Re: High Systolic Won't Go Away!
Hi D@N -
I think you're confusing the systolic and diastolic BP's. The systolic is the first reading, the diastolic is the second reading.
The systolic BP is a measure of the pressure while your heart is pumping and, therefore, changes much more frequently, as your heart will pump faster/harder or slower/softer depending on events such as stress, physical activity, etc. The diastolic, or second half of the reading, is a measure of your pressure when the heart is not beating. This reading relates more to the condition of your arteries, how flexible they are, how much atherosclerosis you may have, whether there is a blockage somewhere, etc.
The fact that your diastolic is still not below 90 is of some concern. You're only 33, and you certainly don't want to have high BP for a lot of years, and especially not high diastolic BP. Did your doctor do any tests regarding your kidneys? Although not the only cause of high BP, the kidneys can be one cause...and not necessarily major kidney disease, but something as simple as an obstructed renal artery, or a kidney infection (although usually an infection would be somewhat painful). At any rate, it might be worth pursuing...an IVP can look at the size/shape of the kidneys, a physical exam by a nephrologist would include listening to the renal arteries.
No matter what the cause, it is very important to control your high BP as it can do damage over the long term to your arteries, to some organs, etc. 118/90 isn't bad, but the 90 is still borderline high for the diastolic.
When are you going for a follow up with your doctor? It's probably no big deal if your diastolic is 90 for a few months, but if it doesn't come down, I would definitely look into the possible causes, and also insist on trying other medications to lower it.
There are so many categories of BP medications, and even within categories, one may work better than another. Sometimes it takes a combination of two different types to achieve good control.
I'm not familiar with Zestril, but the broad categories are beta blockers, calcium channel blockers, ACE inhibitors, diuretics (which reduce excess fluid in your body).
Sounds like you're very close to good control, and the diastolic only needs to come down about 5 points to be in excellent control, so hang in there!