Which Blood Pressure Reading is More Important For Older Adults Systolic or Dias? (Doctor Explains) скачать в хорошем качестве

Which Blood Pressure Reading is More Important For Older Adults Systolic or Dias? (Doctor Explains)

Join Our NewLetter: https://www.seniorhealthlifedaily.vip... Which Blood Pressure Reading is More Important For Older Adults Systolic or Dias? (Doctor Explains) You stare at the monitor. The top number is 150, but the bottom number is perfect at 70. Your doctor says you have hypertension, but you feel fine. For years, medicine focused heavily on the bottom number (Diastolic). But once you cross the age of 50, the rules of the game change completely. In this video, we explain why Systolic Hypertension (a high top number) becomes the single most important predictor of stroke and heart attack in seniors, even if your bottom number is normal. We reveal the phenomenon of "Isolated Systolic Hypertension"—a condition caused by stiff, aging arteries that can no longer expand to handle the heart's pump. We also issue a critical warning about the "Diastolic Danger Zone." We explain why driving your bottom number too low (below 60) can actually starve your heart muscle of oxygen, leading to silent damage. Learn how to balance the two numbers to protect your brain without risking your heart. (Video Notes) 1. The Shift at Age 50 Young Adults: In people under 50, high Diastolic pressure (the bottom number) is the main worry. It signals narrow vessels. Seniors: In people over 60, Diastolic pressure naturally starts to drop, while Systolic pressure rises. The Verdict: For seniors, Systolic (Top Number) is the gold standard for risk assessment. 2. Isolated Systolic Hypertension (ISH) This is the most common form of high blood pressure in the elderly. The Condition: High Top Number (130) + Normal/Low Bottom Number (80). The Cause: Arterial Stiffness. Imagine blowing air into a steel pipe versus a balloon. The steel pipe (stiff artery) shoots the pressure up instantly. The balloon (elastic artery) absorbs it. The Risk: This high pressure wave hammers the kidneys and the brain, increasing stroke risk significantly. 3. The Danger of Low Diastolic The Mechanism: Your heart muscle only receives its own blood supply when it is relaxing (Diastole). The Threshold: If your Diastolic pressure drops below 60 mmHg, there isn't enough pressure to push blood into the coronary arteries. The Dilemma: Aggressive medication to fix the 160 (top) might drop the 70 (bottom) down to 50. This is the "J-Curve" risk. 4. Pulse Pressure (The Silent Marker) The Math: Systolic minus Diastolic. Normal: 40 mmHg (e.g., 120 - 80). High Risk: Anything over 60 mmHg. The Meaning: A wide pulse pressure means your aorta has turned into a rigid tube. It is a strong independent predictor of heart failure. 5. Treatment Strategy The Goal: Geriatricians often accept a slightly higher Systolic (135-140) to keep the Diastolic safe (above 60). The Method: Using calcium channel blockers or diuretics is often preferred over beta-blockers for this specific type of stiffness. Medical Disclaimer: The content provided in this video and description is for informational and educational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Medication Warning: Treating Isolated Systolic Hypertension is tricky. Increasing medication to lower the top number can cause the bottom number to crash, leading to dizziness and falls. Any dosage changes must be monitored closely by your doctor to prevent Orthostatic Hypotension (fainting when standing).