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What Causes High Difference In Diastolic And Systolic Blood Pressure?

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Posted on Mon, 23 Mar 2015
Question: My blood pressure is 170/ 60 and pulse rate is 45. is there any significance in the high difference in Systolic and Diastolic presures
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Answered by Dr. Sandip Kabra (4 hours later)
Brief Answer:
Reducing systolic pressure is important than diastolic

Detailed Answer:
Hi,
High systolic pressure ( above 140) and normal diastolic blood pressure ( below 90) is known as isolated systolic hypertension.
Treatment remains the same as person having both systolic and diastolic high pressures.
The systolic pressure is very important in assessing the influence of arterial pressure on cardiovascular mortality.
Specially, in persons above the age of 50 years,high systolic pressure with normal diastolic pressure carries 2.5 times more risk to develop cardiovascular events as compared to persons having high diastolic pressure.
So,ultimately it is important to reduce your systolic pressure below 130 mmHg in order to reduce to risk of cardiovascular mortality irrespective of your diastolic pressure.Here there is no issue that you are having normal diastolic blood pressure.
You can more discuss with your treating cardiologist.
I think you got my point.
If still any confusion than do ask me .
Regards,
Dr.sandipkabra
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Sandip Kabra

General & Family Physician

Practicing since :2009

Answered : 3078 Questions

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What Causes High Difference In Diastolic And Systolic Blood Pressure?

Brief Answer: Reducing systolic pressure is important than diastolic Detailed Answer: Hi, High systolic pressure ( above 140) and normal diastolic blood pressure ( below 90) is known as isolated systolic hypertension. Treatment remains the same as person having both systolic and diastolic high pressures. The systolic pressure is very important in assessing the influence of arterial pressure on cardiovascular mortality. Specially, in persons above the age of 50 years,high systolic pressure with normal diastolic pressure carries 2.5 times more risk to develop cardiovascular events as compared to persons having high diastolic pressure. So,ultimately it is important to reduce your systolic pressure below 130 mmHg in order to reduce to risk of cardiovascular mortality irrespective of your diastolic pressure.Here there is no issue that you are having normal diastolic blood pressure. You can more discuss with your treating cardiologist. I think you got my point. If still any confusion than do ask me . Regards, Dr.sandipkabra