If your diastolic pressure is higher than normal, you have diastolic hypertension and need treatment.

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    Of the two numbers that measure your blood pressure, the second (or lower) one indicates your blood pressure between heartbeats. That's your diastolic pressure. If it's higher than normal, you have diastolic hypertension and need treatment, just as you would for any type of high blood pressure.

    Understanding Blood Pressure

    Your blood pressure is the force of blood flowing through your arteries, which are the blood vessels that carry blood away from your heart. This pressure is measured in millimeters of mercury (mmHg).

    Normal blood pressure is less than 120 over 80, and high blood pressure is 140 over 90 or higher, according to the American Heart Association (AHA). Your doctor could diagnose you with stage 1 hypertension if your diastolic pressure is consistently 80 to 90, or your systolic blood pressure (the first or top number) is 130 to 139.

    Systolic pressure is higher because it occurs during the force of a heartbeat. Diastolic pressure is lower because it occurs when your heart is resting between beats.

    "It is unusual to have high diastolic blood pressure without having high systolic blood pressure ," says Michael Bungo, MD , a professor of cardiovascular medicine at McGovern Medical School and UTHealth in Houston. "If you do have only diastolic hypertension, it may still increase your risk for heart attack and stroke because there is still too much stress on your blood vessels." Simply put, if your diastolic number is elevated, you have hypertension, Dr. Bungo says.

    Best Treatment for Hypertension

    Treating hypertension is important because it may prevent a stroke or heart attack, kidney disease or heart failure, according to the Cleveland Clinic , and treatment with lifestyle changes generally starts any time someone's blood pressure is consistently higher than 120 over 80. "Even for patients with stage 1 hypertension, treatment usually starts with lifestyle changes before medications," says Dr. Bungo.

    Recommended lifestyle changes, says the Cleveland Clinic , include the following:

    • Losing weight if you're overweight and maintaining a healthy weight.
    • Not smoking.
    • Eating a diet low in salt, saturated fat and sugar and high in fruits and vegetables , whole grains and low-fat dairy.
    • Exercising for at least 30 minutes every day or on most days of the week.
    • Limiting alcohol to two drinks a day for men, one drink a day for women.

    Best Medication for Hypertension

    "There is no such thing as a best medication for hypertension that fits everyone," Dr. Bungo explains. "The choice has to be made based on how high the blood pressure is and other conditions called comorbidities. For example, patients with asthma may not be able to take some medications. Patients with kidney disease may do better on some medications. There are no set guidelines."

    If lifestyle changes have failed to lower your blood pressure to 140 over 90 or less, your doctor may consider starting you on a blood pressure medication. "You may decide to start at a blood pressure of 130 over 90 in someone who has other risk factors for stroke and heart disease, such as diabetes," says Dr. Bungo.

    According to the Cleveland Clinic, drug treatment for high blood pressure often starts with a diuretic. This type of medication, also called a water pill, reduces blood pressure by increasing urine output. Other drugs, called first-line drugs, may also be an early choice. These include a different type of drug, called an ACE inhibitor. People with diabetes are often started on an ACE inhibitor.

    For people who do not respond well to a first-line drug for high blood pressure, another drug may be tried or added. Other common options include angiotensin II receptor blockers (ARBs), beta-blockers and calcium channel blockers, according to the Cleveland Clinic. Each of these options has its own set of risks and benefits that depend on your age, blood pressure, medical history and other risk factors.

    One More Thing to Note

    People with hypertension usually have no symptoms, notes the American Heart Association. That's why hypertension is known as the "silent killer." The only way to find out if you have it is to have your blood pressure checked regularly.

    Which blood pressure medication is best for diastolic?
    Angiotensin converting enzyme inhibitors and angiotensin receptor blockers have been shown to be effective in improvement of measures of diastolic function and are recommended as first-line agents in the control of hypertension in patients with diastolic heart failure. more
    Is blood sausage made with blood?
    A blood sausage is a sausage filled with blood that is cooked or dried and mixed with a filler until it is thick enough to solidify when cooled. Most commonly, the blood of pigs, sheep, lamb, cow, chicken, or goose is used. more
    Is blood in steak really blood?
    What is the liquid coming out of steak? Even the rarest and reddest of steaks is actually bloodless. Instead, what you're looking at is a combination of water, which makes up about 75 per cent of meat, and a protein found in muscle tissue called myoglobin. more
    Will blood thinners lower blood pressure?
    I can see where you might think that a blood thinner may also help lower your pressure. But no, there is no medication that substantially does both. You or somebody you know may be on both. High blood pressure that's been poorly controlled can lead to a condition called atrial fibrillation. more
    Is blood pudding really blood?
    A large link sausage that is made of fresh pork, seasoned pork blood, suet, bread crumbs, and oatmeal. It is sold precooked and is basically black in color. more
    Are blood fractions still blood?
    Blood fractions are split into major and minor fractions. The 4 primary or major blood components include red blood cells, white blood cells, platelets and plasma. Fractionation of blood is typically done by centrifuging the blood in order for it to separate into different parts. more
    Can blood thinners lower blood pressure?
    I can see where you might think that a blood thinner may also help lower your pressure. But no, there is no medication that substantially does both. You or somebody you know may be on both. High blood pressure that's been poorly controlled can lead to a condition called atrial fibrillation. more
    What blood test shows blood clots?
    A D-dimer test is used to find out if you have a blood clotting disorder. These disorders include: Deep vein thrombosis (DVT), a blood clot that's deep inside a vein. more
    Who says blood will have blood?
    William Shakespeare coined this phrase in the play Macbeth. In the play, the character Macbeth murders others in a quest for power. It will have blood, they say. Blood will have blood. more
    What is golden blood blood type?
    Rh-null One of the world's rarest blood types is one named Rh-null. This blood type is distinct from Rh negative since it has none of the Rh antigens at all. There are less than 50 people who have this blood type. It is sometimes called “golden blood.” more
    Is Rh- blood monkey blood?
    Rh blood-group system Rh antigen, often called the Rh factor, on the cell membranes of the red blood cells (erythrocytes). The designation Rh is derived from the use of the blood of rhesus monkeys in the basic test for determining the presence of the Rh antigen in human blood. more

    Source: www.livestrong.com

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