Should you treat isolated diastolic hypertension?

Although treatment is not recommended in young people in isolated diastolic hypertension, treatment should be individualized according to the underlying cardiovascular disease in the elderly.

Can you have isolated diastolic hypertension?

Isolated diastolic hypertension (IDH), whether in treated or untreated patients, is an uncommon type of hypertension accounting for <20% of hypertension cases. Nevertheless, IDH is independently associated with an increased risk of stroke, heart disease, and the other sequelae of hypertension.

What is isolated diastolic hypertension?

Isolated diastolic hypertension (IDH), defined as a diastolic blood pressure (DBP) > 90 mmHg and a systolic blood pressure (SBP) < 140 mmHg, is a common situation in medical practice. In the elderly, the cardiovascular risk is clearly associated with the level of systolic BP and pulse pressure.

What medications treat isolated diastolic hypertension?

What medications treat diastolic hypertension?

Calcium channel blockers. Norvasc (amlodipine)
Angiotensin-converting enzyme (ACE) inhibitors. Prinivil, Zestril (lisinopril)
Water pills or diuretics. Chlorthalidone.
Angiotensin II receptor blockers (ARBs) Atacand (candesartan)
Beta-blockers. Tenormin (Atenolol)

Why does my diastolic pressure go up?

When a person stands or sits up a neurocardiogenic response is triggered. The heart beats stronger and faster, and the arteries and veins constrict. This makes both the systolic and diastolic pressures rise so that the brain and heart arteries can continue to receive necessary blood and nutrients as well as oxygen.

Why is my systolic normal but my diastolic high?

Isolated systolic hypertension is when your systolic blood pressure is high, but your diastolic blood pressure is normal. It can occur naturally with age or can be caused by a variety of health conditions including anemia and diabetes. ISH should still be treated even though your diastolic pressure is normal.

Why does my diastolic pressure stay high?

A high diastolic blood pressure (80 mm Hg or higher) that stays high over time means you have high blood pressure, or hypertension, even when systolic blood pressure is normal. Causes of diastolic high blood pressure include both lifestyle factors and genetics, but the disease is multifactorial.

What should my diastolic pressure be?

For a normal reading, your blood pressure needs to show a top number (systolic pressure) that’s between 90 and less than 120 and a bottom number (diastolic pressure) that’s between 60 and less than 80.

Does anxiety raise diastolic blood pressure?

Anxiety doesn’t cause long-term high blood pressure (hypertension). But episodes of anxiety can cause dramatic, temporary spikes in your blood pressure.

When does isolated systolic hypertension become a health concern?

Isolated systolic hypertension happens when your diastolic blood pressure is less than 80 millimeters of mercury (mm Hg) and your systolic blood pressure is 130 mm Hg or higher. Isolated systolic hypertension is the most common form of high blood pressure in people older than age 65. Younger people can have this type of high blood pressure too.

Is there a drug therapy for isolated diastolic hypertension?

This data, based on the outcomes of treated subjects, cannot be extrapolated to define what the experience of individuals with isolated diastolic hypertension might be in the absence of drug therapy.

Can a high diastolic blood pressure cause for concern?

Is having a high top number (systolic) blood pressure, but a normal bottom number (diastolic), cause for concern? Yes. If your systolic blood pressure rises, but your diastolic blood pressure stays normal, you have a condition called isolated systolic hypertension.

What are the baseline characteristics of isolated diastolic hypertension?

Baseline Characteristics of Subjects With Isolated Diastolic or Combined Systolic and Diastolic Hypertension. IDH indicates isolated diastolic hypertension (<160/≥90 mm Hg); SDH, systolic and diastolic hypertension (≥160/≥90 mm Hg); and definitions as in Table 1. Values are percent or mean±SD.