Systolic hypertension in the elderly
- Isolated systolic hypertension is the predominant form of hypertension in the elderly population. Traditionally it has been defined as systolic blood pressure ( SBP ) above 140 mmHg with diastolic blood pressure (DBP) of less than 90 mmHg. It is estimated that 15 percent of people 60 years old and above have isolated systolic hypertension.
What causes isolated systolic hypertension in the elderly?
Isolated systolic hypertension , in most cases, develops as a result of the reduced elasticity of the arterial system. This is commonly seen among the elderly as there is increased deposition of calcium and collagen to the arterial wall[6].
What effect does age have on systolic blood pressure?
Physiologic changes associated with aging leads to an increase in systolic blood pressure , an increase in mean arterial pressure , increase in pulse pressure and a decreased ability to respond to abrupt hemodynamic changes. The increase in blood pressure seen with aging is most likely related to arterial changes.
How do you treat systolic hypertension?
How Is It Treated? Diuretics ( water pills ) to help your kidneys flush water and sodium from your body. Beta-blockers to make your heart beat slower and less forcefully. Angiotensin-converting enzyme (ACE) inhibitors , angiotensin II receptor blockers ( ARBs ), or calcium channel blockers to relax your blood vessels.
What causes the systolic blood pressure to be high?
Isolated systolic hypertension can be caused by underlying conditions such as: Artery stiffness. An overactive thyroid (hyperthyroidism) Diabetes.
How is isolated systolic hypertension treated in the elderly?
Isolated systolic hypertension (ISH) is the most common form of hypertension in the elderly . Dihydropyridine-type calcium channel blockers and thiazide-like diuretics are preferred first-line agents.
What is the fastest way to lower systolic blood pressure?
Here are some simple recommendations: Exercise most days of the week. Exercise is the most effective way to lower your blood pressure . Consume a low-sodium diet. Too much sodium (or salt) causes blood pressure to rise. Limit alcohol intake to no more than 1 to 2 drinks per day. Make stress reduction a priority.
What is considered stroke level high blood pressure?
A hypertensive crisis is a severe increase in blood pressure that can lead to a stroke. Extremely high blood pressure — a top number (systolic pressure) of 180 millimeters of mercury (mm Hg) or higher or a bottom number (diastolic pressure) of 120 mm Hg or higher — can damage blood vessels.
What should a 70 year olds blood pressure be?
Elderly Blood Pressure Range for Men and Women
| Blood Pressure Category for Adults 65+ | Systolic mm Hg | Diastolic mm Hg |
|---|---|---|
| Normal blood pressure | Lower than 120 | Lower than 80 |
| Elevated blood pressure | 120 – 129 | Lower than 80 |
| High blood pressure stage 1 | 130 – 139 | 80 – 89 |
| High blood pressure stage 2 | 140 or higher | 90 or higher |
Is it OK to take blood pressure while lying down?
But more recent studies have found that blood pressure may be lower while lying down versus sitting. Currently, the American Heart Association recommends that blood pressure readings be taken when you’re sitting down . However, in some cases you may have your blood pressure taken while lying down or while standing.
Which medicine is best for systolic hypertension?
The data so far available indicate that low‐dose thiazide diuretics and slow/long‐acting calcium antagonists are the drugs of first choice. A slow reduction of systolic pressure in the mostly elderly patients is mandatory. A target level of SBP around 140 mmHg seems desirable.
What affects systolic blood pressure?
Systolic pressure is affected by a variety of factors . Factors such as anxiety, caffeine consumption, and performing resistance and cardiovascular exercises, cause immediate, temporary increases in systolic pressure .
How high is too high for systolic blood pressure?
Numbers higher than 120/80 mm Hg are a red flag that you need to take on heart-healthy habits. When your systolic pressure is between 120 and 129 mm Hg and your diastolic pressure is less than 80 mm Hg, it means you have elevated blood pressure.
Which is more important diastolic or systolic?
In this review we compare the relative importance of various blood pressure components. Recent findings: Generally, in studies in which readings of systolic and diastolic blood pressure have been compared, systolic blood pressure has been a better predictor of risk.
Is 150 90 A good blood pressure?
As a general guide: high blood pressure is considered to be 140/90mmHg or higher (or 150 /90mmHg or higher if you’re over the age of 80) ideal blood pressure is usually considered to be between 90 /60mmHg and 120/80mmHg.