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High Blood Pressure - The isolated primary Hypertension

The isolated systolic hypertension
High blood pressure - the isolated hypertension

Present in the arteries is blood pressure and this is created by the cooperation of blood vessels and the heart activity. The measurement consists of an upper value, also called Systole and a lower value called  Diastole. The difference between the upper and lower value is referred to as the pulse pressure and it obtains the so-called blood pressure amplitude.

According to various statistics more than half of people aged 65 and over suffer from high blood pressure. Less than half of these people are aware of their isolated systolic hypertension because they are symptom-free. On the other hand, existing complaints are attributed to other causes.

This can be insomnia, mood swings, concentration fluctuations, and decreasing energy. These and other risk factors may overlap with those of primary hypertension. This is true in patients with excess weight as well as those who smoke.

A now medically recognized risk factor for primary hypertension is the obstructive sleep apnea syndrome. If you suffer from any of these symptoms, they should be addressed by a doctor. It doesn’t matter whether you are male or female, isolated primary hypertension can be serious. 

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Isolated systolic Hypertension - High Blood Pressure

Isolated systolic hypertension has long been a well-known form of high blood pressure, and it should be regarded as an independent disease.

It is mainly found in elderly patients and is therefore also known as "Old high pressure". Significant for this type of high blood pressure is the systolic blood pressure which is relatively high, and the rather low diastolic pressure, for example 160/50 mmHg.

When you get to your 50s it is quite natural for a doctor to routinely take the pulse pressure Causes of high blood pressure can vary. As we get older, the blood vessels start to lose their elasticity and progressive calcification increases.

The limited flexibility of the artery significantly reduces the damping effect on the increase in pressure of the blood flow. Another reason may be the incomplete closure of the heart valve of the left ventricle. However, hyperthyroidism may be reason for the occurrence of an increased pulse pressure.

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Isolated Hypertension is not harmless

Isolated hypertension - high blood pressure
High blood pressure and the isolated hypertension

This form of hypertension is not harmless, because with the increasing difference between systolic and diastolic value, the number of cardiovascular complications also increases.

Your doctor should take repeated blood pressure measurements on both arms to give an accurate history of the patient’s blood pressure. Systolic hypertension is significant for the elderly, since it increases the risk of strokes and heart attacks.

The subject's blood pressure should be monitored constantly. In addition to regular blood pressure tests, there should also be regular blood tests. Here again the blood lipids, HDL and LDL cholesterol and triglycerides and blood sugar are determined.

Furthermore, the blood is analysed and the blood salts, which include potassium and sodium, as well as uric acid, creatinine and gamma-GT are also tested. For the determination of over-or under-active thyroid hormone, the right tests should be given. Moreover, the urine should also be exampled.

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Consequences of isolated primary Hypertension

Sleep apnea screening will take place in a sleep laboratory if the doctor believes it to be a cause of high blood pressure. Sleep Apnea is determined by the results of various ECG examinations, cardiac ultrasound and color ultrasonography of the carotid arteries, and is often tested for because the risk of stroke is significantly increased.

Basically, systolic hypertension is underestimated. Systolic hypertension is classified as a function of the systolic value into three levels:

Degrees I of high blood pressure - 140-159

Degrees II of high blood pressure - 160-179

Grade III of high blood pressure > 180

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