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In isolated systolic high blood pressure (isolated systolic
hypertension, or ISH),
systolic blood pressure is elevated (140 mm Hg or higher),
diastolic blood pressure stays below 90 mm Hg. This
type of high blood pressure is more common in older adults, especially older
women. In fact, the majority of people older than 60 who have hypertension have
isolated systolic hypertension.
systolic blood pressure of 140 mm Hg or higher is an important risk factor for stroke
and heart disease.
ISH can cause damage to organs such as the
kidneys, brain, heart, or eyes. And it should be treated.
Treatment includes lifestyle changes and medicines that lower blood pressure.
Lifestyle changes include eating healthy with the DASH diet, losing weight, being active, limiting sodium, and limiting alcohol.
Other Works Consulted
Aronow WS, et al. (2011). ACCF/AHA 2011 Expert consensus document on hypertension in the elderly: A report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. Circulation, 123(21): 2434–2506.
ByHealthwise StaffPrimary Medical ReviewerE. Gregory Thompson, MD - Internal MedicineMartin J. Gabica, MD - Family MedicineSpecialist Medical ReviewerRobert A. Kloner, MD, PhD - Cardiology
Current as ofJune 23, 2016
Current as of:
June 23, 2016
E. Gregory Thompson, MD - Internal Medicine
& Martin J. Gabica, MD - Family Medicine & Robert A. Kloner, MD, PhD - Cardiology
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