- What Is IDH?
- Types of Hypertension
- Risk Factors
Blood pressure is the force of your blood pushing against the walls of your arteries, which carry blood to other parts of your body. Your blood pressure can be measured using two numbers:
- Systolic (the number on top): pressure exerted when the heart pumps blood throughout the body
- Diastolic (the number at the bottom): pressure exerted when the heart relaxes and refills with blood
When your blood pressure is consistently higher than 130/80 mm Hg, you are considered to have hypertension.
What are the different blood pressure levels?
The table shows different blood pressure levels and conditions.
|Blood pressure levels||Systolic (mm Hg)||Diastolic (mm Hg)|
|Normal blood pressure||Less than 120||Less than 80|
|Elevated blood pressure or prehypertension||Between 120 to 129||Less than 80|
|Stage 1 hypertension||Between 130 to 139||Between 80 to 89|
|Stage 2 hypertension||140 or higher||90 or higher|
|Hypertensive crisis||Higher than 180||Higher than 120|
What is isolated diastolic hypertension?
With hypertension, typically both systolic and diastolic blood pressures are elevated. However, isolated diastolic hypertension (IDH) occurs when your systolic blood pressure is normal, and only your diastolic blood pressure is high (over 80 mm Hg).
IDH is an uncommon type of hypertension, accounting for less than 20% of all hypertension cases. Like other types of hypertension, IDH can increase the risk of stroke, heart disease, heart attack, heart failure, aneurysm, atrial fibrillation, peripheral arterial disease, vision loss, and chronic kidney disease.
What causes the diastolic to be high?
Possible causes of isolated diastolic hypertension include:
What causes your blood pressure to suddenly get high?
Hypertension or high blood pressure (high BP) is a medical condition where the pressure in the arteries is persistently elevated. The heart pumps blood into the arteries, and it is circulated to all parts of the body. Hypertension develops when the heart constantly needs to exert higher force to deliver blood to the organs through the arteries. Since a hypertensive heart must work harder to deliver blood, hypertension can increase the risk of cardiovascular disease, heart attack, and heart failure. Also, the blood vessels in people with hypertension are narrower, putting them at risk of stroke, kidney disease, and vision loss.
There are many reasons for high blood pressure. Some possible causes include
What are symptoms of high diastolic pressure?
Hypertension is generally considered a silent killer. Most people with hypertension do not have any symptoms.
It may take many years for the condition to become severe and for symptoms to appear. Many times, these symptoms may be attributed to other issues. The best way to know the blood pressure levels is through regular checkups.
Symptoms of severe hypertension include:
What are the main types of hypertension?
There are two types of hypertension:
1. Primary or essential hypertension
Primary or essential hypertension is when hypertension has no identifiable cause (for example, another disease or condition). It develops gradually over years.
This type of hypertension may be the result of multiple factors, including:
- Blood plasma volume
- Hormone activity
- Physical changes in the body due to age
- Environmental factors, such as stress and lack of exercise
2. Secondary hypertension
In some people, hypertension is caused by an underlying health condition. This type of hypertension tends to appear suddenly. Secondary hypertension also generally causes higher blood pressure than primary hypertension.
Secondary hypertension is caused by specific conditions and their complications:
- Kidney disease
- Congenital heart defects
- Congenital defects in blood vessels
- Obstructive sleep apnea
- Certain endocrine tumors
- Adrenal gland tumors
- Cushing syndrome
- Congenital adrenal hyperplasia
- Thyroid problems
- Certain medications, such as birth control pills, cold remedies, decongestants, pain relievers, and some prescription drugs
- Use of illegal drugs, such as cocaine and amphetamines
How is high diastolic blood pressure treated?
Isolated diastolic blood pressure can often be managed with lifestyle modifications, dietary supplements, and medications.
- Maintaining a healthy weight
- Eating a high-fiber diet rich in fruits and vegetables and low in saturated fat and dairy products
- Reducing sodium in the diet
- Exercising regularly
- Quitting smoking
- Limiting alcohol use
- Managing stress
- Getting adequate sleep
- Practicing slow deep breathing
- Monitoring blood pressure at home
Dietary supplements that may help lower blood pressure include:
- Minerals like magnesium, calcium, and potassium
- Supplements that widen blood vessels, such as cocoa, coenzyme Q10, L-arginine, and garlic
- Omega-3 fatty acids are found in fish oil supplements and flaxseeds
If lifestyle and dietary changes are not enough to lower your blood pressure, your doctor may be able to prescribe medications for you.
What are the risk factors of high blood pressure?
Factors that increase the risk of hypertension include:
- Being over the age of 60, when arteries stiffen and narrow due to plaque buildup
- Being overweight or obese
- Regular tobacco use
- Alcohol abuse
- Male gender
- Sedentary lifestyle
- Lack of exercise
- High fat intake
- High salt intake in the diet
- Low potassium intake diet
- Family history of hypertension
- Existing health conditions:
Mahajan S, Zhang D, He S, et al. Prevalence, Awareness, and Treatment of Isolated Diastolic Hypertension: Insights From the China PEACE Million Persons Project. J Am Heart Assoc. 2019; 8(19): e012954. https://www.ahajournals.org/doi/10.1161/JAHA.119.012954
Alexander MR. Hypertension. Medscape. https://emedicine.medscape.com/article/241381-overview
Medscape. New Hypertension Guidelines: JNC 7. Journal Watch. 2003;2(5). https://www.medscape.com/viewarticle/457298
Benetos A, Petrovic M, Strandberg T. Hypertension Management in Older and Frail Older Patients. Circ Res. March 28, 2019;124:1045–1060. https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.118.313236
American Academy of Family Physicians. Hypertension in Adults Over 60. January 2017. https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/hypertension-over-60.html
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High Blood Pressure (Hypertension)
High blood pressure (hypertension) is a disease in which pressure within the arteries of the body is elevated. About 75 million people in the US have hypertension (1 in 3 adults), and only half of them are able to manage it. Many people do not know that they have high blood pressure because it often has no has no warning signs or symptoms.
Systolic and diastolic are the two readings in which blood pressure is measured. The American College of Cardiology released new guidelines for high blood pressure in 2017. The guidelines now state that blood normal blood pressure is 120/80 mmHg. If either one of those numbers is higher, you have high blood pressure.
The American Academy of Cardiology defines high blood pressure slightly differently. The AAC considers 130/80 mm Hg. or greater (either number) stage 1 hypertension. Stage 2 hypertension is considered 140/90 mm Hg. or greater.
If you have high blood pressure you are at risk of developing life threatening diseases like stroke and heart attack.
REFERENCE: CDC. High Blood Pressure. Updated: Nov 13, 2017.
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