Blood pressure 130 60 Let’s know
Blood pressure 130 60..The systolic blood pressure or (the high), is the pressure that the blood exerts on the walls of the vessels when the heart contracts.
The diastolic blood pressure or (the low), is the pressure that the blood exerts when the heart relaxes to re-fill with blood. The behavior of both figures usually varies with age.
blood pressure 130 60
It is known from the Framingham study that systolic blood pressure usually increases slowly between 50 and 59 years and very quickly afterwards, while diastolic blood pressure usually increases up to 50 years and from that age tends to decrease.
This causes that in the elderly patients the presence of isolated systolic hypertension (systolic blood pressure greater than 140 and a diastolic blood pressure lower than 90) is frequent, and that in patients older than 40 years it is common to find a diastolic hypertension. isolated (systolic blood pressure less than 140 and diastolic blood pressure greater than 90).
What is more serious, having the systolic (“high”) elevated or the diastolic (“low”)?
This is a frequent question that often worries the patients, the very elderly who often observe how their diastolic blood pressure decreases while the systolic blood pressure continues to increase, or to the very young where the most frequent form of presentation of high blood pressure It is usually with elevation of diastolic blood pressure in isolation.
It would be worse to have high systolic (high) blood pressure. From the first observational studies (Framingham) it was seen that systolic blood pressure is a better predictor of cardiovascular risk than diastolic blood pressure in subjects older than 55 years.
Having only high diastolic blood pressure (low) is usually common among young people (under 40 years) and although initially considered a benign disease that should not be treated, today we know that more than 80% of these patients end up developing also an elevation of the systolic blood pressure before 10 years and that it is necessary to treat.
In addition, a high diastolic blood pressure, especially in elderly people, both isolated and in accordance with systolic blood pressure, should make us suspect in the first place the possibility of hypertension secondary to other diseases such as renal artery stenosis, hyperaldosteronism, pheochromocytoma and also related to obesity or a OSAS (obstructive sleep apnea syndrome).
What is the pulse pressure?
Pulse pressure is defined as the difference between systolic blood pressure and diastolic blood pressure, expressed in mm Hg and considered an indicator of arterial compliance.
We know (Framingham) that pulse pressure increases with age, both in men and women, in parallel with the increase in systolic blood pressure, especially in the population over 60 years of age, and the parallel decrease in blood pressure diastolic that causes arterial stiffness.
Is it dangerous to have arterial tensions too close together or too far apart?
In patients older than 55 years, having widely separated tensions is associated with increased cardiovascular mortality.
With age there are changes in the evolution of systolic and diastolic blood pressure in such a way that, the systolic component of blood pressure increases slowly between 50 and 59 years and very quickly thereafter, while the diastolic component increases until 50 years and subsequently tends to decrease.
With age there is a gradual and slow increase in systolic blood pressure and pulse pressure.
Although it is currently not possible to define the normal pulse pressure, different population studies have shown that a pulse pressure greater than 65 mm Hg is associated with increased cardiovascular morbidity and mortality, constituting an independent marker of cardiovascular risk.
What blood pressure should the elderly have?
Summing up a lot, the latest guidelines issued, in force since 2013, establish that all hypertensive patients must have a systolic blood pressure below 140 mmHg, with two exceptions:
Patients with renal involvement and proteinuria, in which they must be more strict and keep below 130 mmHg
Elderly patients, older than 80 years, in whom the objective is somewhat looser, with a systolic blood pressure target lower than 150 mmHg.
It must be said that some recent studies seem to be stricter in this aspect and it is possible that these parameters vary with the appearance of the new guidelines.
Video in which Dr. Nicolás Ortega explains to Juan Madrid, what is the difference between systolic and diastolic blood pressure?
Blood pressure is the force exerted by blood on the walls of blood vessels and their levels vary depending on the sex, age and health status of the person. The point is that if it is not controlled and its levels are above normal, it can cause serious health problems, damaging the heart and / or other important organs.
Because of this it is very important to control blood pressure periodically to prevent certain problems before it is too late. Especially as age advances, since as time passes the blood vessels are losing their elasticity. Whereupon, values that are considered normal often also depend on the age of the person. Here you will find what is the normal blood pressure by ages.
Normal blood pressure by age
However, although it is more frequent at more advanced ages, hypertension is something that can also affect at an early age. In fact, every year more children are diagnosed with this problem. Weight, body mass index, physical or emotional stress, excess salt in the diet, smoking, an unbalanced diet, excessive consumption of caffeine, birth control pills, nicotine, family history, Genetic predisposition, pregnancy, menopause and overweight or obesity may be some of the factors that influence blood pressure levels.
Normal blood pressure in children
In children, blood pressure is lower than in adults. A child has high blood pressure when the systolic blood pressure is equal to or greater than 140 mmHg and the diastolic pressure exceeds 90 mmHg. The most important cause of hypertension in children is usually excess weight, but also kidney diseases or hormonal disorders. It is very important to control it to avoid complications, plan a healthy and balanced diet and take medications prescribed by the doctor if necessary.
Normal blood pressure in adults
Normal blood pressure for an average adult is 115/75. And it is elevated if it is equal to or greater than 140/90 mmHg. However, it must be controlled if it also goes beyond normal, since in this section is considered prehypertension and the problem could be aggravated, risking a stroke, heart failure, heart attack, kidney disease or even premature death.
Blood pressure in the elderly
Normal blood pressure in the elderly In old age blood pressure is generally somewhat higher than in previous stages, as blood vessels lose elasticity.
This does not mean that hypertension is safe at this age. It should never be elevated in the elderly, so from a certain level and in case there are other risk factors such as cardiovascular diseases, it is very important to take the necessary measures to reduce it. In the case of resting pulse, it should not be higher than 85 beats per minute. And when it comes to pressure, it should not go over 150/90 mmHg.