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What Does Diastolic Reading Of 49 And Systolic Of 128 Indicate?

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Posted on Mon, 16 Jun 2014
Question: my diastolic reading is 49........systolic 128....is this worrisome
I walk 30 minutes a day.......
doctor
Answered by Dr. Michelle Gibson James (28 minutes later)
Brief Answer:
reading is ok

Detailed Answer:
HI, thanks for using healthcare magic

As persons age, there is thickening and stiffening of the arteries which affects the ability of the blood vessels to contract thereby affecting blood pressure.

This is the reason that the diastoic readings tend to be a lot lower than they would have been previously and also the reason some older persons have what it called systolic hypertension (the systolic high but the diastolic normal)

Your reading would be considered ok.

In terms of hypertension or high blood pressure:
The most recent JNC guidelines (high blood pressure guidelines for US and other areas) that were published in 2014, have changed to recommendations for persons over the age of 60.

These new guidelines suggest that treatment for high blood pressure in your age group (over 60) should be delayed till the BP reaches 150/90.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (10 hours later)
Is it a good idea to keep walking 30 minutes per day? Increase that time?

Is there a specific vitamin to take that might help heighten the diastolic pressure to be above 049?

Sometimes while walking uphill I feel a little short of breath (or doing stairs) does this have anything to do with the low reading of the diastolic number?

Would you suggest any cardio exercises that might help me? Thasnks

my pulse was 63.........any comment? Thanks

Thank you XXXXXXX
doctor
Answered by Dr. Michelle Gibson James (8 hours later)
Brief Answer:
that is good exercise

Detailed Answer:
HI

Sorry about the late reply

Yes, walking 30 minutes a day is fine
The recommendation is at least 150 minutes a week so at 30 minutes a day you would meet this and more.
Exercise can either be strength training or cardio.Walking would be considered cardio exercise. Other types would be swimming, jogging, aerobic videos, cycling.

There is no vitamin that works specifically on either the diastolic or systolic blood pressure but using foods and supplements with omega 3 are helpful for heart health.

Any shortness of breath that you experience is not directly related to your diastolic blood pressure. The diastolic pressure is the pressure during relaxation of the heart.
If you are experiencing shortness of breath, your doctor may want to consider having heart tests done (such as ECG and echo) to make sure that the heart is working properly.
There is a a type of heart failure called diastolic heart failure where the heart is unable to relax properly and carry out its normal function but this would be associated with additional signs and symptoms.

Your pulse is good. The normal range is 60 to 100 , so yours is within normal range

Please feel free to ask any additional questions
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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What Does Diastolic Reading Of 49 And Systolic Of 128 Indicate?

Brief Answer: reading is ok Detailed Answer: HI, thanks for using healthcare magic As persons age, there is thickening and stiffening of the arteries which affects the ability of the blood vessels to contract thereby affecting blood pressure. This is the reason that the diastoic readings tend to be a lot lower than they would have been previously and also the reason some older persons have what it called systolic hypertension (the systolic high but the diastolic normal) Your reading would be considered ok. In terms of hypertension or high blood pressure: The most recent JNC guidelines (high blood pressure guidelines for US and other areas) that were published in 2014, have changed to recommendations for persons over the age of 60. These new guidelines suggest that treatment for high blood pressure in your age group (over 60) should be delayed till the BP reaches 150/90. I hope this helps, feel free to ask any other questions