{"id":987,"date":"2019-07-23T10:33:18","date_gmt":"2019-07-23T10:33:18","guid":{"rendered":"http:\/\/www.mymedicplus.com\/news\/?p=987"},"modified":"2021-03-31T00:41:14","modified_gmt":"2021-03-30T19:11:14","slug":"why-the-bottom-number-on-your-blood-pressure-reading-is-important-too","status":"publish","type":"post","link":"https:\/\/www.mymedicplus.com\/blog\/why-the-bottom-number-on-your-blood-pressure-reading-is-important-too\/","title":{"rendered":"Why the Bottom Number on Your Blood Pressure Reading Is Important, Too"},"content":{"rendered":"\n<p>Source: healthline.com<\/p>\n\n\n\n<p>If you\u2019ve been told you only have to worry about getting the top number of your blood pressure down, you may want to get a second opinion.<\/p>\n\n\n\n<p>That\u2019s what researchers in a\u00a0new study\u00a0are saying.<\/p>\n\n\n\n<p>\u201cThe take home message here is that when you\u2019re getting your blood pressure checked, we need to pay attention to both numbers, the systolic and the diastolic,\u201d Dr. Alexander Flint, a stroke specialist at Kaiser Permanente in Northern California and lead author of the study, told Healthline.<\/p>\n\n\n\n<p>The top number, or systolic, reflects how hard your heart is working to pump blood into your arteries. The bottom number, or diastolic, indicates the pressure as your heart relaxes between beats.<\/p>\n\n\n\n<p>Researchers concluded that both numbers were independent predictors of heart attacks and strokes.<\/p>\n\n\n\n<p>\u201cBoth the top and the bottom number are strongly linked to outcomes of ischemic stroke, the type of stroke where a blood clot blocks an artery in the brain, as well as hemorrhagic stroke, bleeding in the substance of the brain, and heart attacks,\u201d Flint said.<\/p>\n\n\n\n<p>\u201cThis study goes against previous data which shows systolic blood pressure is generally more important,\u201d Ramin Oskoui, a Washington, D.C., cardiologist, told Healthline.<\/p>\n\n\n\n<p>Oskoui is also chief executive officer of Foxhall Cardiology and is affiliated with Sibley Memorial Hospital, Suburban Hospital, and Washington Hospital Center.<\/p>\n\n\n\n<p>In fact, Flint says the findings turn upside down decades of commonly held beliefs about blood pressure readings.<\/p>\n\n\n\n<p>\u201cThere had been quite a lot of discussion in the medical literature about this idea that systolic blood pressure was so much more important than diastolic blood pressure, based on previous studies. That perhaps we don\u2019t have to pay attention to diastolic blood pressure. And if that were true, it might present an opportunity to simplify therapy. Let\u2019s only talk about the one number,\u201d Flint explained.<\/p>\n\n\n\n<p>\u201cHere the data are telling us that if we were to ignore the diastolic blood pressure, that would be to the detriment of our patient\u2019s care,\u201d he added.<\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_81 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.mymedicplus.com\/blog\/why-the-bottom-number-on-your-blood-pressure-reading-is-important-too\/#What_researchers_learned\" >What researchers learned<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.mymedicplus.com\/blog\/why-the-bottom-number-on-your-blood-pressure-reading-is-important-too\/#How_does_it_change_treatment\" >How does it change treatment?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.mymedicplus.com\/blog\/why-the-bottom-number-on-your-blood-pressure-reading-is-important-too\/#Next_steps_in_the_research\" >Next steps in the research?<\/a><\/li><\/ul><\/nav><\/div>\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_researchers_learned\"><\/span>What researchers learned<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>This study is being called the largest of its kind.<\/p>\n\n\n\n<p>Between 2007 and 2016, the research team analyzed 36 million outpatient blood pressure readings from more than 1 million adult members of Kaiser Permanente in Northern California.<\/p>\n\n\n\n<p>They concluded that while systolic blood pressure had a greater impact, both systolic and diastolic pressures influenced your risk factors.<\/p>\n\n\n\n<p>That was true whether measured against the older threshold of 140\/90 or the\u00a0newer guidelineof 130\/80.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_does_it_change_treatment\"><\/span>How does it change treatment?<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>Flint said the findings won\u2019t change much when it comes to treating your blood pressure with medications.<\/p>\n\n\n\n<p>\u201cIt turns out that the medications do both, so we don\u2019t have to make things more complicated in terms of picking and choosing medications,\u201d Flint said.<\/p>\n\n\n\n<p>\u201cEverybody reacts to the medications in different ways. Really, it\u2019s just a matter of working with your physician to find the right medication, the right dose to achieve both of those numbers. All the classes of anti-hypertensive medications work for both numbers,\u201d he said.<\/p>\n\n\n\n<p>\u201cWhile these findings may not make much difference in the medications I give my patients, it is an opportunity to reinforce with the lay public that the lower your blood pressure, the lower your risk of heart attack, heart failure, stroke, and kidney disease,\u201d Oskoui said.<\/p>\n\n\n\n<p>\u201cWe can remind our patients to cut out alcohol, exercise in moderation, and lose weight. Even a 10 to 15 pound weight loss can mean the difference between medication or not,\u201d Oskoui added.<\/p>\n\n\n\n<p>That advice echoes what the American Heart Association\u00a0recommends:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Eat a well-balanced diet low in salt.<\/li><li>Limit your alcohol.<\/li><li>Get regular physical activity.<\/li><li>Manage your stress.<\/li><li>Maintain a healthy weight.<\/li><li>Quit smoking.<\/li><li>Take your medications as prescribed.<\/li><li>Work with your doctor.<\/li><\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Next_steps_in_the_research\"><\/span>Next steps in the research?<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>\u201cWe can look at mortality, we can look at different predictors related to blood pressure, specifically the \u2018pulse pressure,\u2019 which is a mathematical subtraction of the systolic and diastolic numbers,\u201d Flint said. \u201cIn certain circumstances, it may be an independent predictor that is important, so we\u2019re exploring that.\u201d<\/p>\n\n\n\n<p>Flint says this study was carried out using a big data approach with information from the Kaiser healthcare system.<\/p>\n\n\n\n<p>\u201cWe have many, many clinics and all those clinics are putting data into electronic medical records, so we are really able to do analytics like this at a close to population-level,\u201d Flint said.<\/p>\n\n\n\n<p>In the not-too-distant future, he said, researchers may be gathering blood pressure data from noninvasive wearable sensors.<\/p>\n\n\n\n<p>\u201cThis is sort of a stepping stone toward that even bigger data approach to learning more about the relationship between blood pressure and other factors and the risk of cardiovascular events. We could hopefully identify people at much finer level who are at risk and tailor medical therapy for them,\u201d Flint added.FEEDBACK:<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Source: healthline.com If you\u2019ve been told you only have to worry about getting the top number of your blood pressure [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":988,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[40],"tags":[1179,672,1174,1178,740,1177,1175,1176],"class_list":["post-987","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-heart-care","tag-artery","tag-blood-pressure","tag-bottom","tag-healthline","tag-heart-attacks","tag-important","tag-number","tag-reading"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Why the Bottom Number on Your Blood Pressure Reading Is Important, Too - 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