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Sometimes you can have systolic or diastolic hypertension, where one number is normal, and the other is really high, and in that situation it’s called isolated systolic hypertension or isolated diastolic hypertension. Having high blood pressure is a serious problem for the blood vessels because it causes wear and tear on the endothelial cells ...
The health care provider usually takes 2–3 readings at several medical appointments to diagnose high blood pressure. [40] Using the results of the blood pressure test, the health care provider will diagnose prehypertension or high blood pressure if: For an adult, systolic or diastolic readings are consistently higher than 120/80 mmHg.
This can mean that systolic pressure is abnormally high, but diastolic pressure may be normal or low, a condition termed isolated systolic hypertension. [80] The high pulse pressure in elderly people with hypertension or isolated systolic hypertension is explained by increased arterial stiffness , which typically accompanies aging and may be ...
Both high systolic pressure and high pulse pressure (the numerical difference between systolic and diastolic pressures) are risk factors. [49] Elevated pulse pressure has been found to be a stronger independent predictor of cardiovascular events, especially in older populations, than has systolic, diastolic, or mean arterial pressure.
In adults, a normal blood pressure is 120/80, with 120 being the systolic and 80 being the diastolic reading. [12] Usually, the blood pressure is read from the left arm unless there is some damage to the arm. The difference between the systolic and diastolic pressure is called the pulse pressure.
However, there has recently been a move towards the use of the fifth Korotkoff sound (i.e. silence) as the diastolic blood pressure, as this has been felt to be more reproducible. [9] For paediatrics, there has been controversy regarding whether to use auscultation of the fourth or fifth Korotkoff sound as an indicator of diastolic pressure ...
If the systolic blood pressure is elevated (>140) with a normal (<90) diastolic blood pressure (DBP), it is called isolated systolic hypertension. [2] Eighty percent of people with systolic hypertension are over the age of 65 years old. [3] Isolated systolic hypertension is a specific type of widened (or high) pulse pressure.
Commonly, ischemic heart attack and stroke are the causes that lead to death in patients with severe hypertension. It is estimated that for every 20 mm Hg systolic or 10 mm Hg diastolic increase in blood pressures above 115/75 mm Hg, the mortality rate for both ischemic heart disease, cancer and stroke doubles. [citation needed]