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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Tests To Determine Isolated Systolic Hypotension?

My blood pressure runs 110 to 140 for top number and around 60 for the bottom. My EKG are okay. My bottom number went down when I started exercising about 30 minutes to hour a day for several months. I take 180 verapamil and 25mg losartan for my blood pressure. I read and worried that I have isolated systolic hypotension.How do they check if I have isolated systolic hypotension? I got several EKGs. I am male 52 years old and I change my life style with exercising and eating better.
Fri, 16 Jan 2015
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Internal Medicine Specialist,  's  Response
Hi! You have hypertension, adequately controlled with verapamil and losartan. Isolated systolic hypertension (ISH) is a clinical diagnosis - made when only your top number is persistently high with a normal diastolic or bottom number, before starting the treatment. ISH (only systolic high) is no worse than hypertension(both systolic and diastolic high) and there is no reason to worry about that, when you are already on treatment for hypertension. It's nice to know you are doing regular exercises and are fit. Trust this answers your question.
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What Are The Tests To Determine Isolated Systolic Hypotension?

Hi! You have hypertension, adequately controlled with verapamil and losartan. Isolated systolic hypertension (ISH) is a clinical diagnosis - made when only your top number is persistently high with a normal diastolic or bottom number, before starting the treatment. ISH (only systolic high) is no worse than hypertension(both systolic and diastolic high) and there is no reason to worry about that, when you are already on treatment for hypertension. It s nice to know you are doing regular exercises and are fit. Trust this answers your question.