Re: Isolated Systolic Hypertension @ 23 yrs old
Well, first off your diastolic is fantastic. I assume these numbers are taken in a home relaxed setting? Anxiety normally has a huge influence on the systolic. I have to agree with Mayo about treating this. The problem is that when you treat the systolic, you are going to be "treating" the diastolic. There isn't a lot of room to work with here. Another thing you've learned is that HCTZ caused your BP to go up. And, your systolic isn't really that bad to begin with.
Are you eating a low sodium diet? Or, are you simply not eating enough? The low BMI and your reaction to HCTZ sorta points me in that direction. What could be happening here is that you are volume depleted already. And your renin-angiotensin system is in high gear. This would explain the reaction you got to HCTZ. Since, HCTZ raised your BP, guess what the opposite of HCTZ is? Eat more salt (though, I have a hard time recommending this). Of course, if you were to try a drug in the future, an ACE inhibitor or ARB would be the most logical choice. Again, I don't recommend drugs based on those numbers.
I had never researched anything about testosterone and BP. I was quite surprised to learn that there appears to be a relationship between testosterone levels and BP. And, the relationship is the exact opposite I would have guessed. However, it seems there is some chicken/egg stuff with it. Does high BP cause low testosterone? Or, does high testosterone lower BP?