the difference between systolic and diastolic. Since 122/90 has a lower PP (32 vs. 54), this could be considered a better BP using this logic.

Pal

 
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Old 10-27-2004, 07:09 AM   #3
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Re: 134/80 or 122/90??

I agree with Palamedes. They both aren't that bad. Palamedes, why is pulse pressure so important??? If I have 116/66 (pulse pressure would be 50), what does it show that might be of concern as opposed to 120/80 (pulse pressure 40). Thanks.

 
Old 10-27-2004, 07:28 AM   #4
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Re: 134/80 or 122/90??

Like pal said there has been a sea change in the thinking. DIstolic used to be the enemy because the thought was that the short term PULSE that is the systolic was much less significant than the LOOONG rest period of the diastolic. This might still pertain in the young.
As we age, the vascular tree stiffens, (hardens if you will...or worse CONGESTS with plaque) and the increasing systolic seems to mirror that stiffening. As pal said the pulse pressure (difference) might be a good way to get a handle on this dangerous stiffening.

Personally I think diastolic retains much value especially in a sensistive organ like the kidney which is engangered if it NEVER gets relief from pressure. Aneurism growth might be enhanced by high distolic but be immediatley endangered by high systolic.

But the coronary and cerebral aspects seem focused on systoles AT THIS TIME...stay tuned! LOLOL.

Last edited by zip2play; 10-27-2004 at 03:59 PM.

 
Old 10-27-2004, 09:03 AM   #5
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Thumbs up Re: 134/80 or 122/90??

Thanks for the info guys My numbers are now ranging between the two numbers I put up I wasn't sure if one set was better than another.

I notice every time my systolic is 'high' in the 130's my diastolic always goes low - like, it will hit the 80 - 84 marks but, if my systolic is normal (hitting 120-124) my diastolic always rest at about 90-93

what is going on with this? if anyone can help I'm all ears(eyes)

Thanks again.

Scout

 
Old 10-27-2004, 10:57 AM   #6
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Re: 134/80 or 122/90??

It is pretty normal. I am not when I have white-coat, because my Systolic will be 50 points higher usually. At the doc. it can be 78 points higher at times. Don't stress so much Scout. You are getting good #'s. Get a good GP that won't over-medicate you & live life. Peace.

 
Old 10-27-2004, 04:00 PM   #7
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Re: 134/80 or 122/90??

Mine usually go up or down in tandem so I can't really guess. Scout.

 
Old 10-28-2004, 08:09 AM   #8
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Re: 134/80 or 122/90??

Quote:
Originally Posted by Lillians Axe
I agree with Palamedes. They both aren't that bad. Palamedes, why is pulse pressure so important??? If I have 116/66 (pulse pressure would be 50), what does it show that might be of concern as opposed to 120/80 (pulse pressure 40). Thanks.
Most of the stuff I've read seems to indicate that it is an indicator of stiff blood vessels. Here's a quote that is pretty typical:
Quote:
Pulse pressure may predict heart disease more accurately than systolic and diastolic readings. Pulse pressure is the numerical difference between systolic and diastolic pressure. Some researchers believe that pulse pressure is even more important than systolic pressure in determining long-term health risks.

A pulse pressure below 50 indicates that the arteries are elastic and healthy. But when arteries are stiff and inelastic, systolic pressure rises and diastolic pressure falls. This increases pulse pressure to 60 or greater.
While I can agree that it is probably better to have a lower pulse pressure, I'm not sure I buy the explanation that it is caused by aterial hardening. I think cardiac output is also a factor.

This probably applies more to the elderly. Also, there was some other article I recall reading that indicates that pulse pressure is only a concern if you are hypertensive. In the case of 116/66, there wouldn't be any concern. It's very confusing.

Pal

 
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