High systolic blood pressure (BP) with a normal diastolic BP is a condition known as isolated systolic hypertension (ISH). It occurs when the top number of your blood pressure reading (systolic pressure) is elevated (typically 130 mmHg or higher) while the bottom number (diastolic pressure) remains within the normal range (usually below 80 mmHg). ISH is more common in older adults and can be associated with various symptoms and health risks. Some of the symptoms and consequences of isolated systolic hypertension include:
Headaches: Persistent headaches can be a symptom of high blood pressure, including ISH. However, high blood pressure is often asymptomatic, and headaches alone are not reliable indicators of the condition.
Dizziness or lightheadedness: Some individuals with ISH may experience dizziness or feelings of lightheadedness due to increased pressure in the blood vessels.
Flushing or facial redness: A reddish appearance on the face or flushing can be a sign of elevated blood pressure.
Vision changes: High blood pressure may cause vision changes, including blurry vision or seeing spots.
Fatigue or weakness: Some people with ISH might feel fatigued or weak, although these symptoms are not specific to this condition and can have various causes.
It's important to note that isolated systolic hypertension is often asymptomatic, and many individuals with high systolic blood pressure may not experience any noticeable symptoms. This is one of the reasons why regular blood pressure checks are essential, especially for older adults, to identify and manage high blood pressure effectively.
Isolated systolic hypertension is a significant risk factor for various cardiovascular conditions, including heart disease, stroke, and kidney damage. Over time, if left untreated, it can lead to serious health complications. Therefore, if you suspect or have been diagnosed with isolated systolic hypertension, it's crucial to work closely with your healthcare provider to develop a comprehensive treatment plan that may include lifestyle changes, medication, and regular monitoring of blood pressure. Managing high blood pressure effectively can reduce the risk of associated health problems and improve overall health outcomes.