Treatment FAQ

what is the evidence that systolic pressure in the 130s requires treatment and who funded the study

by Mr. Keyon Terry III Published 2 years ago Updated 2 years ago
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Should I be worried if my systolic blood pressure is 130/139?

No: I would not worry if your systolic bp is remaining in the 120s. 130-139 is considered to be "pre-hypertensive" so if your pressure is consistently in the 130s I would look into more regular aerobic exercise, and the DASH diet (google it) to help lower your BP. No: However for a young female would prefer less than 120'systolic is preferred.

Does systolic blood pressure need to be 140 to improve outcome?

Although none of the clinical trials achieved a systolic blood pressure below 140 mm Hg, a consensus statement implies that outcome should improve further when this goal is achieved.11

What is systolic blood pressure and why is it important?

Systolic blood pressure is the top number of the blood pressure reading. This article will dive deeper into systolic blood pressure. I’ll discuss if doctors monitor systolic more and does the elderly have higher systolic as they age?

What are the new guidelines for blood pressure?

The new guidelines now classify people's blood pressure measurements into the following categories: Normal: Less than 120 mm Hg for systolic and 80 mm Hg for diastolic. Elevated: Between 120-129 for systolic, and less than 80 for diastolic. Stage 1 hypertension: Between 130-139 for systolic or between 80-89 for diastolic.

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Who funded the Sprint study?

SPRINT was a government-funded trial and no private companies were involved in funding the trial or developing the protocol, which was finalized in 2010. In January 2013, NHLBI signed an agreement for medicine donations with one company, Takeda Pharmaceuticals International, Inc.

Is 130 blood pressure normal?

Normal blood pressure is below 120/80. The American Academy of Cardiology defines blood pressure ranges as: Hypertension stage 1 is 130-139 or 80-89 mm Hg, and hypertension stage 2 is 140 or higher, or 90 mm Hg or higher.

What does it mean if your blood pressure is 130 over 80?

American College of Cardiology and the American Heart Association guidelines define high blood pressure as 130/80. This means almost half of U.S. adults are considered to have high blood pressure, or hypertension, placing them at elevated risk for heart attack and stroke.

What does a blood pressure of 130 90 mean?

People with blood pressure of 130/90 have a higher risk than people with 120/80—even though both of those measurements were considered normal in the past. So even moderately high blood pressure (below past diagnostic thresholds) is unhealthy.

Does 130/80 require medication?

120 to 129/less than 80 (Elevated): You probably don't need medication. 130/80 to 139/89 (stage 1 hypertension): You might need medication. 140/90 or higher (stage 2 hypertension): You probably need medication.

What does it mean if your blood pressure is 130 100?

Normal: Below 120. Elevated: 120-129. Stage 1 high blood pressure (also called hypertension): 130-139. Stage 2 hypertension: 140 or more.

Is 130 85 A good blood pressure?

Normal blood pressure is between 120/80 mm Hg and 129/84 mm Hg. If your blood pressure is between 130/85 mm Hg and 139/89 mm Hg, you have "high-normal" blood pressure, which is more likely to develop into high blood pressure.

Is 131 80 A good blood pressure?

Blood pressure lower than 120/80 mm Hg is considered normal. Blood pressure that's 130/80 mm Hg or more is considered high. If your numbers are above normal but under 130/80 mm Hg, you fall into the category of elevated blood pressure. This means you're at risk of developing high blood pressure (3).

Is 135 80 A good blood pressure?

ideal blood pressure is usually considered to be between 90/60mmHg and 120/80mmHg, while the target for over-80s is below 150/90mmHg (or 145/85mmHg at home)

Is blood pressure 135 over 90 high?

If your blood pressure is consistently lower than 90/60, you have low blood pressure. Blood pressure between 120/80 and 140/90 is still considered normal. However, most doctors will recommend lifestyle changes if you are in that range. Above 140/90 is considered high blood pressure, or hypertension.

How can I lower my blood pressure 130 90?

130/90/ not bad... You need to fallow strict diet and exercise to prevent future hypertension.... eat food rich in proteins and fibres like egg white boiled chicken vegetables fruits pulses, avoid carbohydrate rich foods like rice curds oily foods sweets ghee and other junk food.

When should hypertension be treated?

You should aim for a blood pressure treatment goal of less than 130/80 mm Hg if:You're a healthy adult age 65 or older.You're a healthy adult younger than age 65 with a 10% or higher risk of developing cardiovascular disease in the next 10 years.You have chronic kidney disease, diabetes or coronary artery disease.

What is the systolic blood pressure intervention trial?

NIH’s landmark trial, Systolic Blood Pressure Intervention Trial (SPRINT) informed the new blood pressure guidelines by testing the effects that a lower blood pressure target has on reducing heart disease risk.

When did the AHA release the new blood pressure guidelines?

In November 2017 , the American College of Cardiology (ACC) and the American Heart Association (AHA) released new comprehensive high blood pressure guidelines. SPRINT and other clinical research findings informed these new ACC/AHA guidelines, which were published in the Journal of American College of Cardiology. external link.

Is high blood pressure a public health concern?

High blood pressure is a major public health concern because it is a very common condition and a leading risk factor for other conditions, including heart attack, heart failure, stroke, chronic kidney disease, and cognitive decline. The NIH Systolic Blood Pressure Intervention Trial (SPRINT), an NHLBI-supported study, ...

The STEP Study on Systolic Blood Pressure Under 130

More than 8,500 older adults enrolled in the STEP study ( New England Journal of Medicine, Aug. 30, 2021 ). Half the volunteers received intensive treatment, while the other half got standard care. The researchers assigned the volunteers to their groups with safeguards to make sure they were random.

Results from the SPRINT Study

This is not the first trial to show benefit from lowering systolic blood pressure under 130. In the SPRINT trial, 9,361 older Americans at high risk of cardiovascular complications took medication to lower blood pressure ( New England Journal of Medicine, Nov. 26, 2015 ).

What is the normal blood pressure for a systolic blood pressure test?

The guidelines, from the American Heart Association (AHA) and the American College of Cardiology (ACC), now define high blood pressure as 130 mm Hg or higher for the systolic blood pressure measurement, or 80 mm Hg or higher for the diastolic blood pressure measurement.

What are the different blood pressure levels?

The new guidelines now classify people's blood pressure measurements into the following categories: 1 Normal: Less than 120 mm Hg for systolic and 80 mm Hg for diastolic. 2 Elevated: Between 120-129 for systolic, and less than 80 for diastolic. 3 Stage 1 hypertension: Between 130-139 for systolic or between 80-89 for diastolic. 4 Stage 2 hypertension: At least 140 for systolic or at least 90 mm Hg for diastolic.

Why did the guidelines change?

However, Morris said that the guidelines were changed because "we now have more precise estimates of the risk of [high] blood pressures," and these new guidelines really communicate that risk to patients.

How many people have high blood pressure?

The findings mean that an additional 14 percent of U.S. adults, or about 30 million people, will now be diagnosed as having high blood pressure, compared with the number diagnosed before the new guidelines.

What is the recommended treatment for a syphilis patient?

However, the guidelines stress that, for most of the newly classified patients, the recommended treatment will be lifestyle modifications, such as weight loss and changes in diet and exercise levels, as opposed to medications.

Can you prescribe blood pressure medication for stage 1 hypertension?

The new guidelines recommend that doctors only prescribe blood pressure medication for patients with stage I hypertension if they have already had a cardiovascular "event" such as a heart attack or stroke; or if they are at high risk for a heart attack or stroke based on other factors, such as the presence of diabetes, the authors said.

Can you test for white coat hypertension?

It's also reasonable for doctors to screen for "white-coat hypertension," which occurs when blood pressure is elevated in a medical setting but not in everyday life, the authors said. This can be done by having patients measure their blood pressure at home .

What is the diastolic number of systolic hypertension?

Isolated systolic hypertension is when the systolic blood pressure is 130 mmHg or higher and the diastolic number is less than 80 mmHg.

Why does systolic blood pressure rise with age?

This is due to the increasing stiffness of large arteries, long-term plaque buildup and an increased incidence of cardiovascular disease.

What is a normal blood pressure reading?

A normal systolic blood pressure reading is less than 120 mmHg and a diastolic number less than 80 mmHg indicates normal blood pressure 2. For consistent blood pressure readings in this range, a doctor will typically suggest the following: Follow a heart healthy diet. Engage in regular physical activity.

What is the top number of blood pressure?

Systolic is the top number of the blood pressure reading. Therefore, in the following examples of blood pressure readings, the systolic number is indicated: When the heart is resting between beats, the pressure against the artery walls is called diastolic blood pressure.

How long to wait to take blood pressure if 180/120?

If you take your blood pressure and either number is 180/120 or greater, wait about 5 minutes and take it again. If the 2nd reading is just as high and you are not experiencing any of the following symptoms, then contact your doctor and be guided by them: Chest pain. Shortness of breath. Back pain.

Is high systolic blood pressure a risk factor for cardiovascular disease?

High systolic blood pressure is a risk factor for cardiovascular disease. Isolated systolic hypertension is the most common form of high blood pressure 1. It’s more typical for the elderly to have high systolic blood pressure but younger people can get it too.

Can elderly people get isolated systolic hypertension?

The elderly are not the only ones who can get isolated systolic hypertension. Younger people get it also but many times they slip through the cracks and don’t receive the proper diagnosis 6. This can happen for several reasons including:

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