High upper pressure, and the lower normal: what it means, causes and treatment

Increased upper pressure

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Measuring your blood pressure with a blood pressure monitor, have you noticed that your blood pressure is higher than normal? It is important to know what high blood pressure means and what consequences it may lead to in the future. You can talk about hypertension and the need for its treatment when the systolic index regularly jumps up by 20-30 mmHg. At the same time it is the upper figures that cause the characteristic symptoms. The lower ones may be normal or even decreased, but more often they increase almost synchronously. It is important to find out what causes high blood pressure, whether the pathology is a primary disease or reflects other processes in the body.

What is the upper pressure and how it manifests itself?

The question of what systolic pressure is responsible for worries every hypertensive person. The first digits on the tonometer show the degree of blood pressure at the time of maximum heart rate. The higher they are, the more difficult it is for the blood flow to move through the vessels. The lower (diastolic) pressure demonstrates how the blood moves through the vessels at the stage from cardiac to the next contraction. Since the lower indicators are passive, it is the upper figures that are fundamental in the diagnosis of hypertension.

Not only high surface pressure against the background of elevated, normal or lowered lower pressure indicates problems in the body. You can suspect something is wrong by the following symptoms indicating the development of hypertension:

  • dizziness;
  • throbbing pain in the occipital or temporal region;
  • tinnitus;
  • nausea, vomiting;
  • fainting;
  • shortness of breath;
  • redness of the skin of the face;
  • «flies in» front of my eyes;
  • pain in the heart.

What do the indicators depend on?

Despite the fact that the upper blood pressure is called cardiac, several factors affect the figures at once, namely

  • the heart rate;
  • blood ejection rate;
  • impact volume of the left heart ventricle;
  • extensibility of the aortic walls.

Thus, the upper blood pressure is affected not only by the heart, but also by blood vessels (large).

Elderly people most often encounter jumps in systolic blood pressure, in which the elasticity of blood vessels decreases due to age-related changes. But today hypertension is also diagnosed in young people. The reasons causing the violation may be as follows:

  • improper diet, replete with fatty, salty, spicy food;
  • bad habits (smoking, alcohol;
  • sedentary lifestyle);
  • increased physical or mental stress;
  • stressful situations;
  • chronic fatigue;
  • sleep disorders;
  • weather conditions;
  • some medicines and folk medicine.

Obesity and hypertension

Obese people suffer from hypertension in 90% of cases


For each person, these indicators may be different. The norm depends on age, gender, weight, race, state of the cardiovascular and endocrine systems. Some people feel healthy with a constant blood pressure of 150/100, others feel bad at 130/90 mmHg, we are used to considering 120/80 mmHg as a benchmark, but this is far from the case. It is better to focus on age, since it depends on him what kind of pressure can cause concern. For example, the upper limits of the norm:

  • up to 20 years old — 100/70, 120/80 mmHg.
  • to 40 years — 120/80, 130/80. mmHg.
  • to 60 years — 130/80, 140/90. mmHg.
  • older than 60 — 150/90 mmHg.

The average numbers on the tonometer display that cause concern for the patient’s health are 140/90. mmHg, but this is relevant only for a healthy person. For example, in diabetes mellitus, such blood pressure is normal and does not require special correction with medications.

Blood pressure measurement

High blood pressure at normal lower is called isolated hypertension, which requires special examination and treatment

Pressure below 100/60 mmHg. refers. to reduced. But for athletes or people who are constantly exposed to stress, it eventually becomes normal. This is how the body adapts to the situation and regulates the human condition.

Possible complications of isolated hypertension

The situation when the upper pressure is high and the lower is normal, experts call isolated hypertension. The violation is associated with a decrease in the degree of extensibility of the arteries, including the main — aorta itself. It is she who is normally responsible for receiving blood and suppressing pressure during cardiac output. Elasticity allows you to safely pass the blood flow, but with an increase in the stiffness of the arterial walls, this ability is lost. Blood cannot circulate through the vessels at an optimal speed, which provokes pressure surges. Small vessels are not affected, so the lower pressure indicators remain normal.

This condition can eventually lead to a number of additional disorders, among which the following can be noted:

  • heart failure;
  • decreased left ventricular function;
  • violation of the speed of blood flow through large vessels;
  • endothelial damage and subsequent replacement of deformed areas with rigid connective tissue;
  • increased production of enzymes negatively affecting the vascular walls — of nitric oxide, angiotensin, renin.

What to do in this case? To heal. And not only to rid a person of unpleasant symptoms, but also to eliminate the cause that caused the violation. The sooner the problem is diagnosed, the answer is given to the question why the upper pressure is high and the lower is low and a therapy scheme is drawn up, the faster you can get rid of the disease and the lower the risk of developing all kinds of complications.


Whatever the hell, it needs to be monitored regularly. This allows you to pay attention to the problem in time and seek medical help, not allowing hypertension to seriously and permanently change your life by introducing a number of restrictions into it, including constant taking pills, work and rest regime, rejection of bad habits and habitual physical exertion, which can increase blood pressure.