Is blood pressure 100 over 70 good: When is Low Blood Pressure a Cause for Concern?
High Blood Pressure: Understanding Blood Pressure Readings
What is normal blood pressure and what is considered high? If your blood pressure is elevated, what can you do to lower it? Asst Prof Calvin Chin, Senior Consultant from the Department of Cardiology at National Heart Centre Singapore (NHCS), answers.
Blood pressure (BP) readings: What is normal and when is it high blood pressure (hypertension)?
Blood pressure (BP) readings are expressed as a ratio of the systolic pressure (the first number or numerator), over the diastolic pressure (the second number or denominator). A blood pressure of 120/80 mmHg (millimetres of mercury) is expressed verbally as 120 over 80.
A healthy blood pressure reading should be lower than 120/80 mmHg. Normal blood pressure is less than 120 mmHg systolic and 80 mmHg diastolic (see blood pressure chart below), and may vary from 90/60mmHg to 120/80mmHg in a healthy young woman.
A blood pressure of 140/90 mmHg or higher indicates high blood pressure (hypertension).
Categories for Blood Pressure Levels in Adults
(Aged 18 Years and Older)
|Blood Pressure Level (mmHg)|
|Normal BP||< 120||and||< 80|
|High-Normal BP||130||or||80 – 89|
|High Blood Pressure|
|Stage 1 Hypertension||140 – 159||or||90 – 99|
|Stage 2 Hypertension||160||or||100|
|* Isolated Systolic Hypertension||> 140||and||< 90|
- When systolic and diastolic blood pressures fall into different categories, the higher category should be used to classify blood pressure level. For example, 160/80 mmHg would be stage 2 hypertension (high blood pressure).
- *Isolated systolic hypertension is graded according to the same level of systolic BP.
“Your BP (blood pressure) doesn’t stay constant throughout the day. It is lowest when you’re sleeping, and rises when you get up and start moving about. It can also go up when you are excited, nervous or physically active,” shares
Assistant Professor Calvin Chin, Senior Consultant from the
Department of Cardiology at
National Heart Centre Singapore (NHCS), a member of the
How to measure blood pressure (BP) at home
You can measure your own blood pressure at home with a digital blood pressure device that can be purchased at most pharmacies. Read the instructions carefully. You may wish to calibrate your reading with your family doctor. The right time to take the measurement is when you are at rest.
Some tips that will help ensure the accuracy of your blood pressure reading include:
- Sitting in a comfortable position
- Placing your left arm, raised to the level of your heart, on a table or desk, and sit still
- Wrapping the cuff of the monitor smoothly and snugly around the upper part of your bare arm
See the video below to learn how to measure blood pressure at home.
What to do if your blood pressure (BP) is high
“Most times, you will not have any symptoms unless your blood pressure is very high. If your blood pressures are persistently very high (for instance, systolic blood pressure >180mmHg), you should seek medical attention
even if you feel well,” advises Asst Prof Chin.
Uncontrolled blood pressure in this range can be severe and have adverse consequences such as
stroke, loss of consciousness, and damage to kidneys, eyes and the heart.
If your blood pressure is mildly elevated, doing the following can help bring it under control:
Exercise regularly (aim for 150mins of moderate to vigorous activity a week or 30mins daily)
Eat a well-balanced diet
Lose weight (if needed)
Reduce your stress levels
Quit smoking (if you haven’t done so)
Medications may be prescribed
These important lifestyle changes will help lower your blood pressure and improve your overall heart health.
Facts about blood pressure readings
What is blood pressure (BP)?
Blood pressure (BP) refers to the force of the body’s blood pushing against the inner walls of the blood vessels, especially the arteries. Each time the heart contracts, it pumps blood into the arteries.
What is systolic and diastolic blood pressure?
Systolic pressure refers to the blood pressure in the arteries that results when your heart contracts or beats, pushing blood out.
When your heart relaxes between beats, blood pressure in the arteries falls. This is the
diastolic pressure. Diastolic blood pressure can increase with age as a result of stiffening arteries.
More facts on blood pressure
Researchers from the Centre for Health Research and Rural Advocacy at Geisinger Health System in Pennsylvania have found that time of day and time of year can influence blood pressure readings by as much as 40%.
In addition, blood pressure also fluctuates with physical activity and emotional state, it may help make your results more comparable if you measure your blood pressure at the same time everyday, under resting conditions and on more than one occasion.
Check out other articles on blood pressure:
Top Misconceptions About High Blood Pressure
3 Foods to Avoid to Prevent High Blood Pressure
4 Foods to Eat to Bring Down High Blood Pressure
5 Ways to Lower Blood Pressure Naturally
How High Blood Pressure Affects Men and Women Differently
Pre-Hypertension: How to Know If You Have It
Exercise the Right Way: Exercise Tips to Lower Blood Pressure
Do You Have High Blood Pressure? What the Guidelines Say.
Your blood pressure is an important part of your overall health.
But what is it? Blood pressure is the force of the blood pushing against the walls of your blood vessels. If it is too high, it can put a strain on your heart and blood vessels, and can lead to increased risk of heart disease and stroke.
Your blood pressure is measured using a device called a sphygmomanometer – that cuff that goes around your arm. The measurement then indicates a unit of pressure known as millimeters of mercury (or mm Hg). It shows how hard your heart is working to pump blood.
Your blood pressure is written as two numbers. The top number, known as the “systolic pressure,” measures the force of the blood against the artery walls when the heart contracts to pump blood out. It is working its hardest at that point.
The bottom number is the “diastolic” pressure, which shows the force of the blood when the heart is “resting” in between contractions. That number is lower.
Doctors use standard guidelines to determine if your blood pressure falls into a range known as “normal.” If it is too high and is consistently higher than the guidelines, it known as “hypertension.”
What are the dangers of high blood pressure?
High blood pressure, or hypertension, is known as the “silent killer.” This means it does not have any symptoms and can go untreated for a long time, which can lead to many major health risks. If left untreated, a blood pressure of 180/120 or higher results in an 80% chance of death within one year, with an average survival rate of ten months. Prolonged, untreated high blood pressure can also lead to heart attack, stroke, blindness, and kidney disease.
Out with the old
Since 2003, the guidelines for diagnosing and treating high blood pressure were:
- normal: less than 120/80 mm Hg
- pre-hypertensive: systolic between 120-139 or diastolic between 80-89
- stage 1 hypertension: systolic 140-159 or diastolic 90-99
- stage 2 hypertension: systolic 160 or higher or diastolic 100 or higher
- hypertensive crisis: systolic 180 or higher or diastolic 110 or higher
In November 2017, the American Heart Association and the American College of Cardiology revised the guidelines. They are:
- normal: less than 120/80 mm Hg
- elevated: systolic between 120-129 and diastolic less than 80
- stage 1 hypertension: systolic between 130-139 or diastolic between 80-89
- stage 2 hypertension: systolic at least 140 or diastolic at least 90 mm Hg
- hypertensive crisis: systolic over 180 and/or diastolic over 120, with patients needing prompt changes in medication if there are no other indications of problems, or immediate hospitalization if there are signs of organ damage.
What is the difference?
The major difference between the old and new guidelines is the elimination of the category of “pre-hypertension.” However, findings from research studies show that complications can exist when blood pressure is as low as 130-139 over 80-89.
The new guidelines change the categories. Those same readings that would have been pre-hypertension are now categorized as stage I hypertension. Doing so means earlier treatment, which can help prevent future increases in blood pressure and more serious complications associated with hypertension.
What does it mean if you fall into the new guidelines?
With these new guidelines, it is estimated that about 14 percent of people will now be classified as having hypertension; many of those individuals may be younger. However, only a small percentage will require intervention by medication. Individuals who now fall into a hypertensive category will receive more aggressive prevention interventions, like lifestyle changes.
What can I do to lower my blood pressure?
There are things we can all do to help control blood pressure. These “lifestyle modifications” are changes you can make in your daily life.
- Follow the Dietary Approaches to Stop Hypertension, or DASH diet. This includes fruits, vegetables, whole grains, and low-fat dairy products with reduced saturated and total fat.
- Increase your physical activity. Add 90 to 150 minutes each week of aerobic exercise. Also, include three days of strength training each week. Not only can this help reduce or control your blood pressure, but it can also help with weight management. In overweight individuals, a weight loss of even five to 10 percent has been shown to reduce blood pressure.
- Decrease your sodium to no more than 1500 milligrams each day. Less is even better. Experiment with spices instead of adding salt to your food.
- Limit your alcohol. It is recommended that men have no more than two drinks per day and women have no more than one to help control blood pressure.
- Manage your stress. Because stress can have a major impact on our bodies, it is important to have an effective coping technique. There are many techniques for relaxation.
- If you smoke, quit. Quitting smoking can have a huge impact on your health.
These are some of the most proactive ways one can support a normal blood pressure and an overall healthy life. But sometimes, even a healthy lifestyle is not enough to maintain a safe blood pressure. When lifestyle modifications do not lower blood pressure to better levels, medication can be prescribed.
Again, the guidelines come into play because your doctor will prescribe an appropriate medication based on your blood pressure category. That determines how often you need to be seen to have your blood pressure checked and what medication is needed. Sometimes, more than one medication is necessary. Some patients may need more frequent monitoring. Anyone with a blood pressure reading in the “crisis” stage will be given immediate medical attention.
Be good to yourself, and try to keep your blood pressure in that normal range by living a healthy lifestyle. Your heart will thank you!
Low Blood Pressure (Hypotension) | Symptoms & Treatment
Some people may naturally have low blood pressure all the time with no symptoms. Their low readings are normal for them. But for others, their blood pressure may drop for a variety of reasons ranging from a medical condition to dehydration.
Low blood pressure is only a problem if a person develops symptoms, which can include dizziness, fainting or shock. In severe cases, it can be life-threatening. But low blood pressure without these serious symptoms is usually not unhealthy.
Low blood pressure that reduces the blood supply to your body’s organs can cause stroke, kidney failure or heart attack.
Understanding how to treat and prevent low blood pressure is important for your cardiovascular health.
Understanding Blood Pressure
Blood pressure is the force of blood pressing against arteries as the heart pumps it through the body. The pressure is highest when your heart beats, pumping the blood. It’s lowest between beats, when the heart rests.
Blood pressure is measured by comparing these two numbers, placing one over the other. The high measurement is called the systolic pressure, and it is placed on the top of the reading. The lower pressure is called the diastolic pressure, and it’s written as the bottom number.
Ideally, your blood pressure should be 120 over 80 — written as 120/80 — or lower. Low blood pressure is anything lower than 90/60.
What Causes Low Blood Pressure?
Causes of low blood pressure are wide-ranging and can include changes in your body’s functions, environmental causes, and trauma or a serious medical condition.
Causes of low blood pressure include:
- Anaphylactic shock
- Endocrine conditions such as Addison’s disease, hypothyroidism, parathyroid disease, low blood sugar and diabetes
- Heart conditions such as heart attack, heart failure, low heart rate and heart valve issues
- Long-term bed rest
- Nutritional deficiencies such as low folic acid or vitamin B12 levels, which can lead to anemia
- Pregnancy, especially in the first 24 weeks
- Septic shock
- Sudden loss of blood volume such as from an accident, dehydration or internal bleeding
Source: American Heart Association
Age, medications and medical conditions are all risk factors for low blood pressure.
People with Parkinson’s disease, diabetes and certain heart conditions are at greater risk. Those 65 and older are more likely to experience a sudden blood pressure drop when standing or right after eating.
Medications that Can Cause Low Blood Pressure
Several medicines may cause low blood pressure, including some medications used to control high blood pressure.
Working with your doctor or other health care provider to change your medication or adjust your dosage can help control low blood pressure. You should never modify a dose or stop taking a medication without first consulting your health care provider.
Alpha and beta blockers, diuretics, erectile dysfunction drugs, Parkinson’s disease drugs and some types of antidepressants can cause low blood pressure.
Medications that can cause low blood pressure include:
- Benicar (olmesartan medoxomil) — a prescription blood pressure medication
- Cialis (tadalafil) — an erectile dysfunction drug; risk is especially high when taken with nitroglycerin heart medication
- Cymbalta (duloxetine) — a serotonin and norepinephrine inhibitor (SNRI) antidepressant
- Hydrochlorothiazide — a widely used generic diuretic
- Inderal, Innopran XL and other versions of propranolol — beta blockers
- Lasix (furosemide) — a diuretic
- Levodopa — a generic name for Parkinson’s disease drugs
- Minipress (prazosin) and other alpha blockers
- Mirapex (pramipexole) — a Parkinson’s disease drug
- Tenormin (atenolol) — an alpha blocker
- Tricyclic antidepressants — includes Silenor (doxepin) and Trofranil (imipramine)
- Valsartan and other blood pressure drugs in the sartan family
- Viagra (sildenafil) — an erectile dysfunction drug; risk is especially high when taken with nitroglycerin heart medication
Side Effect Information
Valsartan side effects range from headaches to low blood pressure. Learn more about the common and serious side effects assciated with this blood pressure medication.
View Side Effects
In most cases, you shouldn’t worry about a low blood pressure reading unless you have symptoms of a serious or underlying problem.
Common symptoms of low blood pressure include:
- Blurred vision
- Lack of concentration
- Lightheadedness or dizziness
Severe or extreme low blood pressure can be life-threatening. This can happen if your body goes into shock from blood loss, an anaphylactic reaction or septic shock from a serious infection.
Serious symptoms of low blood pressure include:
- Rapid but weak pulse
- Rapid shallow breathing
- Pale, cold, clammy skin
- Confusion (especially in older people)
What to Do if You Experience a Sudden Drop in Blood Pressure
A single low blood pressure reading is no cause to be concerned unless you experience other symptoms.
A sudden drop in blood pressure — as little as a drop from 120 to 100 in your systolic (top) number — can be dangerous if it triggers dizziness and fainting. Such symptoms can be a sign of an underlying problem that may need medical attention.
You should keep a record of your activities and when symptoms happen to discuss them with your doctor. If you experience any low blood pressure symptoms related to shock, you should seek immediate medical attention.
Types of Low Blood Pressure
There are three major types of low blood pressure: orthostatic hypotension, postprandial hypotension and neurally mediated hypotension. Each is triggered by something different such as a change in body position, a meal or an abnormal reflex.
Orthostatic hypertension is low blood pressure caused by a change in your body’s position that most often happens when you stand up after lying down. It lasts only a few seconds or minutes.
Orthostatic low blood pressure is caused by gravity as your blood pools in your legs. Your heart would normally compensate, pumping more blood to your brain. But with this type of low blood pressure, that mechanism fails, your brain gets less oxygen from the bloodstream and you may feel lightheaded or dizzy. In some cases, you may faint.
It most often affects older people, people with high blood pressure and those with Parkinson’s disease. But you may also experience it if you are pregnant, dehydrated, overheated, or have heart problems, diabetes or certain nerve disorders.
Postprandial hypotension is a sudden drop in blood pressure after eating.
Usually after a meal, your heart rate ramps up to send blood flowing to your digestive system. But with this type of low blood pressure, the mechanism fails causing dizziness and fainting. It can also cause people to fall and possibly injure themselves.
Eating small meals that are low in carbohydrates can sometimes reduce symptoms.
Neurally Mediated Hypotension
Neurally mediated hypotension happens when there is an abnormal reflex between a person’s otherwise normally functioning heart and brain, according to Johns Hopkins Hospital. It’s sometimes called the fainting reflex.
People with this type of low blood pressure may feel lightheaded or dizzy or may faint. Other symptoms may include chronic fatigue, muscle aches, headaches and confusion.
Symptoms may happen after being in warm surroundings such as a hot shower or bath or hot summer weather. Other triggers include standing quietly for a long period of time, such as a service member at attention. It can happen after exercise, after eating or following emotionally stressful situations.
With this type of low blood pressure, gravity allows blood to pool in the legs. The heart needs to beat faster to supply the brain with enough blood, but a malfunction causes the brain to tell the heart to beat less, decreasing the blood supply to the brain.
Low blood pressure seldom requires treatment, unless it’s the result of sudden trauma, infection, anaphylactic shock or other serious underlying cause.
If it’s caused by medications, your doctor may prescribe a different medication or simply alter your dosage.
Ways to correct low blood pressure:
- Wear compression stockings to prevent the pooling of blood in the legs
- Drink fluids to prevent or relieve dehydration, a major cause of common low blood pressure
- Eat more salt to raise blood pressure
Your doctor may prescribe Orvaten (midodrine) to raise your blood pressure if you are diagnosed with chronic orthostatic hypotension. For milder forms, a doctor may prescribe fludrocortisone to boost your blood volume. There are several other drugs that may be available depending on your particular type and severity of low blood pressure.
Blood pressure control and adverse outcomes of COVID-19 infection in patients with concomitant hypertension in Wuhan, China
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Blood Pressure Numbers: When to Get Help | Frankel Cardiovascular Center
If you check your blood pressure, you may wonder when an abnormal reading means you should call your doctor. This information can help you understand what your blood pressure numbers mean and when you need to call for help.
What do blood pressure numbers mean?
Your blood pressure consists of two numbers: systolic and diastolic. Someone with a systolic pressure of 117 and a diastolic pressure of 78 has a blood pressure of 117/78, or “117 over 78.”
It’s normal for blood pressure to go up and down throughout the day. But if it stays up, you have high blood pressure. Another name for high blood pressure is hypertension.
High blood pressure increases the risk of stroke, heart attack, and other problems. You and your doctor will talk about your risks of these problems based on your blood pressure.
Your doctor will give you a goal for your blood pressure. Your goal will be based on your health and your age.
In general, the lower your blood pressure, the better. For example, a blood pressure reading of less than 90/60 is healthy as long as you feel okay.
What can cause a short-term change in blood pressure?
Things like exercise, stress, and sleeping can affect your blood pressure. Some medicines can cause a spike in blood pressure, including certain asthma medicines and cold remedies.
A low blood pressure reading can be caused by many things, including some medicines, a severe allergic reaction, or an infection. Another cause is dehydration, which is when your body loses too much fluid.
When should you get help for an abnormal blood pressure reading?
One high or low blood pressure reading by itself may not mean you need to call for help. If you take your blood pressure and it is out of the normal range, wait a few minutes and take it again. If it’s still high or low, use the following guidance.
911 anytime you think you may need emergency care. For example, call if:
- You passed out (lost consciousness).
Call your doctor now or seek immediate medical care if:
- Your blood pressure is much higher than normal (such as 180/120 or higher).
- You think high blood pressure is causing symptoms such as:
- Severe headache.
- Blurry vision.
Watch closely for changes in your health, and be sure to contact your doctor if:
- Your blood pressure measures higher than your doctor recommends at least 2 times. That means the top number is higher or the bottom number is higher, or both.
- You think you may be having side effects from your blood pressure medicine.
Blood Pressure Before Death: Low Blood Pressure Range
When a patient is approaching death, the body will begin to shut down as the end nears. Because the heart is unable to pump normally, blood pressure lowers and blood is unable to circulate properly throughout the body. While it is never easy to watch a loved one slip away, this is all part of the natural dying process.
What is the low blood pressure range before death?
Blood pressure readings have two numbers. The top number is the systolic blood pressure, which indicates how much pressure your blood is exerting against artery walls as the heart beats. The lower number indicates how much pressure the blood is exerting against artery walls while the heart is at rest between beats.
When an individual is approaching death, the systolic blood pressure will typically drop below 95mm Hg. However, this number can vary greatly as some individuals will always run low. Low blood pressure alone does not mean that death is imminent. Therefore, it is difficult to give an exact low blood pressure death range. The patient’s hospice care team will be assessing all of the patient’s symptoms in their totality, including how the patient is breathing and whether they have become unresponsive.
What are some of the other signs that death is imminent?
In addition to low blood pressure before death, there are other signs and symptoms that are often seen that a patient is approaching death. Some common signs and symptoms that death may be imminent include:
- Cold hands, feet, and legs.
- Mottled skin.
- Mental confusion.
- Increased sleeping.
- Terminal restlessness.
- Decrease in food and fluid intake.
- Changes in breathing.
- Decreased urine output.
Each patient is unique. Some patients may display some of the above symptoms, but not others. There is also no specific order in which to expect to see these signs and symptoms. To receive a free guide to end-of-life signs and symptoms and learn more about blood pressure before death, please complete the form on this page.
End-of-Life signs by disease.
Learn about the specific end-of-life signs of common diseases and illnesses:
More end-of-life resources.
Loosened blood pressure guidelines stir immediate controversy
Watching your blood pressure? You may have more breathing room than you thought.
In the latest pendulum swing on what blood pressure older adults should aim for, two of the nation’s leading medical groups issued guidelines on Monday recommending that people 60 and older get their systolic blood pressure (the first number) below 150.
That target is a departure from the 140 (or lower) that many physicians, particularly cardiologists, believe appropriate as a way to reduce the risk of stroke, heart attacks, and premature death due to hypertension. The difference reflects continuing debate within the medical community about the best balance of benefits and risks from treating hypertension.
The new guidelines, from the American College of Physicians and the American Academy of Family Physicians and published in the Annals of Internal Medicine, are very similar to those that family physicians issued in 2014, calling for treatment of adults 60 and older when blood pressure is 150 or higher and aiming for less than 150, meaning a reading in the 140s is fine. (For people under 60, the goal was less than 140.) Those guidelines were controversial, and the new ones — coming in the wake of a high-profile 2015 study called SPRINT that argued for a lower target — are already, too.
“It seems like we’re back to 2014,” said Dr. Jackson Wright, director of the clinical hypertension program at University Hospitals in Cleveland and first author of the SPRINT study. “Even then, there was a lot of dissent and, since the SPRINT trial has come out since, I was surprised” by the new ACP/AAFP guidelines.
Even physicians who urged caution in adopting SPRINT’s aggressive, below-120 target in people at elevated risk of stroke and heart attack questioned the new, looser guidelines.
The “recommendations that clinicians initiate treatment in adults aged 60 or older with systolic blood pressure persistently at or above 150 are inappropriate,” said Dr. Franz Messerli, a cardiologist at the University of Bern in Switzerland. “Even less acceptable is a target … of less than 150 in this group. With such a elevated target there is substantial evidence of an increase in stroke risk.”
Last year, Messerli warned against embracing SPRINT’s aggressive blood pressure target, saying a goal of below 120 “clearly has to be considered absurd.” He believes that, for otherwise healthy patients, something in the 120s is OK.
The new ACP/AAFP guidelines are stricter for patients who have had a stroke or a transient ischemic event (known as a mini-stroke), or who have risk factors such as high cholesterol, obesity, diabetes, or atherosclerosis. In those cases, people should reduce their blood pressure below 140, the groups said. That, too, raised eyebrows. “Wouldn’t it perhaps be better [to get below 140] before such a devastating complication has taken place?” Messerli asked.
The medical groups defended their new guidelines, which are based on the SPRINT study and 20 other randomized controlled trials.
That research showed that “any additional benefit from aggressive blood pressure control” — meaning reducing blood pressure below 140 — “is small,” said ACP president Dr. Nitin Damle.
The more lenient targets also reflect the harms of aiming lower. As people take more kinds of anti-hypertension drugs (three is not unusual) and higher does of them in an effort to drive down their numbers, they are more likely to have side effects like coughing and low blood pressure, which causes lightheadedness or fainting.
As a whole, the analysis of the 21 studies found, most of the evidence for the benefits of treating high blood pressure came from studies of patients who started out above 160 and got into the 140s. Studies that aimed for less than 140 “showed no statistically significant reduction in all-cause mortality or cardiac events,” the authors wrote in the Annals paper, though they did find a reduced risk for stroke.
For instance, a 2012 Cochrane Review concluded that in otherwise healthy adults with blood pressure of 140 to 159, blood-pressure-lowering drugs “have not been shown to reduce mortality or morbidity [death or disease] in randomized clinical trials.”
The SPRINT trial offered the strongest counterargument to that, finding benefits in reducing blood pressure to 120 or less. But it studied only people at high risk for cardiovascular disease. And it has been criticized for measuring blood pressure differently from how doctors usually do it, with the result that a reading of, say, 120 in SPRINT would be 128 or so in ordinary practice.
What’s indisputable is that the clashing, changing guidelines confuse both laypeople and doctors. The American Heart Association, for instance, says that in adults systolic blood pressure of 140 or more means “poor” cardiovascular health, 120 to 139 means intermediate cardiovascular health, and below 120 is “ideal.”
“For the public as well as practitioners, what the competing blood pressure guidelines illustrate is that there are different ways to interpret the same research,” said Dr. Vikas Saini, president of the Lown Institute, which warns against medical overtreatment. “The interpretation of the same data can be as different as half empty and half full.”
Pain in the heart at low, high and normal pressure
The heart can hurt at any blood pressure. Arterial hypertension can cause chest pain. If the heart hurts at normal or low pressure, this speaks only of one thing: the symptom is provoked not by arterial hypertension, but by some other reason.
Is this really a heart?
Chest pain is one of the most common reasons for visiting a doctor. This symptom is treated by 7-11% of all patients.About 25% of the total population has experienced chest pain at least once in their life. But only every third case is a pain in the heart. In 42% of cases, pain is caused by a pathology of the digestive tract, another 28% are pains of musculoskeletal origin.
Pain in the heart with arterial hypertension
Heart pain is not a direct cause of high blood pressure. Although a hypertensive crisis can be accompanied by pain in the chest, it is noted in only one out of four patients.
But chronically high blood pressure leads to other heart diseases. They are the ones that cause painful sensations. Most often, arterial hypertension is combined with coronary heart disease. High blood pressure is determined in 80% of patients with coronary artery disease.
In Russia, as in other European countries, there is insufficient control of arterial hypertension. Only half of the patients receive adequate antihypertensive therapy. The rest are treated only sporadically or do not receive treatment at all.This leads to damage to target organs, one of which is the heart.
Pains characteristic of angina pectoris occur. They increase or appear with physical exertion or stress, weaken or disappear in a state of physical and emotional rest.
Why does the heart hurt at normal or low pressure?
Heart pain occurs in patients with normal or low blood pressure for the simple reason that hypertension is not the only or even the main cause of chest pain.Any person can have a heartache, since there are a lot of reasons for this symptom.
We have already said that there is not only a heart in the chest. Accordingly, at a doctor’s appointment it is often found out that another organ hurts (stomach, esophagus, spine, etc.). But if it is established that this is the heart, then in 80% of cases the cause is coronary syndrome. Other diseases are less common: it can be myocarditis, cardiomyopathy, heart defects (more often mitral valve prolapse), aortic stenosis, pulmonary hypertension.
What to do?
Contact the Quantum Satis Clinic. We will carry out diagnostics to understand:
- what is your blood pressure and whether it needs to be corrected;
- why do you feel chest pains – heart ache or something else;
- what disease is associated with heart pain.
Both hypertension and coronary artery disease require treatment. In the natural course, these diseases end in cardiovascular disasters – heart attacks or strokes.
Low blood pressure: symptoms and causes
Doctors diagnose hypotension (hypotension) when a patient’s blood pressure is lower than 90/60 mm Hg. For residents of a number of climatic zones (for example, tropics, highlands), low pressure may be normal and not be accompanied by a deterioration in well-being. Also, hypotension is often observed in professional athletes.
Symptoms of a decrease in pressure
In most cases, patients with low blood pressure complain of a significant deterioration in well-being.Hypotensive patients are characterized by drowsiness, weakness, frequent headaches, a feeling of coldness in the extremities, chills, nausea. Perhaps a violation of the heart rhythm, its increased frequency, dizziness, fainting. As a rule, the state of health worsens if a person does not get enough sleep or is overworked, after severe stress, an illness.
Causes of hypotension
Often, blood pressure below normal is a symptom of other diseases. For example, anemia, heart disease, thyroid gland.Hypotension can be observed against the background of dehydration, with sun or heat stroke, and taking a number of medications. A sudden onset of hypotension in a person with normal or high blood pressure indicates a life-threatening condition. It can be shock, severe bleeding, heart attack, intoxication, hypoglycemia, etc.
At a young age, habitual hypotension is usually associated with dysfunction of the nervous system. It is often seen in people who are underweight.
First aid at low pressure
First of all, it is necessary to ensure the flow of fresh air into the room (turn on the air conditioner or ventilate the room).Patients with chronic hypotension need to drink the drugs prescribed by the doctor. If your health worsens against a background of low pressure, it is advisable to remove or unfasten tight clothing, loosen the trouser belt. Washing with cold water or a cold compress on the forehead will ease the condition. A cup of strong, sweet coffee or tea with a piece of dark chocolate will help increase the pressure.
In case of a sudden attack of hypotension, accompanied by shortness of breath, cough, pain in the abdomen and chest, you must immediately call an ambulance.
To maintain good health, doctors recommend that hypotensive patients go in for sports, adhere to a drinking regimen, and give up bad habits. Also, an important point is compliance with a sleep and rest regimen. A healthy lifestyle can help reduce or eliminate unpleasant symptoms.
Blood pressure in a child: norm and pathology
When we talk about an increase in blood pressure, we usually imagine a middle-aged or elderly person and hypertension.
However, problems associated with blood pressure can also occur in childhood. We are talking about this today with a neurologist at Clinic Expert Tula LLC Sycheva Anna Georgievna.
– Anna Georgievna, first of all, I would like to know what is the upper and lower blood pressure?
The upper pressure, called systolic in medical practice, is the pressure that occurs during the contraction phase of the heart muscle (systole). Lower, or diastolic, is the pressure that occurs during the relaxation phase of the heart muscle (diastole).
– Tell me, what are the age norms of blood pressure in children?
Like many indicators in the human body, systolic (upper) and diastolic (lower) pressure have their minimum and maximum normal values. They are measured in millimeters of mercury (mm Hg).
For example, in newborns, the indicators of the norm are:
– minimum systolic – 60 mm Hg.
– minimum diastolic – 40 mm Hg.Art.
– maximum systolic – 90 mm Hg.
– maximum diastolic – 50 mm Hg.
By one month:
– minimum systolic – 80 mm Hg.
– minimum diastolic – 40 mm Hg
– maximum systolic – 96 mm Hg.
– maximum diastolic – 60 mm Hg.
– minimum systolic – 90 mm Hg
– minimum diastolic – 50 mm Hg.Art.
– maximum systolic – 112 mm Hg.
– maximum diastolic – 74 mm Hg.
After a year and up to 10-12 years, the pressure does not change significantly.
By the age of 10-12, there are such normal indicators:
– minimum systolic – 110 mm Hg.
– minimum diastolic – 70 mm Hg.
– maximum systolic – 126 mm Hg.
– maximum diastolic – 82 mm Hg.Art.
At 13-15 years old:
– minimum systolic – 110 mm Hg.
– minimum diastolic – 70 mm Hg.
– maximum systolic – 136 mm Hg.
– maximum diastolic – 86 mm Hg.
– When can changes in blood pressure in children be considered normal, and when should you see a doctor?
It may vary depending on various factors.For example, in the morning, its indicators may be closer to the minimum normal (physiological) boundaries, and during the day it may increase depending on the level of physical activity, the presence of stress factors, overwork, etc. If the numbers are within physiological limits, then everything is in order, but if not, this is a reason to consult a doctor.
– Tell me, what can cause deviations in blood pressure in children?
If we talk about its decrease, which does not develop due to blood loss (for example, with injuries and other acutely occurring serious conditions), then it can be noted during or after suffered colds, with physical and mental overload, living in a high mountainous area (it is an adaptation to the environment), vegetative vascular disorders.
The reasons leading to an increase in blood pressure in a child are much more numerous. There are whole groups of diseases in which arterial hypertension occurs. These are some pathologies of the cardiovascular, endocrine, nervous system, kidneys and adrenal glands.
The most common causes of hypertension in children are obesity, hormonal dysfunction in adolescence, and autonomic vascular disorders.
– What are the symptoms of high and low blood pressure in children?
We will not consider the signs of hypotension in case of blood loss.In other cases, among the main manifestations: headache, dizziness, increased fatigue, decreased performance.
Hypertension occurs no less often in children, especially in adolescence, but its symptoms (headache, dizziness, nausea), in comparison with adults, are mild. It is all the more important to remember this for parents, especially if there are predisposing factors or diagnosed diseases. Among them, for example, the load during sports, adolescence, overweight, chronic diseases of the cardiovascular system, kidneys, etc.e. Such children should have their blood pressure measured even if they have no complaints at all.
– Please tell us how to measure the child’s pressure correctly?
Optimal conditions must be observed for the study. First, the room should be quiet; secondly, it is better if the child sits firmly on the chair, his legs are not crossed. For children under two years old, the procedure is performed lying down. And, finally, the child’s hand should lie calmly on the table or side table, the cuff of the device should be at the level of the heart, the angle between the shoulder and forearm should be 90 degrees.
A pediatric tonometer is used for measurement. His cuff is applied to the area of the brachial artery, 2-3 cm above the elbow bend. The index finger of the hand should pass between the skin of the shoulder and the cuff. A phonendoscope is installed on the area of the cubital fossa. By closing the valve of the device, air is pumped into the cuff until the pulse beats in the phonendoscope completely disappear and after that a little more (about 30 mm Hg) Then, by slightly opening the valve, the air is slowly released and the arrow of the device is monitored.The moment the first beat appears, the upper (systolic) pressure is reflected in the tonometer. Listening is performed until the sounds disappear completely – this moment shows the lower (diastolic) pressure.
Three full measurements are made, from which the measurement with the minimum values is taken. An interval of at least 15 minutes is observed between measurements.
It is also permissible to use semi-automatic digital tonometers, where the upper and lower digits are fixed by the device automatically.In any case, before measuring the pressure of a child, you must carefully read the instructions for its use.
– What problems are indicated by a deviation from the norm in children?
Low blood pressure in a child may, first of all, indicate excessive physical and / or mental stress, violation of the daily routine, overwork.
If the pressure is increased, this may indicate both some temporary changes (for example, restructuring of the hormonal and autonomic nervous system), and the presence of diseases that we talked about earlier.
Going beyond the normal range is always a reason to see a doctor, especially for hypertension.
– Is sports activity useful for children with hypotension and hypertension?
Sports load is a rather broad concept and it is impossible to answer this question unequivocally. In general, with hypotension, there are no significant restrictions, however, the load must be increased gradually and under the supervision of a specialist.
Hypertension is another matter.In case of diseases of the cardiovascular system, kidneys, sports are limited, however, a physical therapy doctor, depending on the specific diagnosis, can choose a suitable set of physical exercises for the child. With overweight, vegetative vascular disorders, a wider range of sports activities are allowed in puberty – for example, walking, running, cycling, football, basketball. Power sports are excluded, as well as those where there are jerk loads. For an individual solution to this issue, a specialist consultation is required.
– Anna Georgievna, and which doctor should be consulted in case of changes in blood pressure in a child?
First of all, to the pediatrician. Already at this stage, he can prescribe clarifying studies, according to the results of which, if necessary, he will refer to narrow specialists: a cardiologist, a neurologist, a nephrologist, an endocrinologist.
Sycheva Anna Georgievna
Graduate of the Pediatric Faculty of the Astrakhan State Medical Institute.A.V. Lunacharsky 1981 (currently – Astrakhan State Medical University).
In 1982 she graduated from the 1st Moscow Medical Institute. THEM. Sechenov with a degree in Pediatrics.
In 1995, she underwent professional retraining at the Leningrad Pediatric Medical Institute with a degree in Neurology.
Currently works as a neurologist at Clinic Expert Tula LLC.
How does the pressure change after myocardial infarction
How does the pressure change after myocardial infarction Photo: schutterstock
Many patients who have had myocardial infarction notice a frequent decrease in pressure after it.Especially often this condition is observed after carrying out any interventions on the myocardium.
The main reason that low blood pressure is observed in patients after a heart attack is impaired blood circulation caused by pathological narrowing of the coronary vessels and loss of their elasticity. A similar condition in the language of specialists sounds like headless hypertension.
The state of the patient in the period after a heart attack differs significantly from the state before the illness. Even courses of therapeutic medication and physiotherapy procedures are not able to return the patient to his previous state of health.One of these hard-to-remove echoes after a heart attack is low blood pressure. A similar condition manifests itself in a heart attacker with a general weakness of a constant nature, rapid or slow heartbeat, yawning and dizziness, the patient’s limbs are constantly freezing. A similar clinical picture after a heart attack can lead to its recurrence in the future. Therefore, regular low blood pressure should be monitored by a doctor, perhaps the prescribed drugs excessively lower blood pressure.
How pressure changes during myocardial infarction
At the very beginning of the development of a heart attack, the pressure, as a rule, begins to rise, and then the hypertensive symptoms are interchanged with the hypotensive ones, and the pressure indicators fall. Usually, the pressure readings drop sharply on the second or third day of a heart attack, then they rise again, but do not reach normal values. Therefore, many heart attackers have pathologically low blood pressure after an attack.
With a macrofocal form of infarction, the pressure drops as a result of violations of resistance in the vessels and cardiohemodynamic deviations.
After a heart attack in patients with essential hypertension, blood pressure, as a rule, still decreases. A similar phenomenon is associated with a disorder of the contractile function of the myocardium due to a decrease in the cardiac output. As a result, increased resistance in peripheral vessels, characteristic of the late stages of hypertension, during and after a heart attack, provokes the development of headless hypertension, which is characterized by high diastolic pressure and low systolic pressure.In some patients, pressure indicators in the post-infarction period remain at a normal or low level for a long time. Experts associate such stability with the absolute absence of any changes in hemodynamics in the peripheral vascular resistance in the upward direction.
Ways to normalize blood pressure
There are many ways to help patients who have experienced a heart attack to cope with its consequences. To begin with, it is necessary to exclude excessive overloads of both psychological and physical nature.If the patient is still worried about symptoms that indicate low blood pressure, then this may indicate non-compliance with all medical recommendations.
Heart attackers at the time of a sharp decrease in pressure are recommended to lie down and drink tea or coffee. You can drink ginseng extract – it perfectly balances the pressure. If these actions do not bring the expected benefit, then an ambulance should be called, since such persistent low blood pressure can act as a harbinger indicating the development of a second seizure.Modern post-infarction methods of treatment involve the use of blood ozonation and a visit to a pressure chamber, as a result of which the oxygen content in the blood returns to normal, the immune defense increases and normal pressure is restored.
The article was published in the special issue “Bless you”.
Autor: “Be healthy”
what do the indicators of such blood pressure mean, for whom is it normal and what should those who have a high heart rate do?
The normal indicator of the healthy functioning of the cardiovascular system is considered to be a pressure of 120/80 mm Hg.Art. However, not everyone can boast of such a standard. This is just the average. Fluctuations within two tens of units are regarded as physiological, therefore the pressure is 100 to 70 mm Hg. Art. for some people it is considered a variant of the norm.
The value of indicators and what does it mean?
Blood pressure indicators depend on many reasons: age, weight, sex, lifestyle, special conditions (pregnancy, breastfeeding, postoperative rehabilitation, etc.).etc.). When can we not worry about slight hypotension and assume that the pressure is 100 to 70 mm Hg? – this is normal?
During pregnancy, a woman’s body undergoes many changes to ensure the comfortable development of the fetus in the womb. In a woman’s blood, the concentration of hormones that are responsible for relaxing smooth muscles increases. This is necessary to increase the size of the uterus and subsequent labor. At the same time, to one degree or another, all the muscles of the body relax, including the smooth muscle fibers of the vessels, which causes hypotension.
With the growth of the fetus in the body of a pregnant woman, an additional circle of blood circulation begins to function through the umbilical cord, which also contributes to hypotension.
If, before the onset of pregnancy, the woman’s pressure did not go beyond the normal range, a decrease in its indicators to 100/70 should not cause concern. When the expectant mother feels well, the tests indicate the health and normal development of the fetus, no correction is needed.
If low blood pressure is accompanied by tinnitus, drowsiness, dizziness and a woman has a headache, for the prevention and maintenance of pregnancy, she is transferred to hospital observation.
Usually, a drop in blood pressure to 100 to 70 is observed only in the first 3 months of pregnancy. By the second trimester, the body of the expectant mother is rebuilt and the pressure returns to normal.
No body signals should be ignored, especially during pregnancy. If at indicators of 100/70 mm Hg. discomfort appears, it is necessary to consult a therapist and gynecologist.
Late diagnosis and delayed treatment can lead to the development of placental thrombosis, fetal hypoxia, increased risk of congenital, premature birth.
For adults and seniors
In an adult, orthostatic hypotension is usually observed after awakening, but then, with an increase in activity, the indicators return to normal.
However, there are times when a healthy person has a pressure of 100/70 mm Hg. lasts a long time. The reasons for this condition are:
- taking certain medications,
- poor food or strict diet;
- menstruation, donation, or slight blood loss due to trauma;
- insufficient night sleep;
- psychological shock.
Hypotension for the above reasons is considered normal and does not require treatment.
Low blood pressure in old age is considered normal if a person has not suffered from hypertension throughout his life. In the case of “habitual” high blood pressure, a drop in readings to the level of 100/70 can lead to a heart attack or fainting.
A growing organism is in constant development, and the norms of children’s blood pressure are somewhat different from those of adults.
Pressure 100 to 70 mm Hg. Art. in children from 2 to 9 years old is considered the norm. However, even at the age of 10–16 years, in the absence of complaints of well-being, this condition also does not need correction, since this period is characterized by growth and hormonal leaps.
Signs of hypotension:
- deterioration in concentration and memory;
- emotional instability;
- dizziness, tinnitus and darkening of the eyes;
- nausea, sometimes vomiting;
- numbness and coldness in the limbs;
- pallor of the skin.
90,029 drop in performance;
90,029 shortness of breath;
Separately, it is worth noting the meteorological dependence, which is also characteristic of hypotonic patients.
Reasons for the fall
In pregnant women
A drop in blood pressure during pregnancy occurs for a number of reasons:
- hormonal surges;
- complete restructuring of the work of all body systems;
- sedentary lifestyle;
- insufficient drinking, dehydration;
- diseases of the heart and blood vessels;
Ladies with lean build are more prone to hypotension during pregnancy.
In adults and the elderly
The reasons for hypotension in persons over 40-45 years old can be:
- harmful working conditions;
- poisoning by industrial chemicals;
- hypovitaminosis and lack of beneficial nutrients;
- period of adaptation to high physical activity;
- severe stress, nervous strain;
- craniocerebral and other injuries.
In addition, hypotension can accompany the following pathological conditions:
- diseases of the kidneys and adrenal glands;
- hypothyroidism or hyperthyroidism;
- diabetes mellitus;
- liver disease;
In older people, lowering blood pressure is usually associated with taking the wrong dose of drugs for hypertension. An inappropriate drug or overdose can cause the pressure to drop below the expected level.
Causes of a decrease in blood pressure at an early age:
- psychological instability, overexcitement;
- high loads at school, overvoltage;
- genetic predisposition;
- hormonal surges during puberty;
- chronic diseases of the upper respiratory tract;
- vitamin deficiency.
90,029 liver and kidney diseases;
It has been established that it is girls who are more susceptible to lowering blood pressure than boys.This is due to the characteristics of the growth and development of the female body.
If a slightly low blood pressure may not affect overall well-being, then a change in the nature of the heartbeat never goes unnoticed.
The heart rate at reduced pressure indicates a state of general well-being:
- 100-120 beats per minute at a tonometer readings of 100/70 indicate the appearance of tachycardia, which should compensate for the lack of oxygen supply to vital organs due to poor filling of blood vessels.This condition can be accompanied by dizziness, shortness of breath, chest pain. Usually, at this rate of heartbeat, a person clearly feels each beat.
- 90 beats per minute – the borderline value of the norm. An increase in heart rate up to 90 beats with reduced pressure signals possible anemia. It is necessary to take a blood test for iron and hemoglobin.
- A pulse of 80 beats per minute at a pressure of 100 to 70 is considered a normal variant if a person feels normal.A further increase in heart rate should cause concern. In order not to miss the development of cardiovascular pathology, consult a doctor.
- 70 beats per minute is the absolute norm for both normal and slightly reduced pressure.
- A pulse of 60-50 beats per minute indicates the inability of the cardiovascular system to fully supply tissues and organs with blood. A rare pulse at a pressure of 100/70 may indicate a light-headed state.
How to Deal with Problem
If the tonometer display shows 100/70, but the heart rate and general well-being are normal, nothing needs to be done.
If the regular drop in blood pressure has no apparent reason and is accompanied by weakness or dizziness, you can use simple techniques to raise it and improve your well-being.
And also read on our website what to do if your blood pressure is 100 to 40, 100 to 50, 100 to 60 and 100 to 100?
What to do to correct hypotension on your own:
- Tea made from juniper, rose hips, raspberries, currants strengthen the body and bring arterial tone back to normal.
- Strong coffee also successfully fights hypotension: one cup of the drink relieves weakness and drowsiness, gives energy. However, you shouldn’t consume more than 3 cups of coffee a day. Bananas, nuts, and dark chocolate have the same properties.
- In case of constant stress and high psycho-emotional stress, it is recommended to use sedatives based on medicinal herbs.
- A contrast shower will help tone the vessels in the morning.
- Regular sitting at the table for 8 hours a day provokes a breakdown and a decrease in pressure.A short walk in the fresh air during your lunch break will help you to cheer up.
- Lack of sleep at night also takes away energy and makes you unable to work. Scientists have found that for the normal functioning of the body, men need at least 7 hours of sleep, women – 9 hours.
- With reduced pressure, doctors advise to increase the amount of salt consumed to 9 g per day, while the norm is 6 g.
- Eating an adequate diet with balanced nutrients can help to cope with the problem of loss of energy and poor performance, while a messy diet of “empty” foods provokes hypotension.
- It is useful to periodically use vitamin complexes, as well as tonic preparations based on herbal ingredients: eleutherococcus, radiola, echinacea, ginseng.
- Celery root and strawberries will help pregnant women to normalize blood pressure.
In the fight against hypotension, it is important to ensure the supply of fresh air to the room. If this is not possible, you need to take short breaks every 1-2 hours and go outside or to an open window for a few minutes.
There are drugs that tone the walls of blood vessels, stimulate their contraction, thereby causing hypertension. It is strictly forbidden to take such medications without a doctor’s prescription!
If low blood pressure worries for a long time and is poorly corrected by the methods described above, you should consult a doctor. Hypotension may be a symptom of a serious medical condition. Treatment of the underlying pathology will lead to the normalization of blood pressure.
You can see the reasons for the drop in pressure in the video below:
Doctors consider moderately low hypotonia to be potentially less dangerous than hypertension. For many people, the pressure is 100/70 mm Hg. Art. is the norm and does not require correction. However, you cannot be negligent about your health and ignore the signals of the body. After all, hypotension can signal the presence of a serious pathology.
Cardiologist told when low pressure is life-threatening
Cardiologist told when low pressure is life-threatening
Cardiologist told when low pressure is life-threatening – RIA Novosti, 02.06.2021
A cardiologist said when low blood pressure is life-threatening
A sharp drop in blood pressure should be alarming if this happened for the first time, cardiologist Natalya Gavrilyuk told Channel Five.RIA Novosti, 02.06.2021
alexander myasnikov (doctor)
health – society
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MOSCOW, June 2 – RIA Novosti.A sharp drop in blood pressure should be alarming if this happened for the first time, said cardiologist Natalya Gavrilyuk in an interview with Channel Five. According to the physician, 90/60 millimeters of mercury is considered a conditionally dangerous pressure. For some people, such indicators are normal due to the characteristics of the autonomic nervous system. In particular, this applies to thin young girls. However, if blood pressure drops sharply for the first time, you need to go to the hospital as soon as possible. “Even in combination with cold sweat, chest pains, shortness of breath and tachycardia, maybe even loss of consciousness,” the cardiologist explained.Medical assistance is needed to rule out acute conditions: the doctor referred to them as heart attack, pulmonary embolism, life-threatening rhythm disturbances and stroke. Gavrilyuk noted that an overdose of drugs to reduce pressure also requires urgent hospitalization. This applies to those cases when a person suffering from hypertension, after a large amount of drugs, has uncharacteristic hypotension. This condition can be fatal. Earlier, the doctor and TV presenter Alexander Myasnikov warned against measuring blood pressure too often.For single races, he advised using Holter monitoring to find out the average pressure.
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society, alexander myasnikov (doctor), pressure, health – society
MOSCOW, June 2 – RIA Novosti. A sharp drop in blood pressure should be alarming if this happened for the first time, said cardiologist Natalya Gavrilyuk in an interview with Channel Five.
According to the physician, 90/60 millimeters of mercury is considered conditionally dangerous pressure. For some people, such indicators are normal due to the characteristics of the autonomic nervous system. In particular, this applies to young skinny girls.
However, if your blood pressure drops sharply for the first time, you need to go to the hospital as soon as possible.
“Also in combination with cold sweat, chest pains, shortness of breath and tachycardia, maybe even with loss of consciousness,” the cardiologist explained.
March 9, 13:37
A drink that lowers blood pressure has been named
Medical assistance is needed to exclude acute conditions: the doctor referred to them as heart attack, pulmonary embolism, life-threatening rhythm disturbances and stroke.
Gavrilyuk noted that an overdose of drugs to lower blood pressure also requires urgent hospitalization.This applies to those cases when a person suffering from hypertension, after a large amount of drugs, has uncharacteristic hypotension. This condition can be fatal.
“Medical hypotension is quite dangerous <...> Therefore, if a decrease in blood pressure is associated with an excess of antihypertensive drugs, in this case, we can also talk about emergency hospitalization,” the doctor summed up.
Earlier, the doctor and TV presenter Alexander Myasnikov warned against too frequent blood pressure measurements.For one-time races, he advised using Holter monitoring to find out the average blood pressure. February 16, 11:47 a.m.
Baku, August 27, AZERTAC
Chief obstetrician-gynecologist of the Ministry of Health Sevinj Mammadova answered questions regarding the course of coronavirus infection in pregnant women.AZERTAC provides readers with this interview.
– How can a pregnant woman protect herself and her fetus from COVID-19?
– Coronavirus is transmitted to humans through contact with an infected person or by airborne droplets. Basic hygiene practices are the main method of protecting pregnant women from coronavirus. It is especially necessary to wash your hands thoroughly with soap and water for at least 20 seconds. Do not touch your nose, mouth and eyes with unwashed hands. Cover your mouth and nose with a tissue (handkerchief) when you sneeze or cough.Use disposable tissue paper (tissue) and throw it away immediately after use. In the absence of a napkin (handkerchief), cough or sneeze into the crook of the elbow. It is also not recommended to leave the house unnecessarily. When leaving the house, you should wear a medical mask and avoid crowded places. As part of the rules, you should not approach other people closer than 1.5-2 meters, and you should also avoid contacts (hugging, shaking hands, kissing). Particular attention should be paid to sleep patterns and a healthy, balanced diet.
– What should nursing mothers pay special attention to?
– As a result of a local study conducted during the coronavirus epidemic, the transmission of COVID-19 through breast milk and breastfeeding was not detected. Therefore, mothers should not be afraid to breastfeed their babies. Before breastfeeding, they should wash their hands with soap and water, wear masks and gloves.
Respiratory hygiene should also be observed when breastfeeding.When your baby needs expressed milk in addition to normal breastfeeding, expressed breast milk should be given to the baby in a sterile bottle.
– Does COVID-19 Affect the Type of Labor?
– Natural methods or a caesarean section are selected depending on the current course of pregnancy, the state of health of the mother and child. If the general health of the mother and baby is good, vaginal delivery is preferred.Social isolation (postpartum isolation) should continue to be observed, during which visitors are not allowed to visit, which is extremely important for the health of the mother and child.
– Is there a risk of premature birth?
– There are sporadic reports of preterm birth in pregnant women with severe COVID-19. However, the exact cause that causes premature birth is difficult to say. As the baby develops in the womb, it increases the activity of the mother’s lungs, heart and circulation.Having a severe form of COVID-19 can worsen the condition and lead to respiratory problems.
While in this condition, women should be closely monitored in the hospital. Acute illnesses that cause high fever can be associated with preterm labor.
– What should pregnant women do if they suspect COVID-19?
– Testing is recommended for pregnant women with COVID-19 symptoms such as fever, cough, runny nose, headache and muscle pain.It is known that pregnant women are more likely to suffer from respiratory infections due to changes in the body and the immune system during pregnancy. Conditions such as diabetes, high blood pressure, and overweight cause a more serious course of COVID-19 in pregnant women. With a severe form of the disease, pregnant women, in comparison with non-pregnant women, have a great need for resuscitation measures.
For this reason, pregnant women have an average risk of contracting COVID-19.Pregnant women with symptoms are advised to be screened and, according to the results, apply adequate isolation.
There is no evidence that complications such as miscarriage and stillbirth are more common in women who have had coronavirus during pregnancy.
Several studies have shown an increased risk of preterm birth in pregnant women with COVID-19. Due to the risk of various complications during early (preterm) birth, these babies may need to stay in a neonatal intensive care unit.
Due to the coronavirus pandemic, pregnant women should not delay seeing their gynecologist. It will be helpful to continue routine antenatal check-ups, which are very important for the health of the mother and baby. During these monitoring activities during pregnancy, diseases such as diabetes or high blood pressure can be diagnosed and treated. Thus, the risk of serious complications in a pregnant woman with a possible COVID-19 disease is reduced. After taking the necessary measures to monitor pregnancy during the coronavirus epidemic, you must contact the nearest medical facility.
Women’s clinics, where pregnant women are registered, must submit documents on pregnancy to a special commission.
If pregnant women are registered in a private medical institution licensed to provide obstetric services, then documents about pregnant women must be submitted to the city polyclinic at the place of residence, entered into the protocol of this polyclinic and additional supporting documents must be submitted to a special commission.