Blood pressure 130 to 60, is it dangerous

Blood pressure 130 to 60 may be normal in athletes or pregnant women. But in some cases it is a sign of dangerous diseases. What should be done in such a situation? Which doctor should I go to?

What do blood pressure parameters mean?

To understand the topic, let’s define the medical concepts. Blood pressure (BP) is measured by 3 parameters:

  • The systolic or upper indicator is determined at the time of systole (contraction) of the heart. Indicates the force with which the organ pushes blood into the aorta, from where it is carried to all organs. In the people, systolic blood pressure is called cardiac. Normal pressure ranges between 120 and 140 mm. The upper figure below 90 is considered hypotension. If the heart pressure is 60, it means cardiogenic, toxic or traumatic shock, as well as collapse. These catastrophes occur with a heart attack, large blood loss after trauma, or severe infections with diarrhea (diarrhea). We hear upper blood pressure when blood breaks through the artery squeezed by the cuff.
  • The diastolic or lower value shows the pressure in the arteries at the time of relaxation (diastole) of the heart. It reflects the degree of resistance that blood vessels put on the blood flow. Diastolic blood pressure depends on the tone of the vascular walls. In the arteries, which for some reason could not expand or, conversely, contract, respectively high or low pressure is created. Decrease or increase in the tone of the arteries and veins is associated with vascular patency, features of autonomic innervation, metabolism. This largely depends on the quality of the diet and genetics. In a healthy person, it fluctuates between 70 and 90 mm.
  • Pulse pressure (PP) refers to the difference between the high and low readings. Normally, it varies from 30 to 50 mm. An increased rate is often observed with physical effort, but recovers quickly. A constantly high PD indicates a pathology that requires research by instrumental and laboratory methods.

Interesting! With each contraction, the left ventricle of the heart throws 60 ml into the aorta, and in 1 minute it pumps 4 liters of oxygen-enriched blood. The full value of the contraction depends on the state of the heart muscle and the valve apparatus.

Primary causes of a decrease in diastolic blood pressure

Normally, a person’s blood pressure ranges from 120-140/80-90. But it must be measured correctly. First of all, make sure that the cuff is tightly applied and the tonometer is working properly. Do not forget that during the procedure, the cuff should be on the shoulder and the pressure gauge should be at the level of the heart.

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Normally, lower (diastolic) blood pressure is usually determined from 70 to 90. A blood pressure of 60 is considered low.

At the same time, the filtration capacity of the kidneys suffers, that is, the amount of urine generated decreases. With a diastolic blood pressure of 50 mm and below, the renal filter cannot function at all. This means that their own toxins, coming back into the blood, cause self-poisoning of the body.

Important! At the stage of diagnosing the cause of a low indicator, doctors attach the main importance to pulse pressure.

If the PD is constantly high, this indicates a pathology of the heart or blood vessels.

In old age, a decrease in diastolic and an increase in systolic pressure occurs with age-related changes in blood vessels that lose elasticity. Arteries and veins become stiff, vascular tone is reduced. These violations are of primary origin.

Secondary causes of a decrease in diastolic blood pressure

Pressure 130/60 is also observed with secondary changes caused by diseases of the heart and blood vessels:

  • mitral valve insufficiency,
  • severe anemia
  • thyrotoxicosis,
  • arteriovenous fistulas,
  • renal failure
  • aortitis rheumatoid and other origin,
  • coarctation of the aorta,
  • congenital heart disease,
  • bacterial endocarditis affects not only the inner wall of the heart, but also the valves, which leads to the formation of aortic valve defect,
  • aortic aneurysm,
  • vegetative-vascular dystonia.

The causes of low diastolic blood pressure vary in origin and time of onset. Rheumatism usually begins at a young age, but signs of heart disease show up many years later.

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Insufficiency or stenosis of the aortic opening

The main culprit for lowering diastolic pressure is a consequence of rheumatism – aortic defect. Most people associate rheumatism with joint pain. In reality, this disease “licks the joints and bites the heart.” In other words, with rheumatism, it is not the legs that suffer, but the heart valves. For the most part, mitral disease develops.

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Quite often, both aortic insufficiency and stenosis of the aortic orifice develop, which are combined in 50% of cases. The bottom line is that during diastole, the aortic valve is unable to close completely. As a result, some of the blood rushes back to the left ventricle (regurgitation). Over time, he is forced to increase the mass in order to push the excess blood volume into the aorta.

Important! While the heart is overloaded, the peripheral arteries are unable to fill with blood due to backflow. As a result, the pressure in them decreases.

This problem has gone unnoticed for many years because the heart adjusts to stress by increasing the heart rate or strength of the heart muscle. But sooner or later, compensatory opportunities dry up.

Early signs of defect appear – a feeling of pulsation throughout the body. A person can count their pulse without feeling on the wrist – just by looking at the watch. Further, attacks of tachycardia, chest pain and a decrease in diastolic pressure begin, sometimes it is difficult to determine. In this case, the systolic pressure rises.

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Drug therapy does not provide relief. The way out is to replace the aortic valve.


The cause of inflammation of the aorta is various diseases – syphilis, tuberculosis or streptococcal infection. They cause the aorta to dilate. With inflammation of the thoracic region, pain appears at the level of the heart with irradiation to the shoulder blades, neck, back of the head. Unlike angina pectoris, they are not stopped by nitroglycerin.

If the abdominal aorta becomes inflamed, pain in the abdomen and lower back periodically occurs. In addition, patients experience fainting, dizziness, and fever.

Aortitis of a non-infectious nature occurs in allergic vasculitis, autoimmune diseases. The so-called juvenile aortitis develops in young girls.

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The disease develops with collagen diseases, spondyloarthritis, rheumatism, thromboangiitis obliterans. The diagnosis of aortitis is carried out by doctors of various profiles – phthisiatricians, rheumatologists, pulmonologists, traumatologists.

By the way! The main symptom of aortitis is an asymmetrical pulse on the hands. It can disappear on one side, while the systolic pressure rises and the diastolic pressure decreases.


People with low blood pressure are often anemic. The most common causes of the disease are deficiencies in iron, folate and vitamin B1.

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Diseases differ in origin:

  • Posthemorrhagic anemia occurs when profuse loss during menstruation, stomach bleeding, or cancer.
  • Hemolytic anemia develops due to increased destruction of red blood cells.
  • A group of diseases caused by insufficient formation of blood elements – iron, vitamin B 12, B 1, folic acid.

In chronic anemia, there is a decrease in both pressure indicators, as well as numbness in the arms and legs. In the blood, the number of erythrocytes is reduced, hemoglobin is reduced. There are common signs of the disease – hair loss, brittle nails.

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Arteriovenous fistula

Congenital arteriovenous fistulas are formed as a result of the preservation of embryonic vessels that have not turned into arteries and veins. The acquired messages between these vessels arise in such cases:

  • after penetrating wounds or blunt trauma,
  • skin fistulas with dermatitis,
  • cirrhosis of the liver,
  • Paget’s disease.

Abnormal fistulas between arteries and veins lead to premature discharge of arterial blood into the venous system. The fluid enters the veins under pressure, which means that it causes their expansion and swelling. From the side of the heart, pressure surges are noted.

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Is AD 130/60 dangerous

Only in rare cases are these numbers considered a variant of the norm. If a person has not been examined for a decrease in diastolic pressure, the condition can be dangerous.

An increased difference between the upper and lower pressure readings is likely to indicate a pathology of the heart or blood vessels. This means that a person can faint, hit his head. Severe pathology leads to stroke, sudden death due to aneurysm of the vessels of the brain. Before the examination, you should not undergo heavy physical exertion.

What to do with blood pressure 130/60

With these pressure indicators, it is recommended to attach importance to your feelings, especially after marching up the stairs. If a person has been examined, and the pathology has not been identified, there is no need to worry. You just need to observe the pressure parameters, and if unfamiliar sensations appear, visit the doctor again.

Attention! It is forbidden to take any medications on your own, because the reasons are completely different, and there is no single solution.

Diastolic blood pressure pills will also increase your systolic reading. First of all, you need to visit a cardiologist and do a cardiogram. The following signs may indicate a pathological decrease in blood pressure:

  • if your head hurts often,
  • dizziness appears,
  • darkens in the eyes when getting out of bed,
  • fainting,
  • sweating
  • noise in ears.

After a physical examination, a doctor may prescribe a computed aortography, ultrasound examination (ultrasound), blood and urine tests if a vascular pathology is suspected. You may need to consult an endocrinologist, neurologist, cardiac surgeon, nephrologist.

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Elderly people are advised to regularly visit a cardiologist, take medications prescribed by a doctor, and eat right. An active lifestyle improves blood circulation, regulates blood pressure.

BP 130/60 in pregnant women

Such pressure parameters are sometimes determined during pregnancy. They are regarded as a variant of the norm. Pulse pressure rises due to the placenta, which is a venous-arterial fistula.

If a woman is doing well, a decrease in diastolic blood pressure is not a concern. In doubtful cases, the gynecologist may prescribe vascular Doppler ultrasonography in order to find out the cause of the deviation or to make sure that the fetus is receiving the necessary nutrition and does not suffer from hypoxia.

BP 130/60 in athletes

Somewhat high pulse pressure is observed in professional athletes. The heart and blood vessels undergo changes due to constant stress:

  • the strength and contractility of the heart muscle increases,
  • new vessels are formed that provide nutrition to the myocardium,
  • the mass of the heart muscle increases, forming sports hypertrophy of the myocardium,
  • the heart rate decreases due to an increase in the release of blood for each contraction.

Important! As a result of changes, the heart rate of athletes can be 50 or even 40.

Pressure indicators equal to 130 to 60 are due to a decrease in vascular tone due to a weakening of the influence of the sympathetic nervous system.

Under the influence of regular training, the heart muscle is hypertrophied in skiers, runners, swimmers, that is, in those sports that require physical endurance.

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AD 130/60 happens as a variant of the norm in pregnant women or athletes. In all other cases, it speaks of one pathology or another. Do not ignore such indicators, but visit a cardiologist even if you feel well. The main thing is that it is not too late. If there is a disease, but it proceeds latently, sooner or later it will manifest itself.

Low blood pressure and anxiety for no reason What the blood pressure numbers show Big difference between upper and lower pressure

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.