Monday, November 7, 2011

What Does A Low Systolic And A High Diastolic Bp Reading Indicate?

396545385 I have been feeling really tired/weak lately, light-headed at times. I've recently had readings of 98/85 and 101/84. I thought it seems weird that my numbers are so close together. Is this something to get checked out? Could it be causing the fatigue? Or is it nothing to be concerned about? Thanks.

3 comments:

  1. Blim - The first number is more important which is low. We are all different so there really isn't a normal number to get. Just be within the range and you are still breathing my friend.

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  2. anonymous - A pulse pressure (the difference between the systolic and diastolic bp) is considered low/narrow when it is less than 25% of the systolic bp, and usually indicates decreased left ventricular stroke volume (decrease in volume of blood your heart is pumping to the rest of your body). This may be caused by either low circulating blood volume (such as in severe blood loss-hemorrhagic shock, or severe dehydration), inability of the heart to effectively pump the blood to the body (such as congestive heart failure, or cardiac tamponade), or problem with blood outflow from the heart (such as aortic stenosis, the outflow valve of the heart).
    In any case, given the fact that your pulse pressure is very low (< 25mmHg) and you are experiencing symptoms (lightheadedness, tiredness), you should probably seek medical care. It may just be a case of severe dehydration, but it is difficult to tell exactly what is causing your symptoms and your narrow pulse pressure without additional tests and labs.

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  3. gangadharan nair - Diastolic hypertension is an undesirable elevation of the lowest of the two blood pressure numbers, that is the pressure between heartbeats. The desirable level of diastolic is about 75 mm Hg. Any rise above that number is associated with an increase in adverse events. An approximate guideline is this:
    Every 10 mm rise in diastolic pressure causes a doubling of incidence of adverse events such as heart attack, stroke, kidney failure and heart failure.
    Your first BP reading is 98/85 mmHg. Pulse pressure is 98--85 = 13 mmHg. Optimum pulse pressure is 40 mmHg.
    Your second BP reading is 101/84 mmHg. Pulse pressure is 101--84 = 17 mmHg.
    You have got prehypertension as the diastolic BP is less than 90 mmHg.
    Control your prehypertension by diet and exercise.
    Adopt DASH diet (Mediterranean diet). Eat a low-cholesterol, low-fat diet, which includes cottage cheese, fat-free milk, fish, vegetables, poultry, and egg whites. Use monounsaturated oils such as olive, peanut, and canola oils or polyunsaturated oils such as corn, safflower, soy, sunflower, cottonseed, and soybean oils. Avoid foods with excess fat in them such as meat (especially liver and fatty meat), egg yolks, whole milk, cream, butter, shortening, pastries, cakes, cookies, gravy, peanut butter, chocolate, olives, potato chips, coconut, cheese (other than cottage cheese), coconut oil, palm oil, and fried foods.

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