It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



High & Low Blood Pressure Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 03-10-2005, 12:43 PM   #1
Member
(female)
 
Join Date: Jul 2004
Posts: 85
las7715 HB User
Systolic readings more important?

I've always thought that the lower reading of the BP (dystolic) was the number that needed to be paid attention to. Now I hear that the systolic reading is more important to watch. Which is it?

 
Old 03-10-2005, 04:32 PM   #2
JJ JJ is offline
Senior Veteran
(female)
 
JJ's Avatar
 
Join Date: Nov 2000
Location: Ct.
Posts: 3,704
JJ HB UserJJ HB UserJJ HB UserJJ HB UserJJ HB UserJJ HB UserJJ HB UserJJ HB UserJJ HB UserJJ HB UserJJ HB User
Re: Systolic readings more important?

Since they changed the guidelines, both are now considered to have to be lower. It use to be 140/90, now it is 120/80 or below.

 
Sponsors Lightbulb
   
Old 03-10-2005, 08:41 PM   #3
Veteran
(male)
 
Join Date: Feb 2005
Posts: 379
pal7778 HB User
Re: Systolic readings more important?

For people over 50 or so, high systolic numbers are more closely connected with heart attacks and strokes. And "isolated systolic hypertension" (say, 155/80), with its wide pulse pressure, is especially risky.

 
Old 03-11-2005, 04:56 AM   #4
Senior Veteran
(male)
 
Join Date: Nov 2004
Posts: 8,484
Lenin HB UserLenin HB UserLenin HB UserLenin HB UserLenin HB UserLenin HB User
Re: Systolic readings more important?

las,

As pal7778 pointed out, it's age related. For a 30 year old, the diastolic is far more important but then diastolic drops a lot with age and systolic comes to the fore.

I think that high systolic is reading stiffening of the arteries with age and stiffening implies risk from plaque and "hardening." I feel strongly that the BP is often more an EFFECT of the stifffening rather than the cause and thus I feel that lowering systolic with drugs will not do much to prevent a heart attack. The medical profession seems to feel otherwise...I think their evidence is weak!

Do you know that before the 1950's a "good" systolic was defined as your age + 100. Just read that in an old Principles of Internal Medicine!

 
Old 03-11-2005, 07:00 AM   #5
Senior Veteran
 
Join Date: Sep 2004
Posts: 673
mgraylorn HB User
Re: Systolic readings more important?

I asked my doctor whether systolic, diastolic or pulse presssure was more important. She told me systolic and diastolic were equally important, and she didn't think much of the pulse pressure.

 
Old 03-11-2005, 07:38 AM   #6
Veteran
(male)
 
Join Date: Feb 2005
Posts: 379
pal7778 HB User
Re: Systolic readings more important?

That cause/effect point is interesting. High blood pressure is correlated with this and that, but that doesn't mean that just reducing blood pressure will reduce your risk, esp. for a heart attack (because the high blood pressure is the result of a problem that
reducing the bp will not solve). The situation is different when it comes to the effect of hbp on the heart directly or on the kidneys.

 
Old 03-11-2005, 08:20 AM   #7
Senior Veteran
(male)
 
Join Date: Nov 2004
Posts: 8,484
Lenin HB UserLenin HB UserLenin HB UserLenin HB UserLenin HB UserLenin HB User
Re: Systolic readings more important?

Exactly pal...
Many sins have been committed in the name of CAUSE AND EFFECT.

So many people die of heart attacks while shovelling snow but snow is not a cause of heart attacks!

I have no problem with the EXTREME danger to the kidneys from a high diastolic ...which after all, is the LOWEST pressure the kidney ever sees, so it's CONTINUOUS and unremitting. And I have no problem with the cause and effect of stroke and very high systolic because an aneurism (even sub-clinical size) will burst only at the HIGH point of the BP wave pulse. But then there's the issue of would an artery burst without a process that first weakened it and what did that? BP maybe, maybe not. Was it necessary for flexibility of the cerebral arteries to be first compromised, after all, teeny-boppers with supple arteries don't have strokes?
Just some personal gut feelings.

An image just shot through my head: An honest doctor sees a patient (for $125) who presents with a 150 systolic.
He says,
"You know, a high systolic is associated with stiffened arteries which occurs with age and is a probable cause of heart attacks."

"I strongly recommend that you GET YOUNGER!"

Last edited by Lenin; 03-11-2005 at 08:27 AM.

 
Old 03-11-2005, 08:58 AM   #8
Senior Veteran
(male)
 
Machaon's Avatar
 
Join Date: Feb 2003
Location: Fort Laud
Posts: 3,992
Blog Entries: 22
Machaon HB UserMachaon HB UserMachaon HB UserMachaon HB UserMachaon HB UserMachaon HB UserMachaon HB UserMachaon HB UserMachaon HB UserMachaon HB UserMachaon HB User
Re: Systolic readings more important?

Quote:
Originally Posted by mgraylorn
I asked my doctor whether systolic, diastolic or pulse presssure was more important. She told me systolic and diastolic were equally important, and she didn't think much of the pulse pressure.
I agree. It makes sense that it is important to get both systolic and diastolic readings under control. I certainly don't want to see a high reading for either one. Over time, high blood pressure can cause irreversible damage to vital organs.

No one wants constant unhealthful pressure (diastolic) on all of their organs, throughout their body for long periods of time, and no one certainly wants their peak blood pressure (systolic) to be too high for long periods of time.

Many of the current meds target the neuro-hormonal system in an attempt to prevent hormones from constricting blood vessels, which in turn is one of the major causes of Primary high blood pressure.

Last edited by Machaon; 03-11-2005 at 11:38 AM.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
high systolic reading debra689 High & Low Blood Pressure 3 10-22-2008 07:42 AM
Fit 20yrld:Can my systolic be high simply because I hate the process of testing? noty High & Low Blood Pressure 6 05-30-2008 06:32 AM
Fluctuating systolic, normal diastolic? acp44 High & Low Blood Pressure 8 06-28-2007 12:55 PM
Difference between Systolic and Diastolic numbers justinstamp Heart Disorders 7 03-01-2007 03:23 PM
Systolic Question sgannon High & Low Blood Pressure 13 08-11-2006 06:21 AM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added




Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Atenolol
Benicar
Clonidine Cozaar
Diovan
  Lisinopril
Lotrel
Norvasc
Potassium
Toprol




TOP THANKED CONTRIBUTORS



Machaon (55), atengnr (48), JJ (35), soflsun (29), Flutterbye77 (17), flowergirl2day (16), flitz (16), zuzu8 (15), cartner (12), rudiraven (12)

Site Wide Totals

teteri66 (1180), MSJayhawk (1013), Apollo123 (909), Titchou (857), janewhite1 (823), Gabriel (763), ladybud (755), midwest1 (671), sammy64 (668), BlueSkies14 (607)



All times are GMT -7. The time now is 03:02 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!