A big difference in systolic and diastolic pressure

Pulse is the rhythmic oscillation of the vascular walls that occur during a moment of compression of the heart. PD and blood pressure are not indirectly linked, but directly.

Blood pressure consists of two values:

  • Systolic pressure (SBP) denotes the maximum level of blood pressure on the walls of blood vessels at the moment of heart beat;
  • Diastolic pressure (DBP) is considered the total state of vascular pressure in the intervals between heart beats.

It is not difficult to learn pulse parameters: you need to subtract the lower one from the upper indicator. That is, we take the >

Important! The difference between the upper and lower pressure is normally 30-50 units. According to other sources, the norm will be 30-40 units.

The PD indicator may be the reason for the preliminary medical prognosis, the analysis of the patient’s CVS as a whole. Sometimes PD is a symptom of some chronic ailments.

There are concepts of a temporary change in PD, and there are persistent values ​​of this indicator. In the first case, we are not talking about diseases and disorders, it is just a reaction of the body to certain irritants.

Factors causing a temporary change in PD:

  1. Hypothermia;
  2. Severe stress;
  3. Physical fatigue

These phenomena always affect blood pressure. The body under such conditions is forced to save energy, slowing down all metabolic processes for this.

Often you just need to warm yourself, sleep, relax, so that all values ​​return to normal.

Systolic pressure is high and low diastolic pressure is a typical sign of hyperthyroidism. This disease develops in connection with an excess of hormones that are produced by the thyroid gland and not only. It is important that antihypertensive therapy in the case of endocrine pathology works poorly. The root cause must be treated.

By determining the level of pathology, hyperteriosis is divided into:

  • Primary – an organ that dysfunction – the thyroid gland;
  • Secondary – an organ with pathological changes – the pituitary gland;
  • Tertiary – defects are noted in the hypothalamus.

Thyroid hormones produced in increased quantities increase the oxygen demand of tissues. Thus, heat generation and energy metabolism are increased. Sensitivity to catecholamines, sympathetic stimulation, is also growing. The rapid breakdown of cortisol under the influence of thyroid hormones leads to the clinical picture of hypocorticism – adrenal insufficiency.

The cardiovascular effects of this disease are as follows: heart rate is growing, persistent tachycardia is noted, and other arrhythmic reactions can be observed due to stimulation of myocardial excitability. There is a high tendency to increase CA. Blood pressure with normal or reduced diastolic pressure – that is, there is a large PD

Treatment of the disease consists in taking thyrostatic medications that suppress the secretory activity of the thyroid gland. It is very important to limit the consumption of pathogen products for the central nervous system and CCC – and this is strong coffee and tea, chocolate, spices and spices.

During menopause, the female body undergoes global changes. Most of the systems are being rebuilt, not only the somatic, but also the psyche of women is changing. In some patients, this goes quite smoothly, without major shocks, health problems, with preserved psycho-emotional stability. Others call this period the most difficult in life, because the body becomes, as it seems to a woman, an uncontrolled system.

Pressure surges are one of the possible pathological conditions that first appear precisely during menopause.

Scientists have found that causes fluctuations in blood pressure during this period:

  1. A significant reduction in the amount of sex hormones is a factor disarming before hypertension. Imagine that you went out into the cold and wind in a good down jacket, warm hat and felt boots. The risk of catching a cold with such protection is very low. Now imagine that you are wearing only a light tracksuit. It may, of course, and carry, but the risks have increased. And sex hormones, estrogen and progesterone, have for many years been serious protection against cardiovascular disorders. They, in particular, were responsible for protecting the walls of blood vessels from damage. They stimulated normal heart contraction. When their production decreases, this affects the work of the CCC.
  2. The water-salt balance is also disturbed. When the hormonal level changed, it became difficult for the body to retain fluid in the intercellular structures. This leads to the fact that sodium ions do not leave the cells. And this is fraught with the formation of an excessively large volume of fluid, which cannot but affect the functioning of the heart and blood vessels.
  3. Sleep problems, emotional instability. Menopause is often associated with mood changes, significant and often painful for the woman herself. You can become more sensitive, quick-tempered, even the slightest irritant can lead to difficult to control reactions. Frequent companions of this period are fatigue and insomnia. Something similar is observed at the beginning of pregnancy: but for gestation a high level of sex hormones is characteristic, and for menopause it is low.
  4. Violations of the tone of the vascular wall. The walls of blood vessels quickly lose their elasticity as soon as the level of sex hormones drops. This leads to a risk of damage to the inner shell. All this threatens the formation of plaques and blood clots, which pose a threat to health.
  5. Improperly selected hormone therapy. Often the destination is incorrect, sometimes it is a banal self-medication. The result of such therapy may differ radically from the expected. If you try to correct the symptoms of menopause with improper medications, this is fraught with irregular blood pressure, high pulse difference, blood clotting, thrombosis, etc.
  6. Weight gain. Age, malaise, decreased physical activity, unwillingness to adjust their diet is fraught with weight gain. This also affects pressure indicators.

Every woman should enlist the help of a specialist in this crisis period. Only a doctor can determine whether high pulse pressure is persistent, find the causes and treatment. The doctor will draw up a diagram that a woman needs to adhere to, so that this period passes for her with minimal loss.

Most often, the scheme involves changing the diet, maintaining normal physical activity, correcting the water-salt balance, etc.

The upper pressure is high, the lower is also high – this may look like a patient’s complaint with overwork. The upper pressure is high, and the lower low – and such indicators can be recorded in the patient with suspicion of overwork. What is overfatigue, and why can it affect all blood pressure indicators, including the pulse difference?

The causes of overwork are numerous:

  • Constant intellectual stress at work – it affects workaholics and perfectionists, in Japan, for example, deaths were recorded right at work due to critical overwork;
  • Illiterate nutrition, lack of valuable vitamins and minerals;
  • Poor rest, when the body simply does not have enough time to recover from exhausting work;
  • Severe stress;
  • Serious physical activity, excessive for physical training of a particular person;
  • Taking medications that provoke fatigue – including colds, and antitussive drugs, antihistamines, as well as medications that affect the central nervous system.

Long-term illnesses also lead to overwork – from depression to heart failure, obesity, a long-lasting ARVI, and oncology (the list goes on and on).

The symptoms of fatigue include: sleep failures, pallor of the skin and bruises under the eyes, nausea and vomiting that occur for no reason, headache with redness of the eyes, emotional instability, pressure spikes, heartaches, and appetite problems.

Increase Blood pressure in different variations during overwork is associated with physical and mental stress. A patient who is in a state of prolonged overstrain cannot organize the necessary rest for his body. His cerebral circulation inevitably changes, the vessels narrow, headaches appear, and pressure rises.

It is known what the difference between the lower and upper pressure is optimal – it is 40 units, but the range of acceptable values ​​can be expanded to 30-50 units. All violations, discrepancies with the normal scale, whatever they are caused by, need to be corrected.

If you went to the doctor, and overwork is a stated diagnosis, do not be prejudiced. Unfortunately, this ignoring of a real problem happens often. And overwork becomes a prelude to really serious, sometimes irreversible consequences.

Stage of overworkEvidenceHow to treat
1 stageShe is characterized by sleep disturbances, unpreparedness for serious loads. Fatigue literally puts pressure on a person, but you can’t fall asleep at the same time. After sleep, the patient feels overwhelmed, his pressure rises (often the pulse difference is higher than normal), lack of appetite, working capacity at zero.Limitation of mental and physical stress, good rest for at least 2 weeks. Setting sleep and rest, balanced, fortified food on schedule. Daily walks, massage, physiotherapy.
2 stageGeneral malaise, weight loss, metabolic decline due to lack of blood sugar. Pain arises in the limbs, pressure jumps, the person is lethargic and drowsy.The same as for stage 1, plus spa treatment, rehabilitation for about a month.
3 stageThe activity of many organs is disrupted, the consequences are predicted severe. Excitement and neurasthenia, drowsiness during the day and exhausting insomnia at night are noted. Blood pressure decreases. Life rhythm is completely broken.Hospitalization until all major symptoms disappear. Full rest for at least 2-3 weeks. The full recovery period takes about 4 months.

Everything is very serious in order to plan a vacation “for later”. At the slightest sign of overwork, consult a specialist.

If you do not respond to pathological indicators of PD, the consequences can be sad.

Without treatment, the prognosis is as follows:

  • Low pulse difference. Atrophic changes in brain structures, inflammation of the heart muscle, paralysis of respiratory function, serious impairment in the work of visual and auditory analyzers. Noticeable declines in memory and intelligence.
  • High pulse difference. Development or progression of hypertension, cerebral abnormalities, stroke, impaired coordination, Alzheimer’s disease, cardiac ischemia, chronic renal failure, lesions of all target organs of hypertension.

Concept and deviations

When a person goes to the doctor for some reason, they measure the pressure:

  1. Top. Thanks to this indicator, you can find out how much power the heart uses to push blood into the vessels. It is called systolic.
  2. Lower. It can be determined when the heart muscle relaxes. This indicates how vascular walls can resist blood flow. It is called diastolic.

The best indicator is a difference of forty units. But such a picture is rare. Doctors allow deviations upward or downward by ten units.

It is very harmful for the state of the body if the deviation is significant, as this usually occurs during an attack of stroke and heart attack.

If the pulse difference is significantly increased, this indicates a decrease in heart activity. The patient is diagnosed with bradycardia. In severe cases, the results do not correspond to the norm of 50 mm. Hg. Art.

Why arises and what leads

The big difference between systolic and diastolic pressure has its own characteristics.

This problem is caused by age-related changes in the human body, therefore it is called elderly hypertension. The pathological difference is associated with such processes:

  1. The muscle layer of large vessels is destroyed and thinned. It is this layer that determines the elasticity of the vessels, due to which they can change the diameter to control blood pressure.
  2. Atherosclerotic changes in the vessels appear. Cholesterol, calcium salts, thrombolytic masses begin to cover the inner shell of the arteries, which contributes to the appearance of atherosclerotic plaques. This increases the density of blood vessels, they cannot contract normally and do not respond to fluctuations in blood pressure.
  3. Pathologies of the kidneys develop, which deplete their reserves. Under the influence of the kidneys, pressure is regulated. In the elderly, their functions are impaired, and this process cannot be avoided.
  4. The specific receptors present in the heart and blood vessels are destroyed. They control the response of blood vessels to fluctuations in systolic pressure. In the normal state, receptors must capture and balance the increase.
  5. The flow of blood to the brain tissue and brain centers that control vascular tone is deteriorating.

These changes occur when a person is over 60 years old. That is why the pressure difference between the left and right hand is detected in the elderly.

How to resist stress?

A small gap between the two meanings can be explained by significant psychoemotional stress. Under stress, changes in the functioning of the CCC are inevitable. If you experience it for a short time, there is no danger. But chronic stress is a serious risk.

It is worth a little talk about the pathogenetic patterns of stress. The very stressful situation (or stressor) of the GM cortex is assessed as a threat. Excitation along the neural circuit goes to the hypothalamus and pituitary gland. In response, pituitary cells synthesize adrenocorticotropic hormone. It, in turn, stimulates the adrenal cortex.

But it is one thing when hormones are briefly present in the blood, and quite another if the body is under their influence for a long time and often. It may be sensitive to these hormones, they can be produced in excess, and this is already fraught with somatic pathologies.

Our emotions lead to the activation of the autonomic NS, its sympathetic department. This is an important natural mechanism, the task of which is to make the body as sturdy as possible for a certain short period.

That is, for example, if you are in danger and need to run, the reaction of the nervous system, hormonal release make us faster, stronger. Many people cannot even believe that in a stressful state they quickly covered a certain distance or were able to do something that required serious physical effort.

But if you stimulate the autonomic NS for a long time, it will cause a vascular spasm, a malfunction in the organs suffering from a lack of blood circulation.

If it is proved that the small difference between the upper and lower pressure is caused precisely by stress, you need to determine its strength, frequency, and real threat. It is impossible to live in chronic stress, it is fraught with dangerous somatic complications.

What are the negative effects of stress:

  • Nervous system. Its long-term stimulation is fraught with overfatigue of the system: like other structures, it cannot afford to work for a long time in such intensity. This is a direct path to serious disruptions. Signs of overwork are expressed in unusual drowsiness, indifference, depressive thoughts, increased craving for sweets. Serious headaches, enuresis, even stuttering, etc. can occur.
  • The immune system. The level of glucocorticoid hormones that inhibit immunity is increasing. The susceptibility to various infections is seriously increased: the production of antibodies decreases, the activity of immune cells changes, and the natural immune defense against the occurrence of malignant cells decreases (that is, cancer risks increase).
  • Endocrine profile. Stress affects the activity of absolutely all hormonal glands. It affects the synthesis of hormones in both directions: and reduces and increases. So the stressor can cause a violation of menstrual failure, deactivation of testosterone synthesis, with a slowdown in growth, a malfunction of the pancreas, etc.
  • Digestive system. Failure of the functions of the autonomic division of the NS provokes spasms and a failure of blood flow in some sections of the gastrointestinal tract. In humans, this is manifested by a feeling of a foreign body in the throat (as they say “nervous lump”), problems with swallowing, pain in the intestines and stomach (also spastic in nature).
  • Musculoskeletal system. In this regard, long stress is fraught with muscle spasm, insufficient blood supply to the organs of the system.
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Finally, the cardiovascular system – adrenaline and cortisol, released into the bloodstream, narrow the vascular lumen and change heart rate. And this leads to an increase in blood pressure. The more often such stress occurs, the longer it lasts, the greater the likelihood of developing hypertension.

And if hypertension is already present, the greater the risks of its rapid progression, as well as cardiovascular catastrophes. Due to the acceleration of the heartbeat, the risk of arrhythmia, tachycardia also increases. The threat of accelerated thrombosis also grows, as the number of platelets in the biological fluid increases.

Finally, the permeability of lymph and blood vessels increases, their tone decreases. So, metabolic products, as well as toxins, are collected in the intercellular structures. This leads to an increase in swelling of the tissues. Vascular cells lack oxygen and nutrition. As you can see, the danger of stress, prolonged and / or frequent, is very great, and a low pulse difference can be one of the somatic expressions of the body’s response to stress.

Psychologists identify three common reactions to stress.

  • Rabbit. As you might guess, this is a passive response. In this case, the stress factor itself deprives a person of the ability to think soundly and logically. He simply hides from problems, since he does not have his own resources to solve them.
  • A lion. In this case, stress activates all body reserves, but for a short time. A man makes a jerk towards a problem. But this strategy is far from ideal – actions are often rash, they have a lot of emotions and little logic. And if the situation is not quickly resolved, then the forces are exhausted, weakness, apathy, and anxiety are spreading.
  • Ox. This reaction implies that a person with maximum rationality uses his mental and mental resources, so he can continue his normal life, not allowing the stressor to knock himself down. From the point of view of neurophysiology, this strategy is the most competent.

Any cardiologist, mentioning the risks associated with cardiovascular disease, always mentions stress.

If we talk about excessive physical fatigue, it definitely affects cardiac function. At the same time, both elevated PD and lowered PD can be noted. Both deviations may indicate hidden pathologies: this means the patient needs to be examined.

The pathological causes of low PD include:

  1. Malfunctions in the renal blood supply;
  2. Hormonal dysfunction;
  3. Heart failure (different in manifestations);
  4. Internal bleeding;
  5. Severe external blood loss;
  6. Avitaminosis.

But the initial data are also important. For example, if a patient has a SAR, the pressure rises to 160 units, and a small PD is noted, this means that the heart is currently experiencing tremendous stress. For hypertensive patients, low PD may be a marker of an imminent hypertensive crisis.

Doctors also believe that low PD threatens hypertension with the development of acute myocardial infarction or GM stroke.

If the arterial pressure is normal, but the diastolic pressure is elevated, due to which low PD is fixed, you need to urgently reconsider your lifestyle. Smoking and alcohol abuse quite quickly adjust these indicators to the side of deterioration. Caffeinated drinks with low PDs also have to be severely limited. A person with similar indicators needs a balanced diet.

How does it feel?

In most cases, this pathology proceeds in a latent form. For many patients, this condition does not bother. But a certain percentage of patients complain of deterioration of health:

  • lays and makes noise in the ears;
  • headache and dizziness, heaviness in temples;
  • coordination of movements is disturbed, the gait becomes shaky and uncertain;
  • the ability to remember deteriorates, the patient becomes emotionally unstable;
  • the rhythm of contractions is broken and pain in the heart appears.

This type of hypertension is characterized by a mild and stable course. But under the influence of certain factors, blood circulation may be disturbed and hypertensive crises may appear. Deterioration of health is associated with:

  • diabetes mellitus;
  • overweight;
  • low motor activity;
  • chronic renal failure;
  • history of heart attack or stroke.

Such people should pay more attention to their condition.

Diagnostic measures

The difference in pressure between the upper and lower is determined quite simply. To identify the problem, blood pressure is measured, daily monitoring is prescribed using a special tonometer. To get more information about the state of the patient’s body, they resort to other procedures:

  • clinical examination of urine and blood;
  • glucose analysis;
  • a coagulogram for determining the ability of blood to coagulate;
  • an electrocardiogram for assessing the electrical activity of the heart;
  • ultrasound of the heart.

It is also determined how much cholesterol is in the blood, and in what state the vessels of the brain are. After obtaining the results of diagnostic procedures, the possible consequences of constantly increased pressure, the features of the course of the disease and the presence of concomitant pathologies are determined.


Therapy is to eliminate the underlying disease.

Atherosclerosis MedicationSurgical methods
Statins (Rosuvastatin, Lovastatin), fibrates (Clofibrate, Fenofibrate) – to lower blood cholesterolLaser Angioplasty
Unsaturated fatty acids (lipoic acid, Linetol) – accelerate the elimination of harmful fats from the bodyStenting of a vessel narrowed with a plaque (installation of a special stent that dilates the vessel)
Endotheliotropic drugs (Policosanol, Vitamin C, Vitamin E) – nourish the inner layer of the walls of blood vessels and prevent the deposition of atherosclerotic plaquesEndarterectomy (removal of the area of ​​the inner layer of the artery, which accumulated a lot of cholesterol)
Bypass surgery – if the vessel is completely blocked, create a workaround for blood flow

With aneurysms, surgical treatment is predominantly used.

With constrictive pericarditis, surgery is also necessary – pericardectomy. Full recovery occurs in 60% of cases.

When it is changed to artificial, which will last from 8 to 25 years, depending on the variety.

20 mg rosuvastatin tablets – a drug from the group of statins

Severe arrhythmias are stopped by strong antiarrhythmic drugs or with the help of a cardioverter defibrillator. For the prevention of a second attack, the installation of a pacemaker is possible.

In chronic inflammatory diseases of the kidneys, antibacterial and anti-inflammatory drugs, anticoagulants, physiotherapy are prescribed.

With adrenal tumors, both medication (antitumor agents) and surgical treatment are possible.

Chronic insufficiency of the left ventricle provides for symptomatic drug therapy – reception:

  1. ACE inhibitors to lower lower blood pressure.
  2. Glycosides to improve the functioning of the muscle layer of the left ventricle.
  3. Nitrate for vasodilation and better myocardial oxygen supply.
  4. Diuretics to eliminate edema.

An operation to eliminate the cause that provokes chronic left ventricular failure is also possible.

In acute as emergency care, antispasmodics, diuretics, ganglion blockers, glycosides are indicated.

The treatment of a heart attack depends on its form and the symptoms present. In most cases, it is necessary to use thrombolytics, anticoagulants, antiplatelet agents – drugs that thin the blood and prevent the formation of blood clots, as well as oxygen inhalations. With severe pain, narcotic and non-narcotic painkillers, antipsychotics can be used. If a heart attack is accompanied by arrhythmia, antiarrhythmic drugs are administered or defibrillation is performed.

Also, an operation, for example, may be necessary to restore normal blood circulation during a heart attack.

Therapeutic therapy depends on the cause of the appearance of changes in pressure indicators and always starts with diagnostic procedures.

Low blood pressure can be increased by massage, physiotherapy, food, changing the regime of the day. It is necessary to take at least 7 hours of night sleep, do exercises every morning, take a contrast shower, take more walks on the street, and prevent any diseases from becoming chronic.

Changing the diet will help reduce high indicators, eliminating bad habits, abandoning salt, avoiding stressful, conflict situations, do not allow excessive physical exertion.

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Detonic for pressure normalization

The complex effect of plant components of the drug Detonic on the walls of blood vessels and the autonomic nervous system contribute to a rapid decrease in blood pressure. In addition, this drug prevents the development of atherosclerosis, thanks to the unique components that are involved in the synthesis of lecithin, an amino acid that regulates cholesterol metabolism and prevents the formation of atherosclerotic plaques.

Detonic not addictive and withdrawal syndrome, since all components of the product are natural.
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Folk remedies

There are many proven and effective formulations that can be taken with high blood pressure:

  • You can make a decoction of lingonberry or birch buds, which removes fluid and stagnant bile. Leaves of dry herbs lingonberries insist for 2 hours, pour boiling water. The finished broth is filtered and drunk three times a day.
  • Rowan fruits contain many trace elements that restore the work of the whole organism. They can be consumed fresh or make a decoction. Dry fruits are poured with boiling water, left to infuse for an hour and filtered.
  • Infusion and decoction of valerian root calms the nervous system, reduces pressure, restores the heart. Dry roots are poured with boiling water for 1,5 hours.
  • Motherwort helps to quickly reduce pressure. Tincture can be bought ready-made or made independently. Dry grass is poured with alcohol and moved to a dark place for 10-12 days.

Low pressure can also be raised with traditional medicine:

  • Coffee without milk increases vascular tone.
  • Helps tincture of Eleutherococcus or ginseng. The recommended dosage is 25 drops three times in knocking. The duration of treatment is up to one month.
  • The tincture of lemongrass normalizes the pressure. You need to drink it 25 drops up to three times a day.

All traditional medicine formulations are safe and rarely cause side effects. They can be combined with taking essential drugs.


In order to even out the pressure limits and return the pulse to normal, several groups of drugs are prescribed.

To lower the pressure, the following drugs can be prescribed:

  • Captopril, Enap, Ramipril, Cozaar. Medicines expand the lumen of blood vessels, improve blood flow, and the condition quickly recovers.
  • Diuretics: Furosemide, Hypothiazide, Indapamide will help lower the volume of circulating blood. They contribute to the removal of calcium and sodium from the body. As a result, edema disappears, and pressure normalizes.
  • Cholesterol-lowering drugs (Lovastatin, Clofibrate, Fenofibrate) may be prescribed.

Medications that increase blood pressure:

  • Caffeine-containing drugs help to increase pressure: Citramon, Cordiamin, Excedrine, and Trimol.
  • Nootropic drugs help to strengthen the central nervous system: Piracetam, Glycine, Noofen.
  • To improve brain activity, “Actovegin”, “Vinpocetine”, “Cinnarizine” are prescribed.
  • Antidepressants and tranquilizers are able to eliminate the effects of stress and depression: Trioxazine, Grandaxin.

Only a doctor, given the condition and severity of the course of the disease, age, the presence of concomitant diseases, calculates the dosage and duration of treatment.

If the upper and lower blood pressure has a big difference, after the examination they should choose a treatment. The selection of a suitable therapeutic course is carried out taking into account some features:

  1. A sharp decline should be avoided. The fall of systolic numbers should occur gradually. This will give the body time to get used to the changes. If this advice is ignored, then acute ischemic disorders can occur that can lead to the death of the patient.
  2. You should use drugs that affect only the upper pressure. In this case, treatment begins with low doses, gradually increasing the dosage.

The difference between systolic and diastolic pressure is called pulse pressure. To get rid of such disorders, you need to turn to drug therapy. Usually used:

  1. Antihypertensive drugs. These drugs are traditionally used for hypertension. Treatment is carried out with calcium antagonists, beta-blockers, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers. If you choose the right dosage and observe it, then you can achieve significant improvement.
  2. Diuretic drugs. With the help of diuretics, the body is freed from excess fluid. Thanks to this, blood becomes smaller, it becomes easier for the heart to pump it, pressure indicators are stabilizing.
  3. Medicines to improve blood flow in the brain, kidneys, heart. They also provide additional protection for organs from the negative effects of high blood pressure.
  4. Cerebroprotectors. Thanks to them, nerve tissue and the brain receive enough nutrition. Such drugs can avoid stroke attacks and other disorders of the blood supply to the body.

To get a good effect in the treatment of diseases, use combinations of drugs. They can combine or change the dosage. But all this can only be done under the supervision of a doctor.

To achieve good results in therapy, you need to slightly adjust your usual lifestyle. The patient should make the right diet, walk more often, move more and adhere to other principles of a healthy lifestyle.

If the difference between the upper and lower pressure is not normal, then blood pressure must be controlled, especially if the person is over 60 years old. Although this type of hypertension does not proceed in an aggressive form, it cannot be left without attention. Most patients live with this problem for many years, only periodically feeling unpleasant symptoms.

If deviations are detected in a timely manner, and the doctor selects the correct treatment option, then the indicators will be able to be kept within normal limits. The patient, in turn, must follow all the instructions of specialists.

High PD: Possible Causes

People over the age of 60 may have a pulse pressure of 50 units (i.e. a border norm). With normal self-awareness, this will not be a pathology.

If the upper pressure is high and the lower blood pressure is low in hypertensive patients, this shields the isolated hypertension. For example, systolic hypertension is considered persistent indicators of blood pressure 160/80. The pulse difference is very high.

A large gap between the upper and lower pressure – possible reasons:

  • Atherosclerotic vascular deformities. This is a chronic ailment, expressed in the deposition of cholesterol and other fats on the inner wall of blood vessels. They are postponed in the form of plaques, plaque. The walls are thus compacted, losing their elasticity.
  • Aneurysm. So called protrusion of the arterial wall, this happens because the artery is either thinned or overstretched. The vascular lumen is more than doubled. The cause of this pathology may be congenital, or it may be acquired, but its defects in the m />

With a large difference between systolic and diastolic pressure, the patient has certain symptoms: shortness of breath, dizziness, tremor of the upper extremities, chills, and fainting is not excluded.

Upper and lower pressure: characteristics and norms of indicators

People have learned to measure the strength of blood flow a long time ago. However, if a person is asked: “Diastolic pressure – what is it, for what indicators of the body’s work it is responsible?”, Then it is often difficult.

First you need to know what systole and diastole are – they determine systolic and diastolic blood pressure.

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Systole is a moment of contraction of the heart, when it pushes blood into the large arteries with pressure, and diastole – a relaxation period.

People are accustomed to operating with two numbers on a tonometer, having no idea what systolic and diastolic pressure is. The first indicator indicates the strength with which the left heart ventricle ejects blood into the arterial bed. Diastolic pressure is the second digit that characterizes the pressure of the blood when the heart muscle is relaxed.

Blood ejected at the time of systole passes quickly through the arteries, reaching small capillaries and blood vessels. The walls of these vessels, contracting, resist the incoming blood flow, and the greater this resistance, the higher the diastolic blood pressure.

Therefore, the lower pressure in humans is responsible for the degree of resistance of blood vessels to blood vessels. The higher it is, the worse the permeability of blood vessels, the greater the resistance they exert blood.

Conversely, the lower the resistance, the lower the diastolic rates.

The blood pressure with which the heart pushes blood through the arteries is measured in millimeters of mercury, and the tonometer readings indicate what systolic and diastolic pressure a person has at the moment. The ratios (difference) of normal rates are different for different people, but the average the value adopted as the norm is between values ​​from 120/70 to 140/90 mm Hg.

The rate of diastolic pressure changes, and depends on the biological age and human health – it is lower in young people than in older people, because over the years blood vessels show increasing resistance to blood flow, losing elasticity and contractility, and the heart muscle builds up the strength necessary for saturation blood vessels enriched with oxygen. However, young people may experience problems with the circulatory system.

Hypertensive patients and hypotensive patients should know what high blood pressure is talking about? There may be several options for pathological deviations:

  • both numbers are increased;
  • elevated are only systolic indicators, diastolic are normal;
  • high lower pressure, upper normal.

An increase in both numbers on the tonometer indicates the presence of hypertension, which needs urgent treatment.

At the same time, the frequency of contractions of the heart muscle increases the load on the circulatory system, but sometimes the situation is the opposite – an increase in diastolic indicators affects systolic.

In any case, the mechanism of deterioration of the functioning of the body, depending on the performance of the heart, should be considered comprehensively.

Focusing on systolic indicators, people do not know what an increased level of diastolic indicates.

This is a serious problem talking about possible kidney diseases, since renin helps to reduce blood vessels and increases muscle tone. This is an important property of the kidneys and defined the second name of diastolic blood pressure – renal.

Isolated diastolic hypertension is called pathology, when a person has an elevated lower pressure with a normal upper pressure.

Since diastolic blood pressure is considered a marker of the circulatory system, showing how successfully the blood enters the vessels when they expand, the causes of high lower pressure are associated with a variety of disorders of the body. However, more often than others, high indicators of diastolic pressure cause the following characteristic pathological processes:

  • Renal failure, in which the main arterial vessel in the kidney narrows and becomes incapable of normal functioning.
  • Damage to the thyroid gland with diseases that cause an increased release of hormones into the blood.
  • Failures in contractions of the heart muscle. In this case, high rates of both numbers of blood pressure are recorded.
  • Diabetes.
  • Constant stress and taking medications that stimulate attention and the ability to concentrate.

A change in the hormonal background against the background of menopause, disruptions in the menstrual cycle can be the causes of high lower blood pressure in women.

It is known that arterial hypertension, a syndrome in which an increased level of diastolic blood pressure is constantly observed, threatens death from a stroke or myocardial infarction.

At the same time, if diastolic indicators go beyond 129 millimeters of mercury, then doctors are talking about malignant hypertension.

Men are much more likely than women to suffer from diseases associated with elevated levels of diastolic blood pressure. In this case, the causes of high lower pressure in men can be:

  • Addiction to bad habits.
  • Kidney dysfunctions that occur from the retention of large amounts of fluid by the body. This happens in case of abuse of salty, fatty, spicy foods.
  • Unhealthy lifestyle, improper and unsystematic nutrition, overeating.

People tend to sound the alarm in case of detecting high BP indicators, but they don’t know what the lower pressure shows when its low level is constantly fixed. Low diastolic pressure is a symptom of formidable ailments.

If the value of diastolic blood pressure at first was about 59-70 mm RT. Art.

, and then for several months in a row fluctuates around 40, then you need to contact a specialist, since low blood vessel resistance to blood flow can be caused by various pathologies.

With age, the membranes of the walls of the vessels lose patency, contract poorly, become stiff.

This leads to a situation when a person’s systolic pressure is high and diastolic pressure is low, because the blood slowly flows through the peripheral vessels, and the heart begins to beat faster and harder, trying to push it into the capillaries more efficiently. In humans, atherosclerosis of the vessels, cardiosclerosis of the heart, visual impairment, and even blindness can be fixed.

Factors that affect low diastolic pressure with normal systolic can be physiological in nature.

Reducing diastolic Blood pressure occurs in athletes with intensive training, in women who are on diets or suffer from menorrhagia.

However, if a person experiences pain in the heart, and the tonometer shows a decrease in diastolic blood pressure below 50 mm Hg. Art., you need to call an ambulance, since an attack of paroxysmal arrhythmia is possible.

Only a comprehensive examination and consultation of a cardiologist, oncologist, nephrologist will help to find out the causes of low diastolic pressure, since diseases of the internal organs that cause a decrease in the diastolic numbers of blood pressure can differ. Among them:

  • kidney disease (glomerulonephritis, pyelonephritis);
  • interruptions in the activity of the heart muscle;
  • peptic ulcer of the gastrointestinal tract;
  • severe allergy attack;
  • the presence in the body of infectious foci of inflammation, high fever;
  • oncological diseases;
  • autoimmune diseases in the acute stage;
  • dehydration with vomiting and diarrhea caused by poisoning;
  • a feeling of sharp weakness, which is accompanied by loss of consciousness, from stuffiness with a large crowd of people.

To normalize the state of the body caused by hypertension, you can not engage in self-medication, since there can be many reasons for this pathology.

It is necessary to undergo consultations with a cardiologist, make examinations, find the cause of hypertension, and only then, together with the doctor, decide how to reduce high diastolic pressure medically.

However, there are simple methods for normalizing the numbers of blood pressure:

  • eating foods predominantly fruits and vegetables;
  • compliance with the regime of the day, in which sleep takes at least 7-8 hours, an active lifestyle;
  • normalization of weight;
  • leisurely walks in the park at least one and a half hours a day.

Isolated diastolic hypertension requires special measures, because you need to decide how to lower the lower pressure without lowering the upper.

The treatment of this pathology is carried out in-patient, under medical supervision of specialists who constantly monitor how the medicines act on the patient so that the decrease in diastolic parameters does not lead to complications in the activity of the heart muscle and worsening of the patient’s condition. If the cause of hypertension was a defect in the aortic valve, a complex heart operation is performed.

In each case, medications are prescribed individually to the patient, since the reasons that caused diastolic hypertension can vary dramatically, and it is dangerous and categorically forbidden to choose medications at random to choose diastolic blood pressure. Doctors prescribe drugs from the following series:

  • diuretic drugs;
  • drugs that block angiotensin II receptors;
  • selective drugs – adrenergic and beta-blockers;
  • calcium channel antagonists.

Since diastolic hypotension can be caused by a variety of reasons, methods of treating low diastolic pressure consist of: examining the patient, examining his anamnesis for chronic diseases and drug allergies, as well as the currently observed form of hypotension (it can be acute or chronic in remission ) If the patient has an acute form of hypotension, then the following medications are used:

  • Drugs that improve blood supply to the brain and increase pulse blood pressure;
  • Medicines that increase vascular tone and help improve the blood supply to the body, such as angiotensinamide. With a hypotensive crisis, it is injected into a vein with a dropper.
  • If the patient has shown positive dynamics, and in his condition there have been stable improvements, then doctors prescribe tonic, immuno-and neuro-stimulating drugs to receive.

How to reduce pressure without pills at home

The state of the cardiac and vascular system can be estimated by the upper measurement indicator obtained using the device – tonometer (this is the moment of systole) and the lower level of measurement (moment of diastole):

  1. The first strong, sonorous tone audible in a stethoscope signals a systolic border. Upper or systolic pressure captures the strength of blood flow at the time of contraction of the heart muscle. Normal numbers do not exceed the border from 101 to 141 mm Hg. Art.
  2. Lower or diastolic pressure allows you to determine the strength of the blood when moving through the vessels during relaxation of the heart muscle. The boundaries of the normal state are determined by numbers from 62 to 92 mm RT. Art. If the blood becomes thick and cholesterol plaques appear, the indicators begin to grow.

Is hypertensive crisis possible?

If the difference between the upper and lower pressure is large, what should I do? As mentioned above, this is a harbinger of crisis. Therefore, everything must be done to prevent it. The most reasonable thing is to immediately contact a doctor.

Your main task is not in the acute period, when there is nothing to worry about yet, but there are risks, it is to minimize them. Provocative factors that could trigger the hypertensive crisis program in the body should be avoided.

The main measures of primary prevention:

  1. Timely, systemic, regular use of medications prescribed by your doctor for regular use;
  2. Maintaining a healthy lifestyle is an exercise therapy, which is given at least 2-3 hours a week, elimination of addictions, normalization of nutrition, as well as the regime of work and rest;
  3. Exclusion of stress factors, psycho-emotional overload, the fight against impending depressive states;
  4. Independent daily pressure control.

If you canceled the drugs yourself, the risk of a vascular catastrophe is very high. Some drugs have the so-called withdrawal syndrome, which can address the tragic consequences.

Again, we have to talk about stress as an aggressive provoking factor – a violation of the nervous regulation caused by stress, a source of sharp drops in blood pressure.


If the deviation of the pulse pressure from the norm was caused by chronic diseases, the patient is concerned about such manifestations:

  1. Drowsiness that does not go away even after a long sleep.
  2. Weakness.
  3. Apathy.
  4. Rapid fatigue.
  5. Irritability, mood swings.
  6. Violation of short-term and long-term memory (distraction, difficulty in remembering).
  7. Difficulty concentrating.
  8. Pale or blue skin tone.
  9. Dizziness, fainting, less commonly fainting.

All these symptoms haunt the patient constantly, which can significantly affect his performance, especially if he is engaged in mental work.

If a small difference between the upper and lower pressure indicators is caused by shock conditions, for example, this is accompanied by:

  • severe pallor or cyanosis of the skin;
  • cold sweat;
  • confusion or loss of consciousness;
  • shortness of breath.


Само низкое различие между систолическим и диастолическим Артериальное давление можно выявить, померив давление с помощью тонометра и отняв от верхнего значения нижнее. Если разница составляет менее 30 мм рт. ст., обратитесь к кардиологу для дальнейшего обследования.

  • First of all, he will prescribe you an ECG with which you can evaluate the electrical activity of the heart, and Echocardiography (ultrasound of the heart), which allows you to evaluate the structure of the heart and the adjacent part of the aorta.
  • You can also be sent for kidney ultrasound, a general blood test, a biochemical blood test (for creatinine, urea).
  • For the diagnosis of vascular diseases, magnetic resonance angiography of the aorta and MR angiography of the vessels of the kidneys may be necessary.

If the body lacks vitamins and valuable elements, it begins to suffer. Pathologies will not keep you waiting: vitamin deficiency causes severe disturbances in the functioning of the nervous and endocrine system, affects the cardiovascular system, and affects the operation of sensors. It is all the more terrible to understand that many people arbitrarily bring their bodies to such a state. We are talking about adherents of low-calorie diets.

In extreme conditions, and this is a physiological given, the human body slows down metabolic processes. It helps him survive. A rigid diet is extreme conditions. First, there are negative shifts in the National Assembly: a person notices mood swings, anger, inhibition, and a disorder of emotional reactions.

Then the following changes: the level of leptin, the same hormone that regulates the feeling of hunger, drops. It is impossible for this reason to hold out on a low-calorie diet for a long time – to cope with your appetite is becoming increasingly difficult. Following leptin, the level of dopamine decreases (it is a neurotransmitter), which is responsible for pleasure.

Changes in the NS as in a chain reaction trigger disturbances in the process of cell construction and reconstruction. The level of thyroid hormones decreases, which is responsible for the speed of metabolic processes. Then negative changes occur with the structures of the reproductive system.

The hormonal background changes, and this can not but affect the cardiovascular system. Often, at the beginning of a low-calorie diet, her followers have a decrease in blood pressure, but the more organs begin to suffer from such harsh conditions, the higher the risk of malfunctions, fluctuations in vital indicators.

So, one value Blood pressure can be very low, the other is closer to normal. And the pulse difference in this case, respectively, is high. So it turns out that the person wanted to lose weight, but acquired a bunch of problems that he would have to solve for a long time.

Prevention to normalize pressure

Preventive measures are to change the lifestyle and diet:

  • Indicated daily stay on the street and moderate physical activity.
  • It is better to refuse trips to baths and saunas, it is useful to take a contrast shower.
  • Every day you need to drink 2 liters of liquid.
  • Bad habits are necessarily excluded.
  • Fried, spicy, salty foods should be excluded from the diet.
  • The menu should be enriched with fortified foods.

Especially strictly observe these recommendations is necessary for those who have problems with the cardiac and vascular system, as well as people over 40 years old.

Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.