When I went to my family doctor the other day, he said that he was more concerned in the diastolic number rather than the systolic number. But when I went to my cardiologist he said that in my case he was more concerned in the systolic rather than the diastolic. Which doctor is right?
Iif I remember correctly people are saying to look at the bottom # more then the top. I will try to google it.....
here I found something
Which Is More Important: Systolic Hypertension or Diastolic Hypertension?
from Medscape Cardiology
J. Willis Hurst, MD
Until recently, physicians assumed that diastolic hypertension was more serious than systolic hypertension. I have been receptive to the changing view because one of my thinking colleagues pointed out to me some 30 years ago that elevated systolic blood pressure would seem to play more of a role in the development of left ventricular hypertrophy and stroke than high diastolic blood pressure. Now there is considerable evidence to support the concept that systolic hypertension is a good predictor of future cardiovascular disease.
In a recent issue of Archives of Internal Medicine, Benetos and colleagues reported that the control of systolic blood pressure was more important than the control of diastolic blood pressure in hypertensive men. They further stated that diastolic blood pressure was of little value in predicting future cardiovascular risk.
In an editorial in the same issue, Prakash Deedwania supported this viewpoint, but called for the development of better drugs to control the elevation of systolic blood pressure and an extensive educational program devoted to this shift of emphasis.
J. Willis Hurst, MD, Consultant of the Division of Cardiology, Emory University School of Medicine; Former Professor and Chairman, Department of Medicine 1957-1986
the bottom # is the most important..unless ur top # is way to high,,than that would be a concern..or if you have hypotension then the systolic would be dropping at 20 points just standing would be enough to pass out......good luck my friend......james
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.