Diastolic pressure high symptoms. High Diastolic Blood Pressure: Causes, Symptoms, and Effective Treatments
What are the common causes of high diastolic blood pressure. How can you recognize the symptoms of elevated diastolic pressure. Which treatment options are most effective for managing high diastolic blood pressure.
Understanding Diastolic Blood Pressure: What It Is and Why It Matters
Blood pressure readings consist of two numbers: systolic and diastolic. While many people focus on the systolic number, the diastolic pressure is equally important. Diastolic blood pressure measures the pressure in your arteries between heartbeats when the heart is at rest. When this number is consistently high, it’s known as isolated diastolic hypertension (IDH).
According to the American Heart Association, each 10 mm Hg increase in diastolic pressure for individuals aged 40-89 doubles the risk of heart disease or stroke. This underscores the significance of monitoring and managing diastolic blood pressure.
What constitutes high diastolic blood pressure?
Doctors classify diastolic hypertension into two stages:
- Stage 1 IDH: Diastolic blood pressure of 80-89 mm Hg
- Stage 2 IDH: Diastolic blood pressure above 90 mm Hg
It’s important to note that IDH is relatively uncommon, accounting for less than 20% of all hypertension cases. However, its impact on cardiovascular health should not be underestimated.
Common Causes of High Diastolic Blood Pressure
While the exact mechanisms behind IDH are not fully understood, several factors have been identified as potential causes or contributors to elevated diastolic pressure.
Medical Conditions Associated with IDH
Certain medical conditions can increase the risk of developing high diastolic blood pressure:
- Endocrine disorders
- Renovascular diseases
- Sleep apnea
- Diabetes
- Hypothyroidism
- Chronic kidney disease
Research has shown a strong link between severe sleep apnea and higher diastolic blood pressure. Additionally, about 30% of individuals with low thyroid hormone levels (hypothyroidism) experience IDH.
Lifestyle Factors Contributing to High Diastolic Pressure
Several lifestyle-related factors can contribute to the development of IDH:
- Obesity: Being overweight or obese is strongly associated with both general hypertension and IDH.
- Alcohol consumption: Studies have shown a correlation between alcohol intake and elevated diastolic pressure.
- Smoking: Current or previous heavy smoking has been linked to increased diastolic blood pressure, particularly in older adults.
- High triglyceride levels: Elevated blood fats can contribute to IDH and increase the risk of heart disease and stroke.
Recognizing the Symptoms of High Diastolic Blood Pressure
High diastolic blood pressure often doesn’t present noticeable symptoms, which is why it’s sometimes referred to as the “silent killer.” However, in some cases, individuals with IDH may experience:
- Headaches
- Dizziness
- Shortness of breath
- Chest pain
- Fatigue
It’s crucial to have regular blood pressure checks, as these symptoms can be subtle or absent until significant damage has occurred.
Can high diastolic pressure cause immediate health problems?
While chronic high diastolic pressure is a concern, extremely elevated levels can lead to hypertensive crisis, a medical emergency. Symptoms of a hypertensive crisis may include severe headache, nosebleeds, severe anxiety, and shortness of breath. If you experience these symptoms along with a blood pressure reading above 180/120 mm Hg, seek immediate medical attention.
Risk Factors for Developing High Diastolic Blood Pressure
Understanding the risk factors for IDH can help individuals take proactive steps to manage their blood pressure. Some risk factors are beyond our control, while others can be modified through lifestyle changes.
Non-modifiable Risk Factors
- Age: IDH is more common in people under 50 years old and relatively rare in seniors.
- Family history: Having close relatives with hypertension increases the risk of developing IDH.
- Previous cardiovascular events: Damage to the heart muscle can raise the likelihood of IDH.
- Biological sex: Studies have shown that IDH is more prevalent in males (4.5%) compared to females (2.2%).
Modifiable Risk Factors
- Obesity
- Sedentary lifestyle
- High sodium intake
- Excessive alcohol consumption
- Smoking
- High stress levels
By addressing these modifiable risk factors, individuals can significantly reduce their chances of developing IDH and improve their overall cardiovascular health.
Effective Treatment Options for High Diastolic Blood Pressure
Managing high diastolic blood pressure often involves a combination of lifestyle changes and, in some cases, medication. The goal is to bring the diastolic pressure below 80 mm Hg while maintaining adequate blood flow to vital organs.
Lifestyle Modifications
The first line of treatment for IDH typically involves making healthy lifestyle changes:
- Maintain a healthy weight: Losing excess weight can significantly lower diastolic blood pressure.
- Exercise regularly: Aim for at least 150 minutes of moderate-intensity aerobic activity per week.
- Adopt a heart-healthy diet: Follow a Mediterranean-style diet rich in fruits, vegetables, whole grains, and lean proteins.
- Reduce sodium intake: Limit daily sodium consumption to less than 2,300 mg.
- Limit alcohol consumption: Stick to no more than one drink per day for women and two for men.
- Quit smoking: Smoking cessation can improve overall cardiovascular health.
- Manage stress: Practice relaxation techniques such as meditation, deep breathing, or yoga.
Medications for High Diastolic Blood Pressure
If lifestyle changes alone are insufficient to control IDH, your doctor may prescribe medication. Common types of blood pressure medications include:
- Angiotensin-converting enzyme (ACE) inhibitors
- Angiotensin receptor blockers (ARBs)
- Calcium channel blockers
- Diuretics
- Beta-blockers
The choice of medication depends on various factors, including the severity of hypertension, other medical conditions, and potential side effects. Your healthcare provider will work with you to find the most appropriate treatment plan.
Monitoring and Managing High Diastolic Blood Pressure
Regular monitoring is crucial for effectively managing high diastolic blood pressure. Home blood pressure monitoring can provide valuable information to your healthcare provider and help track the effectiveness of your treatment plan.
How often should you check your blood pressure?
For individuals with IDH, it’s generally recommended to check blood pressure at least twice daily – once in the morning before taking medications and once in the evening. Keep a log of your readings to share with your doctor during follow-up appointments.
What is the target diastolic blood pressure?
The ideal target for diastolic blood pressure is below 80 mm Hg. However, your doctor may set a different target based on your individual health profile and risk factors. It’s essential to work closely with your healthcare provider to establish and maintain appropriate blood pressure goals.
Potential Complications of Untreated High Diastolic Blood Pressure
Left untreated, high diastolic blood pressure can lead to serious health complications. Understanding these risks can motivate individuals to take proactive steps in managing their blood pressure.
What are the long-term consequences of IDH?
Chronic high diastolic blood pressure can contribute to various health problems, including:
- Heart disease: Increased risk of heart attack, heart failure, and coronary artery disease
- Stroke: Higher likelihood of both ischemic and hemorrhagic strokes
- Kidney damage: Progressive loss of kidney function and increased risk of kidney failure
- Vision problems: Damage to blood vessels in the eyes, potentially leading to vision loss
- Cognitive decline: Increased risk of vascular dementia and Alzheimer’s disease
By maintaining healthy blood pressure levels, individuals can significantly reduce their risk of these complications and improve their overall quality of life.
Preventing High Diastolic Blood Pressure: Proactive Steps for Better Health
While some risk factors for IDH are beyond our control, there are many proactive steps individuals can take to prevent or delay the onset of high diastolic blood pressure.
How can you reduce your risk of developing IDH?
Implementing these lifestyle changes can help maintain healthy blood pressure levels:
- Maintain a healthy BMI: Aim for a body mass index between 18.5 and 24.9.
- Stay physically active: Engage in regular exercise, aiming for at least 30 minutes of moderate activity most days of the week.
- Follow a balanced diet: Adopt the DASH (Dietary Approaches to Stop Hypertension) eating plan, which emphasizes fruits, vegetables, whole grains, and lean proteins.
- Limit sodium intake: Reduce salt consumption by avoiding processed foods and using herbs and spices for flavoring instead.
- Manage stress: Practice stress-reduction techniques such as mindfulness, meditation, or regular relaxation exercises.
- Avoid excessive alcohol consumption: Stick to moderate drinking guidelines or abstain completely for optimal health benefits.
- Don’t smoke: If you smoke, seek support to quit. If you don’t smoke, don’t start.
- Get regular check-ups: Schedule annual physicals to monitor your blood pressure and overall health.
By incorporating these habits into your daily routine, you can significantly reduce your risk of developing high diastolic blood pressure and improve your overall cardiovascular health.
Are there specific dietary recommendations for preventing IDH?
A heart-healthy diet plays a crucial role in preventing high diastolic blood pressure. Consider incorporating these dietary strategies:
- Increase potassium intake: Consume potassium-rich foods such as bananas, sweet potatoes, and leafy greens.
- Boost magnesium consumption: Include magnesium-rich foods like nuts, seeds, and whole grains in your diet.
- Opt for lean proteins: Choose fish, poultry, and plant-based protein sources over red meat.
- Increase fiber intake: Consume plenty of fruits, vegetables, and whole grains to support healthy blood pressure levels.
- Limit caffeine: While moderate caffeine consumption is generally safe, excessive intake may contribute to blood pressure spikes in some individuals.
Remember, dietary changes should be made in conjunction with other lifestyle modifications for the best results in preventing and managing high diastolic blood pressure.
What causes high diastolic pressure? Symptoms and treatment
High diastolic blood pressure is a type of hypertension. Doctors do not know exactly why it happens, but obesity, high triglyceride levels, smoking, and alcohol may all contribute. Medication and lifestyle choices can often help manage it.
Doctors describe blood pressure using two numbers: systolic and diastolic. They present a reading with the systolic number appearing above the diastolic. Systolic measures the pressure during the heart’s contraction, while diastolic is the pressure in the period between heartbeats.
The American Heart Association (AHA) states that people put a lot of emphasis on the systolic number. However, each increase of 10 millimeters of mercury (mm Hg) in diastolic pressure among 40–89 doubles the risk of heart disease or stroke.
Doctors define isolated diastolic hypertension (IDH) — high diastolic blood pressure — as above 80 mm Hg in individuals with normal systolic blood pressure.
This article discusses the common causes of high diastolic blood pressure and the risks associated with it, how to prevent high blood pressure, and the treatment options.
If an individual has hypertension, they have an increase in both systolic and diastolic blood pressure.
However, elevated diastolic blood pressure occurs in isolated diastolic hypertension (IDH). Doctors classify stage 1 IDH as a diastolic blood pressure of 80–89 mm Hg diastolic blood pressure. They classify stage 2 IDH as diastolic blood pressure above 90 mm Hg.
Learn more about blood pressure readings here.
IDH is uncommon and accounts for less than 20% of hypertension cases.
Doctors do not understand why an individual may develop diastolic hypertension. They suggest the narrowing of arterioles causes it due to hormones in the body.
Common causes of isolated diastolic hypertension are:
- endocrine disorders
- renovascular disorders
- sleep apnea
A study demonstrated the link between severe sleep apnea and higher diastolic blood pressure.
However, some potential and preventable causes of IDH also include the following:
Obesity
Doctors usually associate hypertension with obesity. However, they also link being overweight and having obesity to IDH.
To reduce the risk of IDH, a person can take steps to reach a moderate weight through diet and exercise.
If they find it challenging to make dietary changes or increase physical activity, a doctor can suggest alternative weight management options.
Alcohol consumption
Some studies show that alcohol consumption contributes to IDH.
To help prevent high blood pressure, the AHA recommends that males do not consume more than two alcoholic drinks per day and females no more than one alcoholic drink per day.
The AHA states that one drink is either:
- 12 ounces (oz) of beer
- 4 oz of wine
- 1.5 oz of 80-proof spirits
- 1 oz of 100-proof spirits
Learn more about ways to reduce alcohol consumption here.
Research associates smoking with IDH. For example, a study in China found that among individuals age 90 and over, current or previous heavy smoking increased diastolic blood pressure.
Learn more about ways to give up smoking here.
Elevated triglycerides or blood fats are another potential cause of IDH that doctors also link to other health risks.
Almost one in three Americans have high triglycerides. When these blood fats are high, they lower ‘good’ HDL cholesterol. If individuals have elevated blood triglycerides and high ‘bad’ LDL cholesterol, this increases their risk of heart disease and stroke.
People can lower their blood triglycerides by making dietary changes. For example, following a Mediterranean-style diet rich in oily fish, fruit, vegetables, and whole grains may help reduce blood triglycerides and IDH.
There are certain risk factors for high diastolic blood pressure that a person cannot control.
They include:
- Age: Diastolic hypertension is common in people under 50 years of age. IDH is rare in senior adults.
- Family history: Having family members with hypertension increases an individual’s risk of IDH.
- Cardiovascular events: If an individual has experienced an incident that damaged the heart muscle, this increases their risk of IDH.
- Diabetes: People with diabetes and raised blood sugar levels may be more likely to develop IDH.
- Hypothyroidism: Around 30% of individuals with low thyroid hormone levels have IDH.
- Kidney disease: Individuals with chronic kidney disease may also have IDH.
- Biological sex: In a large 2019 study of almost 2.5 million participants, researchers found that the prevalence of IDH was significantly higher for males at 4.5% of the overall population compared to females at 2.2%.
If an individual has normal systolic blood pressure, lowering the diastolic blood pressure can affect the brain’s blood flow regulation, leading to a stroke.
According to a study, researchers associated IDH with an increased risk of subsequent cardiovascular events.
IDH increases an individual’s risk of various health conditions, including:
- heart disease
- heart attack
- heart failure
- aneurysm
- atrial fibrillation
- peripheral arterial disease
Often, elevated diastolic blood pressure does not cause notable symptoms.
A large 2019 study found that many people were unaware they had IDH. Out of 2,351,035 participants, 3.2% had IDH. Over 86% were untreated, and only 10.3% of these individuals were aware they had elevated blood pressure.
The AHA notes that the common belief that high blood pressure will cause sweating, facial flushing, or a feeling of nervousness is a myth.
However, a person should seek emergency medical attention if they experience the following symptoms. These could indicate a serious complication of IDH, such as a heart attack or stroke:
- chest pain
- breathing difficulties
- lightheadedness
- sudden onset of weakness
- speech changes
- loss of consciousness
Some people may be able to prevent high diastolic blood pressure from occurring by avoiding smoking, alcohol, reducing blood fats, and maintaining a moderate weight.
In other cases, some uncontrollable factors — such as biological sex, family history, and living with diabetes — may mean someone cannot prevent high diastolic blood pressure.
A lack of research suggests that anxiety triggers increases in diastolic blood pressure alone. However, anxiety may elevate diastolic blood pressure in some people.
The authors of a 2016 study state that more research is necessary to understand exactly how anxiety raises blood pressure and why it only happens in some people, especially in young adults.
One suggestion is that mental stress may activate a particular part of the nervous system that triggers a cascade of hormones, interfering with regulating blood pressure.
If a person monitors their blood pressure at home and does not see lower readings despite implementing lifestyle changes, they should contact a medical professional. Doctors can help to determine the underlying cause of their high blood pressure.
A person should seek immediate medical attention if they have two readings of 180/120 mm Hg or higher within 5 minutes, especially if they are experiencing a headache or nosebleed.
Doctors do not associate increased diastolic blood pressure with cardiovascular events in younger individuals.
However, increases in diastolic pressure in those aged 40–89 raise the risk of heart disease and stroke. Therefore, individuals should work with a doctor to find suitable treatment options and improve their outlook.
Diastolic pressure is the bottom number of a blood pressure reading.
IDH occurs if someone has elevated diastolic blood pressure, increasing a person’s risk of heart disease and stroke.
Smoking, consuming alcohol, obesity, and high blood fat may lead to IDH. Additionally, certain groups of people have an increased risk of IDH, including younger males and people with diabetes or previous cardiovascular events.
High diastolic blood pressure is rare in younger people, and doctors may not treat this group. They may recommend treatment in older individuals based on their current heart health status.
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Causes Of High Diastolic Blood Pressure And What You Can Do To Lower It
Content
- Overview
- About hypertension (high blood pressure)
- What causes diastolic blood pressure to be high?
- What causes high systolic blood pressure?
- What does it mean if my diastolic blood pressure is high?
- Symptoms of high diastolic blood pressure
- How can I lower my diastolic blood pressure immediately?
- How do you treat high diastolic blood pressure?
- When should you see a doctor?
- The lowdown
Your blood pressure is a measure of the pressure of your blood pushing against your artery walls as your heart pumps it around your body. High blood pressure, also known as ‘hypertension,’ is a condition where blood flows through your arteries (blood vessels) at a pressure that is higher than usual. Normal blood pressure is less than 120/80mm Hg.¹
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Approximately 1.28 billion adults worldwide aged 30–79 have hypertension.² Hypertension is sometimes referred to as the ‘silent killer.’
Many people with hypertension have no symptoms or warning signs, so they aren’t even aware they have high blood pressure. Therefore, it’s essential to have your blood pressure measured routinely, either at home with your own blood pressure cuff or at a doctor’s office.
Symptoms of high blood pressure
Typical symptoms of hypertension include:
People with severe hypertension may experience:
Nausea
Vomiting
Fatigue
Chest pain
Anxiety
Confusion
Muscle tremors
How blood pressure is measured
Two numbers are used to measure blood pressure:
Systolic blood pressure: The top number on the blood pressure reading. It measures artery pressure when the heart beats.
Diastolic blood pressure: The bottom number of the blood pressure reading. It measures artery pressure when the heart rests between beats.
The measurement 120/80mm Hg refers to 120 systolic/80 diastolic and is measured in units of millimeters of mercury.
Generally, both blood pressure numbers (systolic and diastolic) are elevated when it comes to hypertension. But, when your diastolic blood pressure is above 80mm Hg (considered high), and you have normal systolic blood pressure, it’s called ‘isolated diastolic blood pressure.
Causes of isolated diastolic hypertension may include:
High-sodium diet
A diet that’s high in salt disrupts your body’s natural sodium balance, causing your body to retain water. This leads to increased pressure of the ‘pushing’ of your blood against your vessel walls.
What You Need To Know About Sodium And High Blood Pressure
One study found that, for people with hypertension, a ‘no-added-salt diet’ is the best approach. Following this diet for six weeks, both systolic and diastolic blood pressure decreased significantly.³
Obesity
According to a few large epidemiological studies, there’s a link between blood pressure and body mass index in both overweight and normal-weight patients.⁴ Gaining weight in our adult years seems to be a particularly strong risk factor for developing hypertension.
Not enough physical activity
The primary treatment and prevention of hypertension is exercise, an important element of lifestyle therapy. Various studies show the beneficial effects of physical activity on hypertension, with as large a reduction as 5–7mm Hg in systolic and diastolic blood pressure in people with hypertension.⁵
Excessive alcohol consumption
You can increase your blood pressure to dangerous levels by drinking too much alcohol. You temporarily raise your blood pressure by drinking more than three alcoholic beverages in one sitting. When you binge drink, it can cause long-term blood pressure increases.
Some research shows that in individuals who drank more than two alcoholic beverages per day, decreased alcohol consumption was linked with reduced diastolic blood pressure.⁶
Anxiety and stress
Anxiety can elevate the systolic and diastolic blood pressure for some people. One 2016 study suggests mental stress could potentially activate a certain part of your nervous system, prompting a surge of hormones that disrupts how your body regulates blood pressure.⁷
More research is needed to understand the exact process of anxiety increasing blood pressure and why it occurs in only certain individuals, particularly in younger adults.
Certain medications can cause high diastolic blood pressure. These include:
Antidepressants
Amphetamines
Steroids
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Atypical antipsychotics
Caffeine
Oral contraceptive pills
Decongestants
Now we’ve examined some potential causes for elevated diastolic blood pressure, let’s briefly look at the causes of high systolic blood pressure.
When you have normal diastolic blood pressure, but your systolic blood pressure is high, it’s called ‘isolated systolic hypertension.’ The American College of Cardiology states that isolated systolic hypertension can increase the risk of heart disease and even death in young adults.⁸
Certain medical disorders can cause you to develop isolated systolic hypertension. These disorders can frequently cause effects on the circulatory system, damaging blood vessels or contributing to the stiffening of arteries.
These disorders include:
Anemia
When your red blood cells don’t function properly, or you don’t have enough of them to deliver oxygen to your tissues, it can result in anemia. This can cause blood vessel damage as your heart works even harder to pump blood to your body’s tissues to deliver enough oxygen.
Hyperthyroidism
Hyperthyroidism occurs when a person has an overactive thyroid, which is caused by an excess of thyroid hormones produced by your thyroid gland. This excess of thyroid hormone can affect virtually every internal organ, including your circulatory system and heart.
Diabetes
Diabetes occurs when you have high amounts of glucose in your blood. Over time, these high levels of glucose can cause numerous issues, including problems with your circulatory system and heart.
How Diabetes Can Lead To Hypertension
When your diastolic blood pressure is over 90mm Hg, it’s often called ‘diastolic hypertension.’ The diastolic pressure of an adult should typically be 60–80mm Hg, and if the number goes above this, it’s considered hypertension.
However, if your blood pressure goes over 180/120mm Hg, this is dangerous, and you should seek medical attention immediately.
High diastolic blood pressure has been associated with a few conditions, including:
Abdominal aortic aneurysm
High diastolic blood pressure has been associated with a higher risk of conditions that involve the aorta (the large artery) that carries oxygen and blood from your heart to your chest and abdomen.
For instance, individuals with an elevated diastolic blood pressure reading were more susceptible to developing an abdominal aortic aneurysm.⁹ This is an abnormal enlargement of your aorta and can result in rupture and risk of death.
Cognitive impairment
Several studies show that elevated diastolic blood pressure seems to be linked with memory deficits or cognitive impairment in individuals aged 45 or older. For every 10-point increase above 90mm Hg, it increases the risk of cognition issues by 7%.¹⁰
While there isn’t an established causal relationship, treating or preventing high blood pressure may prevent cognitive impairment.
Stroke and brain issues
A diastolic blood pressure of 100mm Hg or above is linked with a substantial rate of strokes.¹ High blood pressure can lead to your arteries becoming blocked or bursting, causing a stroke.
During a stroke, brain cells die due to a lack of oxygen. A stroke can lead to severe disabilities in movement, speech, and other basic activities, and it can also kill you.
Chronic kidney disease
Adults with high blood pressure, diabetes, or both have a greater risk of chronic kidney disease than individuals without these conditions.¹
High blood pressure may not cause significant symptoms.
It can take years for a person living with high blood pressure to notice any complications. You may experience symptoms such as blood spots in your eyes, headaches, dizziness, or other signs already mentioned in this article.
You can do several things to help lower your overall blood pressure, like taking prescription blood-pressure medication as directed by your doctor and making lifestyle changes such as minimizing salt and caffeine intake.
However, if you’re only experiencing high diastolic blood pressure, you can’t address this alone. You’ll have to work closely with your healthcare provider to decrease your diastolic blood pressure while ensuring it doesn’t go below 60mm Hg.
When diastolic blood pressure gets too low, it can result in dizziness and fatigue. It may even cause heart damage and increase your risk of heart disease. According to a study, individuals with low diastolic blood pressure had a 49% chance of developing heart disease.¹¹
Here are some ways to lower your overall blood pressure, including diastolic blood pressure:
Reduce your intake of saturated and trans fats
Refrain from eating foods high in trans or saturated fats. Some examples include:
Try focusing instead on eating healthy polyunsaturated and monounsaturated fats in foods like olive oil, avocados, and nuts.
Eat heart-healthy foods
Foods that are an essential part of a diet that’s healthy for your heart include:
Fish, especially those rich in omega-3 fatty acids
Vegetables, such as carrots, spinach, and broccoli
Skinless turkey or chicken
Fruit, such as bananas, oranges, and apples
Lean cuts of pork or beef
Nuts and beans
Eggs
Whole grains, such as whole-grain bread and brown rice
Low-fat or fat-free dairy products, such as yogurt and cheese
Exercise
Moderate physical activity, such as swimming, or brisk walking, can lower high blood pressure. You’ll want to set goals that will help you safely exercise, and work your way up to a minimum of 2.5 hours (150 minutes) per week. Consult with your healthcare provider before beginning any exercise regime, particularly if you have any untreated health issues.
Avoid caffeine
Caffeine can increase blood pressure because it’s a stimulant. You’ll want to limit your caffeine intake if you have hypertension, especially before performing any activities that can further increase your blood pressure, such as exercising.
Decrease sodium in your diet
Limit your sodium (salt) intake to 1,500mg or less each day, since sodium can elevate blood pressure.
Consume more potassium
Potassium may counteract sodium’s negative effect on your blood pressure. Therefore, increase your consumption of potassium-rich foods, such as spinach, bananas, and tomatoes.
Maintain a healthy weight
Being obese or overweight can increase strain on your heart muscle, leading to an increase in blood pressure.
The American Heart Association (AHA) suggests that individuals maintain a body mass index (BMI) of between 18.5 and 24.9. When your BMI gets too high, you should take steps to lose weight.
The AHA also states that losing just 10lbs in weight is sufficient to lower blood pressure in overweight individuals.
Consider taking prescription medicine
Your healthcare provider may prescribe medicine that helps lower your blood pressure. These types of medication include:
Calcium channel blockers
Thiazide diuretics
Angiotensin II receptor blockers
Angiotensin-converting enzyme (ACE) inhibitors
Take your blood pressure medication as directed
It’s important to take your blood pressure medication as prescribed by your doctor. Don’t cut back or stop taking it unless your doctor tells you to do so. If you have difficulty remembering to take your blood pressure medication, try setting reminders on your phone.
Treatment aims to lower your blood pressure to decrease the risk of health issues caused by high blood pressure.
If you have a blood pressure reading between 120/80mm Hg and 130/80mm Hg, your doctor may suggest lifestyle changes to help bring your blood pressure down to the optimal range. At this stage, medication is rarely prescribed.
Stage I hypertension
If your blood pressure is lower than 140/90mm Hg but above 130/80mm Hg, your doctor may recommend lifestyle changes with one hypertensive medication.
Understanding The Four Stages Of Hypertension
Stage II hypertension
If your blood pressure is above 140/90mm Hg, your doctor may recommend you start taking rigorous medications and follow strict lifestyle changes. Typically, one medication is used at first. Your doctor may start you on another if you have consistently elevated blood pressure above 160/90mm Hg or stage II hypertension.
Beta-blockers
These medications slow down your heart rate and help relax the heart.
Diuretics (water pills)
These help your kidneys eliminate some salt (sodium) from your body, so your blood vessels don’t have to retain as much fluid, as you can maintain blood pressure.
Angiotensin-converting enzyme (ACE) inhibitors
ACE inhibitors work on your kidneys, reducing your body’s sodium retention. They also work on blood vessels directly, causing them to relax.
Angiotensin II receptor blockers
These work similarly to ACE inhibitors.
Alpha blockers
These help to reduce your blood pressure by a central action (the brain’s blood pressure center) that helps relax the blood vessels.
Calcium channel blockers
These help to relax your blood vessels by decreasing the calcium that enters your cells.
Renin-inhibitors
This is a newer blood pressure treatment. These medications also help relax your blood vessels.
Early high blood pressure detection is essential. This ‘silent killer’ often shows no warning signs and therefore puts people at a higher risk of conditions such as:
Heart failure
Heart disease
Stroke
Over 360,000 high-blood-pressure deaths occurred in 2016 in the US, whether hypertension was a contributing cause or the main cause. ¹²
The only way to identify if you have high blood pressure is to measure it. You can visit your healthcare provider for regular blood pressure monitoring, or you can purchase a sphygmomanometer (blood pressure cuff) to measure your blood pressure at home.
If you’re at risk of high blood pressure, you need to schedule routine healthcare visits to monitor your blood pressure. You should also see your healthcare provider if you have high blood pressure and your efforts to reduce your blood pressure have been ineffective.
Blood pressure control should be a lifelong task and part of your healthy living plan. The damage that high blood pressure can cause to your internal organs may not show any warning signs until there is already severe damage done; by then, it may be too late to reverse it.
By taking control of your health, you can help to keep your blood pressure under control. Some people can prevent high blood pressure, while others have uncontrollable factors, such as family history, which can increase their risk.
Exercising regularly, eating a well-balanced diet, and other healthy lifestyle changes may help lower systolic and diastolic blood pressure and prevent other health issues related to hypertension.
Always consult with your doctor if your blood pressure isn’t improving in response to your attempts at healthy lifestyle changes.
High blood pressure causes, diagnosis, treatment
Contents:
- What are the causes of high blood pressure
- Other uncommon causes of high blood pressure
- Diagnosis of high blood pressure
- Treatment of AD in the First Clinic of Maryino
There can be many causes of high blood pressure, including essential (primary) hypertension, and symptomatic ones associated with diseases of the kidneys, endocrine system, and central nervous system. A short-term increase in pressure can also occur in healthy people under stress, with the “white coat syndrome”, when the pressure rises when measured by a healthcare professional. You can diagnose the cause of an increase in blood pressure using laboratory tests: blood tests, general and biochemical; GFR is a measure of how well the kidneys are working. Instrumental examinations are also needed: ultrasound of the kidneys and endocrine glands, ECG, EchoCG.
Treatment includes elimination of causes, courses of antihypertensive drugs, regimen correction.
What are the causes of high blood pressure
Physiological factors
When the sympathoadrenal system is activated, which happens during stress or severe fright, blood pressure rises for a short time, to moderate values, and does not lead to a serious deterioration in health.
After the psychotraumatic factor disappears, the patient’s condition quickly returns to normal.
Blood pressure also rises when the temperature rises: the higher it is, the higher the pressure.
“White Coat Syndrome” is also quite widespread. The excess is explained by excitement at the sight of medical personnel. Self-measurement at home does not reveal any deviations. It is generally accepted that such a syndrome indicates the lability of the nervous system, and the risk of developing hypertension in a few years.
Arterial hypertension
Primary hypertension is a pathology that most often leads to an increase in blood pressure. As a rule, problems with pressure begin after reaching the age of 50 – 55 years. Measurements show values 140/90 mmHg Art. and higher. Both systolic and diastolic pressure increase proportionally. If the values of the above were obtained three times in independent measurements, an appropriate diagnosis is made.
Cardiovascular diseases
Systolic pressure increases with atherosclerosis. If the patient suffers from coarctation of the aorta, the disease is characterized by increased pressure when measured not on both arms, and at the same time normal values when measured on the legs. Visual inspection reveals good development of arms and torso with weak and not too well developed legs.
Nonspecific aortoarteritis or Takayasu’s disease is also characterized by high blood pressure.
Sometimes elevated blood pressure is noted on the arm and leg on one side of the body, while on the other half it remains normal. Such symptoms are more common in young people aged 15 to 30 years. Increased pressure can occur with arterial stenosis, aortic valve insufficiency.
Kidney diseases
High blood pressure in renal pathologies is due to the fact that vasoconstrictor factors are intensively thrown into the blood, and water and salts accumulate in the tissues.
For “renal forms of high blood pressure are characterized by high values of diastolic pressure: it can rise up to 110 mm Hg. Art. and sometimes even higher. The systolic pressure rises only slightly. This clinical picture is typical for young or middle-aged patients.
Increased blood pressure in kidney disease is characteristic of the following diseases:
- pathology of the kidney parenchyma. These are pyelonephritis, glomerulonephritis, glomerulosclerosis, as a complication of diabetes;
- amyloidosis.
- Renal vascular disease, eg renal artery stenosis, some types of dysplasia.
- Congenital pathologies of the kidneys, such as horseshoe kidney, underdevelopment, polycystic.
Endocrine disorders
Sharp pressure fluctuations are observed in women with severe course and complications during menopause. At such moments, along with increased blood pressure, redness of the skin and sweating are noted. Symptoms are caused by hormonal changes in the body during menopause.
An increase in blood pressure causes several groups of diseases at once:
- Thyrotoxicosis. Isolated systolic hypertension is noted, while diastolic – does not rise above average normal. Finger tremor, tachycardia, and exophthalmos are noted as a pathognomonic symptom.
- Pheochromocytoma. A tumor of the adrenal glands is manifested by an increase in pressure to high numbers, above 180/120 mm Hg. Art. In addition to pressure, the patient is worried about headaches and tachycardia.
- Itsenko-Cushing’s disease. The increase in pressure is resistant to drug therapy. Both pressure indicators increase evenly. Other symptoms are increased body hair and obesity in the upper body.
- Hyperaldosteronism. The pressure rises to high numbers, while it is not stopped by the drugs commonly used in such cases. The disease, along with an increase in blood pressure, is characterized by paresis and paresthesia, severe muscle weakness.
Preeclampsia of pregnancy
life-threatening complication of the second half of pregnancy preeclampsia. Blood pressure rises to values above 149/90. Simultaneously with increased pressure, swelling, nausea, and headache occur. If urgent adequate treatment is not started, the pressure can rise to critical values, vomiting and visual disturbances are noted
Complications after taking certain drugs
It is believed that the instability of AD is the most common side effect of many drugs. An increase, and in some cases a decrease in blood pressure, occurs some time after the start of administration, and only in some cases immediately after the first application.
The most common groups of drugs that cause problems with pressure:
- Hormones and their derivatives, these include some categories of contraceptives, as well as glucocorticosteroids.
- Tricyclic antidepressants, monoamine oxidase inhibitors, other drugs affecting the central nervous system.
- NSAIDs if they are used for a long time.
- Non-steroidal anti-inflammatory drugs (for long-term use).
- Tyramine, ephedrine, other sympathomimetics.
Other uncommon causes of high blood pressure
Neoplasms in the brain, subarachnoid hemorrhages; infectious diseases – meningoencephalitis, meningitis.
- Blood disorders such as erythremia or hypercoagulation.
- Stress, eg withdrawal symptoms, burn disease.
- Intoxications (exogenous), for example, salts of heavy metals: thallium, cadmium.
Diagnosis of high blood pressure
Cardiologist examines the patient, measures the pressure on both arms and legs. If you want to get the most accurate results. Diurnal monitoring (SMAD) is suggested. Diagnosis is aimed at finding factors that cause pressure to rise.
What is included in the standard examination plan:
- ECG. Helps to identify signs of hypertrophic changes in the myocardium, as well as impaired repolarization. When the pressure rises, rhythm disturbances can occur, and manifestations of heart defects are also more often detected.
- Echocardiography. Allows you to evaluate the function of the heart. To exclude an increase in pressure due to problems with the kidneys, an ultrasound with Dopplerography is performed. Sometimes an additional sonography of the glands is prescribed.
- Laboratory tests. Mandatory KLA, determination of blood glucose levels. In a biochemical blood test, the most important is the level of urea and creatinine. The lipid spectrum is studied: the concentration of cholesterol and various fractions of lipoproteins is determined in it. In OAM, the main indicator is the amount of protein and cellular elements.
- If the patient has pronounced signs of pathology of the endocrine system, it is necessary to examine the levels of hormones: catecholamines, corticosteroids and others. Creatinine clearance is determined in order to assess the performance of the kidneys. A glucose tolerance test will identify or rule out metabolic syndrome.
- In case of an unclear diagnosis, the range of instrumental studies can be expanded. For example, a chest x-ray can determine the size and shape of the heart and the cardiothoracic index. Angiography is a study that evaluates atherosclerotic changes in the vessels. For a detailed study of the structure of a particular organ, MRI and CT are prescribed.
Treatment of blood pressure in the First Clinic of Maryino
Help at the initial stage
Until the diagnosis is finally made, people try to normalize blood pressure by non-drug methods. To reduce the load on the heart, the amount of table salt in the diet is limited, and a moderate reduction in the amount of fluid. If violations in lipid metabolism are detected, animal fats are completely excluded. Be sure to establish a daily routine with sufficient hours for sleep, find time for physical activity. Bad habits should be categorically excluded.
Conservative therapy
Drug treatment is prescribed taking into account the reasons that caused the increase in pressure. If the condition is symptomatic and high blood pressure is caused by stress, sedatives are prescribed. When thyrotoxicosis is diagnosed, treatment is carried out with thyreostatics. More than 80% of cases of high blood pressure are treated with classic drugs. In cardiology, they are divided into 5 main groups:
ACE inhibitors are prescribed if there is high blood pressure, left ventricular dysfunction, kidney disease, diabetes. These drugs are contraindicated in pregnant women.
Diuretics are prescribed for older patients with a combination of high blood pressure with edema and heart failure.
Contraindications are hypercalcemia, pregnancy, gout.
ARB II (blockers) work the same as inhibitors, but with fewer side effects. The disadvantage of this group of drugs is only a high price.
Calcium antagonists. They act as a vasodilator, therefore they are prescribed in case of a sharp rise in diastolic pressure. They also have antiarrhythmic activity.
Beta blockers. They are prescribed to young patients as monotherapy, or in case of concomitant heart failure.
Surgical treatment
Surgical operation is indicated for tumors of the endocrine system, if the increase in blood pressure does not respond well to therapeutic treatment. As a rule, these are pheochromocytomas, adenomas of the adrenal cortex, resection of a part of the thyroid gland. If the cause of hypertension is kidney pathology, operations are performed on the renal arteries, and in difficult cases, the kidney is removed.
Cardiovascular causes of high blood pressure can also be treated with surgery. For example, with coarctation of the aorta, the defect can be removed surgically, after which all symptoms quickly disappear. If there is aortic insufficiency, a heart valve replacement is performed
When the pressure increase causes complete AV block, a permanent pacemaker is surgically placed.
Article expert
Molodtsova Emma Aramovna
General practitioner, Gastroenterologist, Cardiologist, Neurologist, Pulmonologist, Rheumatologist, Therapist. Work experience — 43 years
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norm, causes and methods of treatment
Content
- 1 Diastolic hypertension: what pressure is critical?
- 1.1 What is diastolic hypertension?
- 1. 2 What does high diastolic pressure mean?
- 1.3 What is the norm for diastolic pressure?
- 1.4 How is diastolic pressure measured?
- 1.5 Increased diastolic pressure: causes
- 1.6 Symptoms of diastolic hypertension
- 1.6.1 Headache
- 1.6.2 Chest pain
- 1.6.3 Visual disturbances
90 007 1.6.4 Fatigue and irritability
- 1.7 What can diastolic hypertension cause problems?
- 1.8 How to prevent diastolic hypertension?
- 1.9 Treatment of diastolic hypertension
- 1.9.1 Lifestyle changes
- 1.9.2 Medications
- 1.9.3 Physician follow-up
- 1.10 What lifestyle changes can help lower diastolic blood pressure?
- 1.11 Medications for the treatment of diastolic hypertension
- 1.11.1 1. Calcium antagonists
- 1.11.2 2. ACE inhibitors
- 1.11.3 3. Beta blockers
90 007 1.11.4 4. Diuretics
- 1.13.0.1 What is diastolic hypertension?
- 1.13.0.2 What are the causes of diastolic hypertension?
- 1.13.0.3 What are the main symptoms of diastolic hypertension?
- 1.13.0.4 What pressure is considered dangerous in diastolic hypertension?
- 1.13.0.5 Which medicines help lower blood pressure in diastolic hypertension?
- 1.13.0.6 What factors may increase the risk of developing diastolic hypertension?
Find out what blood pressure is a symptom of diastolic hypertension and how to treat it. Information about pressure in diastolic hypertension on our website.
High blood pressure is one of the most common diseases in the world and affects many people around the world. Diastolic hypertension is a form of hypertension in which the lower (diastolic) pressure rises.
Diastolic pressure reflects the state of the arterial walls and is determined during the relaxation of the heart, when the blood fills the chambers. When measuring it, pressure is measured in mmHg and is usually written in two numbers (for example, 120/80 mmHg). “120” is the upper (systolic) pressure, “80” is the lower (diastolic).
Normal diastolic blood pressure is 80 mmHg. or below. However, at a value above 90 mm Hg. we can already talk about the development of diastolic hypertension. In this case, normal blood circulation is disturbed, which can lead to serious complications, such as a heart attack, heart attack, and even death.
What is diastolic hypertension?
Diastolic hypertension is a form of hypertension in which the diastolic pressure rises. Diastolic pressure is the pressure of blood exerted on the walls of the arteries during the expansion of the heart during diastole, when blood fills the ventricles of the heart.
Diastolic hypertension can lead to various complications, including heart failure, stroke, and kidney problems. Therefore, it is important to control pressure and monitor your health.
What does high diastolic pressure mean?
Diastolic pressure is the blood pressure in the vessels during the relaxation of the heart. With increased diastolic pressure, blood exerts excess pressure on the walls of blood vessels between heartbeats.
Elevated diastolic pressure is the main symptom of diastolic hypertension and may mean that the vascular system is not functioning properly. Healthy diastolic pressure is usually less than 80 mm Hg. Art.
Increased diastolic pressure causes blood to move through the vessels with great effort, which can lead to damage to the vessel walls and other complications. A person with hypertension must be observed and treated to avoid serious health consequences.
- Kidney dysfunction
- Rupture of cerebral vessels
- Heart failure
- Ischemic heart disease
In general, increased diastolic blood pressure is a rather serious symptom and often requires urgent measures to stabilize pressure, as well as long-term treatment and control .
What are the normal diastolic pressures?
Diastolic pressure is the blood pressure in the arteries when the heart contracts. It is necessary to measure diastolic pressure at the moment when the arteries are relaxed and filled with blood to the maximum volume. Normal diastolic pressure should be 60-80 mm Hg. Art.
It is important to know that diastolic hypertension is when the patient has only elevated diastolic pressure. Normal pressure is 120/80 mm Hg. Art., and with diastolic hypertension, diastolic pressure rises above 80 mm Hg. Art., but systolic pressure remains normal. This disease is often passive and does not cause obvious symptoms at the initial stage, but in the future it can lead to serious complications.
If you are not sure about your blood pressure, see your doctor and get tested.
How is diastolic pressure measured?
Diastolic pressure (lower pressure) is measured when there is a marked decrease in pressure in the arterial system as the heart relaxes between beats. This usually occurs at the moment when blood is released from the heart, when the aortic valve is closed and the blood does not slip back into the heart.
Blood pressure monitor, deflationary pressure gauge and cuff are required to measure diastolic pressure. The cuff detects pressure, and the deflationary gauge measures that pressure. Usually the cuff is applied to the upper arm, about 2-3 cm above the elbow. Air is then pumped onto the manometer until no more blood flows through the artery.
The air is then slowly expelled until the first heart sound (systolic pressure) appears. The air is then expelled even more slowly until the sound of the heart completely disappears (diastolic pressure).
Increased diastolic pressure: causes
Diastolic pressure is a blood pressure parameter that reflects the strength of blood flow in the vessels when the heart relaxes. The limiting norm for the pressure of the diastolic component is 80 mm Hg. However, it often happens that in humans, diastolic pressure exceeds this figure and stays at 90-95 mmHg This condition is called diastolic hypertension.
Another cause of increased diastolic pressure may be impaired renal function. A similar condition is often seen in people with chronic kidney disease such as glomerulonephritis or pyelonephritis. Also, increased diastolic pressure can occur with endocrine diseases such as hyperthyroidism or hypothyroidism, as well as with diseases of the nervous system.
It is important to note that elevated diastolic pressure can lead to serious consequences such as stroke, heart attack, arrhythmias and even death. Therefore, in case of low blood pressure, it is worth seeking medical help and conducting an examination to find out the cause of high blood pressure and choose the right treatment.
Symptoms of diastolic hypertension
Headache
One of the most common symptoms of diastolic hypertension is headache. It can be described as a heavy, pressing sensation in the forehead, occiput and temples. Often this pain occurs early in the morning and worsens during exercise or stress.
Chest pain
Chest pain may also be a symptom of diastolic hypertension. It may be a burning sensation, a squeezing pain, or a pressing sensation. These symptoms may indicate increased pressure in the heart and require qualified medical attention.
Visual disturbances
Hypertension may lead to visual disturbances. This can manifest itself in a variety of ways, such as double vision, blurred vision, or darkening. This is due to the deterioration of blood flow to the eyes and an ophthalmologist’s consultation is required.
Fatigue and irritability
With diastolic hypertension, you may feel tired, depressed, irritable and have reduced ability to work. You may not be able to perform daily tasks with the same efficiency as before. In addition, there may be difficulty breathing, which often occurs during physical activity.
- Increased pressure in the neck and occiput;
- Loss of consciousness;
- Pain in the abdomen;
- Various types of cardiac arrhythmias;
- Frequent neurotic convulsions;
- Swelling of the legs, and also of the backs and above the ring around the eyes;
- Unsteadiness in the side and loss of balance;
- Inability to focus on one thing.
What problems can diastolic hypertension cause?
Diastolic hypertension is a condition in which the diastolic blood pressure is higher than normal. This can be a serious health problem, as increased pressure on the walls of blood vessels can cause diseases of the cardiovascular system and lead to various complications.
Angina pectoris
Increased pressure on the walls of blood vessels can interfere with the blood supply to the muscles of the heart, which can cause chest pain, known as angina pectoris. The increased risk of myocardial infarction for people with diastolic hypertension may also be due to poor blood supply to the heart.
Cerebrovascular disease
High blood pressure can damage the brain and increase the risk of cerebrovascular disease such as stroke. Symptoms that may indicate a problem with cerebral circulation include dizziness, severe headache, and frequent bouts of dizziness.
Kidney problems
Increased pressure on the walls of blood vessels can also damage the kidneys and lead to kidney problems, including chronic kidney failure.
Other complications
A person with diastolic hypertension may experience a number of other conditions and problems, including diabetes, hypertension, and heart failure.
All of the above highlight the importance of diastolic blood pressure monitoring and regular medical check-ups to understand how blood pressure affects health and what steps need to be taken to keep it normal.
How to prevent diastolic hypertension?
Diastolic hypertension is a serious condition that requires medical attention. However, there are ways to prevent this condition. In particular, it is important to watch your weight, maintain a healthy diet, and exercise regularly.
In addition, alcohol consumption and smoking can lead to the development of diastolic hypertension. Therefore, it is important to avoid these bad habits.
If you have risk factors for hypertension, including a family history, it is also recommended to have regular medical check-ups and monitor your blood pressure.
- Maintaining a healthy lifestyle . Quitting bad habits, regular physical activity, and a healthy diet can help prevent diastolic hypertension.
- Medical control . In the presence of risk factors, it is necessary to undergo regular medical examinations and control pressure.
Following these guidelines may help prevent diastolic hypertension. However, if you already have this diagnosis, you must follow the doctor’s recommendations and undergo treatment to prevent the development of serious complications.
Treatment of diastolic hypertension
Lifestyle changes
The first step in the treatment of diastolic hypertension is lifestyle change. It is important to control weight, monitor nutrition, limit salt and alcohol intake, stop smoking and exercise regularly.
Medications
Medications for diastolic hypertension may be needed when lifestyle changes are not working. Medications may include diuretics, ACE inhibitors, calcium antagonists, and beta blockers. The specific choice of drugs and dosage depend on the individual characteristics of the patient.
Physician supervision
Diastolic hypertension should be treated under the supervision of a physician. Regular measurement of blood pressure and general monitoring of the patient’s condition will help determine the effectiveness of treatment and adjust it if necessary.
What lifestyle changes can help lower diastolic blood pressure?
Proper nutrition: Reducing the intake of salt and animal fats will help reduce blood pressure by 5-10 mm Hg. Art. Replace animal fats with vegetable fats, increase the amount of fruits, vegetables, greens, cereals and dairy products.
Physical activity: Regular exercise for 30 minutes 3-4 times a week will help strengthen the cardiovascular system and reduce blood pressure by 4-9 mmHg. Art.
Quitting bad habits: Reducing alcohol and quitting smoking will help reduce blood pressure by 2-4 mmHg. Art.
Stress management: Reducing psychological pressure through relaxation exercises, meditation, yoga will help improve well-being and reduce pressure by 2-4 mmHg. Art.
Regular monitoring: Regular monitoring of blood pressure and one’s condition will help to identify violations in a timely manner and correct lifestyle.
Normalization of weight: Getting rid of excess weight will reduce pressure by 5-20 mm Hg. Art. At the same time, it is important not only to reduce weight, but also to stabilize it at a normal level.
Medicines for the treatment of diastolic hypertension
1. Calcium antagonists
This class of medicines dilates the blood vessels and reduces pressure in the vessels. Calcium antagonists are effective in the treatment of diastolic hypertension, as they lower blood pressure by relaxing the smooth muscles in the walls of the arteries.
2. ACE inhibitors
Angiotensin-converting enzyme (ACE) inhibitors are one of the most commonly used drugs in the treatment of hypertension. This class of drugs helps to dilate blood vessels and reduce pressure. ACE inhibitors are effective in the treatment of diastolic hypertension because they help reduce levels of the hormone angiotensin II, which is responsible for constricting arterioles and increasing blood pressure.
3. Beta-blockers
Beta-blockers are one of the most common drugs in the treatment of hypertension. These drugs affect the heart and lower the heart rate, resulting in lower blood pressure. Beta-blockers are also effective in the treatment of diastolic hypertension, as they help reduce the volume of blood pumped out by the heart, reducing the workload of the heart and lowering blood pressure.
4. Diuretics
Diuretics are a class of drugs that increase the excretion of fluid and salts through the kidneys. Excess fluid and water in the body can lead to an increase in blood pressure. Diuretics are effective in the treatment of diastolic hypertension, as they help reduce fluid volume in the body and reduce the workload on the heart and blood vessels.
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Q&A:
What is diastolic hypertension?
Diastolic hypertension is an increase in diastolic (lower) blood pressure above 90 mm Hg. Art. for a long time.
What are the causes of diastolic hypertension?
First of all, the cause of diastolic hypertension can be a sharp increase in stress or physical activity, stressful situations, an unhealthy lifestyle (alcohol abuse, smoking), high blood fat, impaired structure and function of the kidneys, and other medical problems.
What are the main symptoms of diastolic hypertension?
The main symptoms of diastolic hypertension may be: dizziness, headache, tinnitus, decreased visual reaction and confusion.