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High Blood Pressure

Normal systolic.....Higher diastolic

09/03/2008

Question:

I am 29 years old and recently had a general medical checkup. My blood pressure reading was 120/100. I was fasting on that occasion for some other tests. I have about 90ml of alcohol every day. I am not a smoker. Low excercise and normal stress levels. Less sleep (about 7 hr. average).

Can you tell me whats the reason for this blood pressure levels. Whats the cure suggested ?

Answer:

It appears that you have isolated diastolic hypertension.  Your systolic blood pressure (the upper number) is normal at 120, but your diastolic pressure (the lower number) is elevated.

There is no evidence that diastolic hypertension in the absence of systolic hypertension is harmful.  On the contrary, it may actually signify good health.  Recent data have shown that the pulse pressure, the difference between the systolic and the diastolic pressure, is a good marker for risk.  The lower the pulse pressure, the lower the risk.  In your case, your pulse pressure is low at 20 (the "normal" is 40 or more), indicating elastic and healthy arteries.

For more information:

Go to the High Blood Pressure health topic, where you can:

Response by:

Max C Reif, MD Max C Reif, MD
Professor of Medicine
Director of Hypertension Section
College of Medicine
University of Cincinnati