What is more important the top or bottom number in blood pressure?
Q. When I am monitoring my blood pressure, which number is most important — top, bottom, or both? A. While both numbers in a blood pressure reading are essential for diagnosing and treating high blood pressure, doctors primarily focus on the top number, also known as systolic pressure.
In this review we compare the relative importance of various blood pressure components. Recent findings: Generally, in studies in which readings of systolic and diastolic blood pressure have been compared, systolic blood pressure has been a better predictor of risk.
Over time, isolated diastolic hypotension can cause heart failure. In fact, it may be one of the most common causes of heart failure. Pay attention to your diastolic number when you have your blood pressure checked. If your lower number is 60 or below, ask a healthcare professional about it.
Blood pressure has a daily pattern. Usually, blood pressure starts to rise a few hours before a person wakes up. It continues to rise during the day, peaking in midday. Blood pressure typically drops in the late afternoon and evening.
Your first blood pressure reading will almost always be higher than the second due to a wide range of factors, both environmental and psychological. These factors include white coat syndrome, stress, and having a full bladder.
Call 911 or emergency medical services if your blood pressure is 180/120 mm Hg or greater and you have chest pain, shortness of breath, or symptoms of stroke. Stroke symptoms include numbness or tingling, trouble speaking, or changes in vision.
The top number is more important because it gives a better idea of your risk of having a stroke or heart attack. Having a raised systolic blood pressure but normal or low diastolic blood pressure is called Isolated Systolic Hypertension (ISH).
A blood pressure measurement over 180/120 mm Hg is called a hypertensive emergency or crisis. Seek emergency medical help for anyone with these blood pressure numbers.
If your systolic blood pressure is higher than 130 but your diastolic blood pressure is under 80, that's called isolated systolic hypertension. It's the most common kind of high blood pressure in older people.
Normal blood pressure for most adults is defined as a systolic pressure of less than 120 and a diastolic pressure of less than 80.
Which arm do you use for blood pressure?
(It's best to take your blood pressure from your left arm if you are right-handed. However, you can use the other arm if you have been told to do so by your healthcare provider.) Rest in a chair next to a table for 5 to 10 minutes. (Your left arm should rest comfortably at heart level.)
The new guidelines change nothing if you're younger than 60. But if you're 60 or older, the target has moved up: Your goal is to keep your blood pressure at 150/90 or lower. If you have kidney disease or diabetes, your target used to be 130/80 or lower; now it's 140/90 or lower.
But home blood pressure monitors aren't always as accurate as they should be. "Home blood pressure monitors may be inaccurate in 5% to 15% of patients, depending on the threshold for accuracy used," according to Dr.
New Blood Pressure Standards for Seniors
The ideal blood pressure for seniors is now considered 120/80 (systolic/diastolic), which is the same for younger adults. The high blood pressure range for seniors starts at hypertension stage 1, spanning between 130-139/80-89.
Acute meal ingestion, caffeine or nicotine use can all negatively affect BP readings, leading to errors in measurement accuracy. If the patient has a full bladder, that can lead to an error in systolic BP of between 4 mm Hg and 33 mm Hg, compared with the white-coat effect can have an error of up to 26 mm Hg.
Everyone's blood pressure rises and falls many times during the course of a single day, sometimes even within minutes. Many factors contribute to these changes, including physical activity, emotion, body position, diet (especially salt and alcohol intake), and sleep deprivation.
ELDERLY BLOOD PRESSURE RANGES
Recently, the American Heart Association (AHA) updated their guidance to indicate that people age 65 and older should ideally have a blood pressure reading lower than 130/80 mm Hg (millimeters of mercury).
Blood pressure of 140/90 or higher can damage blood vessels (arteries) that supply blood to the brain. Heart disease. Heart disease is the second most important risk factor for stroke, and the major cause of death among survivors of stroke.
Normal pressure is 120/80 or lower. Your blood pressure is considered high (stage 1) if it reads 130/80. Stage 2 high blood pressure is 140/90 or higher. If you get a blood pressure reading of 180/110 or higher more than once, seek medical treatment right away.
Most studies show a greater risk of cardiovascular disease (especially strokes) related to high systolic pressure as opposed to elevated diastolic pressure.
What are the three most important in measuring blood pressure?
A sphygmomanometer has three parts: a cuff that can be inflated with air, a pressure meter (manometer) for measuring air pressure in the cuff, and. a stethoscope for listening to the sound the blood makes as it flows through the brachial artery (the major artery found in your upper arm).
Normal: Less than 120/80. Elevated: Systolic between 120-129 and diastolic less than 80. Stage 1 hypertension: Systolic between 130-139 or diastolic between 80-89.
Call 911 or emergency medical services if your blood pressure is 180/120 mm Hg or greater and you have chest pain, shortness of breath, or symptoms of stroke. Stroke symptoms include numbness or tingling, trouble speaking, or changes in vision.
Why the Bottom Number on Your Blood Pressure Reading Is Important, Too. Researchers say the top and bottom number are important in blood pressure readings. Both the systolic and diastolic are indicators when it comes to the risk of heart attack and stroke.
Check for accuracy
“If the systolic blood pressure (the top number) on your cuff is within 10 points of the monitor, then it's generally accurate,” he says. Most home blood pressure machines last for about two or three years. After that, check it at your doctor's office annually to make sure it's still accurate.