anyone here have boarder line or high blood pressure?

[HiDnGoD]

168/82 isn't borderline. That's Stage II hypertension.
Stage I: 140-160/90-100
Stage II: 160-180/100-110
Stage III: 180-200/110-120
Stage IV: >200/>130
"Pre-hypertension" is 120-140/80.
You should really get your blood pressure treated. High blood pressure is dangerous in those that lift heavy weights, especially powerlifters. There is evidence from a small study that showed that arterial systolic blood pressures can go as high as 300 in normotensive people and as high as 400 in people who have a history of high blood pressure when they perform heavy squats..

Correct me if I'm wrong please. Systolic is the first Number, diastolic is the second. The first number is the pumping pressure, the second is the pressure in the system between pumps or resting. The second numberis more important than the first to determine risks.
Comment please.

 

[guest username]

Actually if you have stage II or greater hypertension, you're started on treatment immediately. It's unlikely to be "white coat hypertension" when it's in stage II category.

hidngod, you are correct in what systolic and diastolic means. However, systolic plays just an important role as diastolic pressure. Diastolic hypertension has been shown to have more effects on the heart (i.e., development of congestive heart failure, cardiomyopathies, etc.), whereas systolic usually increases your chances of aneurysms, strokes, and kidney damage.

 

[HiDnGoD]

hidngod, you are correct in what systolic and diastolic means. However, systolic plays just an important role as diastolic pressure. Diastolic hypertension has been shown to have more effects on the heart (i.e., development of congestive heart failure, cardiomyopathies, etc.), whereas systolic usually increases your chances of aneurysms, strokes, and kidney damage.

Thank you.
You must spread some Karma around before giving it to swatdoc again.

 

[Mr. dB]

I've been on meds for about a year and a half. I checked into the emergency room with 194/125. They got me down to 150/80 and turfed me. I've been on meds ever since, and vary from 125/75 to 135/80.

Last month I decided to go without meds for a week to see where it would measure. It was 150/80, so I ran home and swallowed some pills.

 

[musclemom]

Correct me if I'm wrong please. Systolic is the first Number, diastolic is the second. The first number is the pumping pressure, the second is the pressure in the system between pumps or resting. The second numberis more important than the first to determine risks.
Comment please.

Someone already answered this, but one point I would like to add:

The first number, systolic, is affected by activity, nerves, whatnot, it's common for that number to shift around a lot and by up to 30 or more points. The second number -- the diastolic -- doesn't have a tendency to be so labile.

One other thing that determines risks is how much of a difference there is between the two numbers.

 

[HiDnGoD]

Someone already answered this, but one point I would like to add:

The first number, systolic, is affected by activity, nerves, whatnot, it's common for that number to shift around a lot and by up to 30 or more points. The second number -- the diastolic -- doesn't have a tendency to be so labile.

One other thing that determines risks is how much of a difference there is between the two numbers.

More difference is better? Or less difference?

 

[musclemom]

More difference is better? Or less difference?

Neither either exactly, I guess I was tired when I posted it ...

Okay, look at it this way, an ideal blood pressure would be around 110/75.

165/75 would probably bother most doctors (but not too much, they'd want repeated readings because white coat syndrome could cause goofy numbers like that), 110/95 would probably bother doctors more. 110/110 would have alarm bells going off in their heads, and 210/110 generally warrants an immediate trip to the ER, do not pass go.

 

[guest username]

110/100 = death. A "pulse pressure" (difference between the systolic and diastolic) of less than 16 usually results in a non-perfusable rhythm... meaning the heart cannot adequately fill and pump blood. This is one of the late signs of a cardiac tamponade (fluid around the heart, usually the result of trauma or malignancy).

Musclemom is right. I would be more worried about 110/95 than I would be 165/75.

In general, anyone with >160 systolic or >100 diastolic warrants immediate initiation of anti-hypertensive meds (according to JNC-7 guidelines). Even if it is white coat syndrome, these individuals likely become hypertensive with stressors encountered throughout the day. Therefore, they are likely to be hypertensive most of the day.

165/75 would make me wonder about aortic regurgitation. A widened pulse pressure is a sign of this (also referred to as aortic insufficiency). Of course this can be detected by simply placing a stethoscope on a chest. The worst case of this that I've seen as acute aortic regurgitation caused by damage to the aortic valve after a motor vehicle crash. The girl's blood pressure was 130/20. The intern had the nurse repeat it 5 times before anyone ever placed a stethoscope (and eventually an ultrasound probe) on the patient's chest.

Treat your blood pressure if it's high. Don't fall into the trap that you think you're not overweight, workout, etc. and cannot get high blood pressure. Genetics will conquer all and will make the most fit individuals have high cholesterol and high blood pressure. Being fit delayed the progression (and will slow it) for many years, but genetics still took its toll.

I know because I'm on blood pressure medicine. I have 8% bodyfat.

 

[musclemom]

110/100 = death. A "pulse pressure" (difference between the systolic and diastolic) of less than 16 usually results in a non-perfusable rhythm... meaning the heart cannot adequately fill and pump blood. This is one of the late signs of a cardiac tamponade (fluid around the heart, usually the result of trauma or malignancy).

Swatdoc, me bad but I learned something! I'm going to follow your postings ... you smart!

I didn't want to put down numbers I've actually heard that sent someone to the ER immediately (210+/120+, I've actually heard folks have readings like that about three occasions, generally with the sound of fear in the doctors voice ...)

 

[guest username]

Swatdoc, me bad but I learned something! I'm going to follow your postings ... you smart!

I didn't want to put down numbers I've actually heard that sent someone to the ER immediately (210+/120+, I've actually heard folks have readings like that about three occasions, generally with the sound of fear in the doctors voice ...)

I would hope I knew that after attending medical school for four years.