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In isolated systolic high blood pressure (isolated systolic hypertension, or ISH), systolic blood pressure is elevated (130 mm Hg or higher), but diastolic blood pressure stays below 80 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.
A systolic blood pressure of 130 mm Hg or higher is an important risk factor for stroke and heart disease.
Your doctor may recommend lifestyle changes to lower your blood pressure. Depending how high your blood pressure is and your overall risk for a heart attack or stroke, your doctor may also talk to you about taking medicines to help lower blood pressure more.
Lifestyle changes include eating healthy with the DASH diet, losing weight, being active, limiting sodium, and limiting alcohol.
Other Works ConsultedAronow 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.Whelton PK, et al. (2017). 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. Journal of the American College of Cardiology, published online November 13, 2017. DOI: 10.1016/j.jacc.2017.11.006. Accessed November 20, 2017.
ByHealthwise StaffPrimary Medical ReviewerE. Gregory Thompson, MD - Internal MedicineMartin J. Gabica, MD - Family MedicineAdam Husney, MD - Family MedicineKathleen Romito, MD - Family MedicineSpecialist Medical ReviewerRobert A. Kloner, MD, PhD - Cardiology
Current as ofDecember 19, 2017
Current as of: December 19, 2017
Author: Healthwise Staff
Medical Review: E. Gregory Thompson, MD - Internal Medicine & Martin J. Gabica, MD - Family Medicine & Adam Husney, MD - Family Medicine & Kathleen Romito, MD - Family Medicine & Robert A. Kloner, MD, PhD - Cardiology
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