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  • High Systolic with Low Diastolic

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    Old 12-29-2003, 10:33 PM   #1
    tuner
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    High Systolic with Low Diastolic

    Hi there,

    My BP averages around 135-145 / 65-70. From my understanding this places my systolic pressure about 15-20mm too high, yet my diastolic is 10-15 below "optimal". Does anyone know what causes the large difference between the two? And should I be worried? I am only 20 yrs old!!
    I've had a good look over previous posts but can't find much on large "pulse pressures" or large differences between the two numbers.
    Thanks in advance.

     
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    Old 12-30-2003, 06:44 AM   #2
    zip2play
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    Re: High Systolic with Low Diastolic

    tuner,

    I'll just pass along some "hearsay". Some say a large spread is a measure of the stiffness of the arteries...calcium hardening. Doesn't seem very likely in a 20 year old. The spread seems to increase with age.

    Personally I think it's also a good measure of stress reaction like sensitivity to adrenal hormones (catecholemines) but this is my own idea.

    I wouldn't worry too much about it; people react so differently BP-wise!

     
    Old 12-30-2003, 07:12 AM   #3
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    Thumbs up Re: High Systolic with Low Diastolic

    Quote:
    Originally Posted by tuner
    Hi there,

    My BP averages around 135-145 / 65-70. From my understanding this places my systolic pressure about 15-20mm too high, yet my diastolic is 10-15 below "optimal". Does anyone know what causes the large difference between the two? And should I be worried? I am only 20 yrs old!!
    I've had a good look over previous posts but can't find much on large "pulse pressures" or large differences between the two numbers.
    Thanks in advance.
    Don't worry, you're ok! Diastolic pressure it's ussualy half plus one from systolic pressure. So if your systolic pressure it's 135 , your diastolic it's suppose to be 135:2=67.5+1=68.5 . So, I think you are ok!
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    Old 12-30-2003, 07:52 AM   #4
    Rick7799
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    Re: High Systolic with Low Diastolic

    When I am stressed out there is always a big difference between the two numbers, compared to when I am more relaxed.

     
    Old 12-31-2003, 12:54 AM   #5
    wr6969
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    Re: High Systolic with Low Diastolic

    nuni, I'm not too sure where you got that "formula" from, but it certainly throws the 120/80 "safe limit" out the window! If this is the case, then if you have a 120 systolic pressure, then your diastolic should only be around 61! I'm not too sure that many of us have a diastolic pressure in the low 60s!

    I've also noticed that when I'm stressed/anxious, my diastolic reading tends to go up even while on medication! It will hover around 83-88 while my systolic is OK at around 115-123!

     
    Old 12-31-2003, 07:24 AM   #6
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    Re: High Systolic with Low Diastolic

    Quote:
    Originally Posted by wr6969
    nuni, I'm not too sure where you got that "formula" from, but it certainly throws the 120/80 "safe limit" out the window! If this is the case, then if you have a 120 systolic pressure, then your diastolic should only be around 61! I'm not too sure that many of us have a diastolic pressure in the low 60s!

    I've also noticed that when I'm stressed/anxious, my diastolic reading tends to go up even while on medication! It will hover around 83-88 while my systolic is OK at around 115-123!
    Sorry, wr6969, I just forgot to add one zero. So, if your systolic is 120 your diastolic should be 120:2=60+10=70 . And I got that "formula" from a cardiologist.
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    Old 12-31-2003, 07:41 AM   #7
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    Re: High Systolic with Low Diastolic

    Ah, that makes much more sense now

     
    Old 01-01-2004, 04:17 PM   #8
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    Re: High Systolic with Low Diastolic

    Well I'm confused, according to that formula, 140/2 = 70 + 10 = 80, or the diastolic number the health industry keeps telling us to be under, but if I'm at 140 systolic the docs would say my systolic is high?

    I'm 22 and have a similar problem where my systolic is high but diastolic normal/low, generally 140-155/70-78 numbers.

     
    Old 01-03-2004, 08:09 AM   #9
    sportmom
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    Question Re: High Systolic with Low Diastolic

    alptraum, are you on medicine? My 17 year old has the same BP's as you list and has been to many specialists with no cause found. But they all say he needs to take medicine. Nothing seems to work to bring his systolic down. He's been on all combos. Now he's on Diovan 320 and Diltiazem 240. Still has systolics in the 140's half the time. They want his 120 or less - I don't think that's going to happen! Just curious if you are on meds?

     
    Old 09-08-2004, 10:10 AM   #10
    llong27
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    Re: High Systolic with Low Diastolic

    I, too, sometimes have a systolic reading of 154 or above with diastolic reading in high 60s or 72. I have wondered about this because I was told by someone that the systolic reading is considered stroke possibility.

     
    Old 09-08-2004, 12:27 PM   #11
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    Re: High Systolic with Low Diastolic

    Mine are always around 155/85 to 160/90 at the doc's, and I'm nervous as heck! Curious enough, when I check it at home when I'm more relaxed, it's usually around 170/104. I don't know what to trust, the doc or the machine.

    I am young too. I'm 27 years old and I've had these readings since my early teens. It can't be hardening of our arteries. And usually secondary causes result in both numbers being high. So, I'm stuck on it being anxiety related.

    I'm not sure about that formula... According to it, my BP of 160/90 would be perfect. I prefer using the formula for Mean Arterial Pressure (MAP)...

    (Diastolic * 2 + Systolic) / 3

    The result should be under 100 for an optimal pressure. Mine's 110 in this case. Why does diastolic count as 2? Simply because the cardiac cycle spends 2/3 of it's time in diastole.

    llong27, stroke level is usually in the 220+ range. I wouldn't worry too much about that right now.

    Last edited by junior26; 09-08-2004 at 12:38 PM.

     
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