About-Cardio
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We provide our users the most up-to-date and accurate information on the treatment and prevention of cardio pathologies in accordance with current American and European clinical guidelines.
The information provided on this website is for educational purposes only and should not be considered medical advice. Always consult a licensed physician for diagnosis and treatment.
Understanding High Systolic Blood Pressure
Introduction
High systolic blood pressure (SBP) occurs when the upper number in a blood pressure reading is elevated, typically above 130 mmHg. This is an indicator of increased pressure in the arteries during heart contraction, which can contribute to cardiovascular disease.
Causes of High Systolic Blood Pressure
- Aging: Artery stiffness increases with age.
- Hypertension (High Blood Pressure): Chronic condition leading to elevated SBP.
- Lifestyle Factors: Poor diet, lack of exercise, obesity.
- Medical Conditions: Kidney disease, thyroid disorders, diabetes.
- Medications: Some drugs (e.g., NSAIDs, decongestants) can raise blood pressure.
Symptoms and Risks
High systolic blood pressure may not cause symptoms initially but increases the risk of: - Stroke - Heart attack - Heart failure - Kidney disease - Cognitive impairment
Diagnosis and Blood Pressure Monitoring
- Normal BP: Below 120/80 mmHg
- Elevated SBP: 120-129 mmHg
- Stage 1 Hypertension: 130-139 mmHg
- Stage 2 Hypertension: 140 mmHg or higher
- Hypertensive Crisis: 180/120 mmHg or higher (seek immediate medical help)
Management and Treatment
Lifestyle Modifications
- Healthy Diet: Follow the DASH diet (rich in fruits, vegetables, and low sodium).
- Exercise: At least 150 minutes of moderate exercise per week.
- Weight Control: Maintain a healthy BMI.
- Reduce Salt Intake: Less than 2.3 grams/day.
- Limit Alcohol and Quit Smoking.
Medications (if needed)
- ACE inhibitors, ARBs, beta-blockers, calcium-channel blockers, or diuretics as prescribed by a doctor.
Conclusion
High systolic blood pressure requires attention to prevent serious cardiovascular complications. Routine monitoring and lifestyle changes can help maintain cardiovascular health. Seek medical advice if your blood pressure remains high despite interventions.
Source recommendations
1. American College of Cardiology/American Heart Association Hypertension Guidelines
- https://www.acc.org/Latest-in-Cardiology/Articles/2024/02/05/11/43/2023-ESH-Hypertension-Guideline-Update
- https://www.ahajournals.org/doi/10.1161/hyp.0000000000000065
- https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2017/11/09/11/41/2017-Guideline-for-High-Blood-Pressure-in-Adults
- https://pubmed.ncbi.nlm.nih.gov/29133356/
- https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.121.054602
2. European Society of Cardiology/European Society of Hypertension Guidelines
- https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Elevated-Blood-Pressure-and-Hypertension
- https://www.ejinme.com/article/S0953-6205(24)00238-3/fulltext
- https://pubmed.ncbi.nlm.nih.gov/37345492/
- https://academic.oup.com/eurheartj/article/39/33/3021/5079119
- https://www.eshonline.org/
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If you or your loved ones experience any of these symptoms, you should consult a doctor in time. Remember that self-medication can be dangerous, and timely diagnosis will preserve the quality and life expectancy.
The heart is an organ that does not know how to "keep silent" if something goes wrong. Chest pain, shortness of breath, swelling, dizziness, and rhythm disturbances are the symptoms that require our attention. The best prevention of heart disease is careful attention to your health, regular checkups with a doctor, and a healthy lifestyle. Take care of your heart, and it will serve you for many years!
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Our answers to your questions are based on the clinical recommendations of countries with the most developed healthcare systems in the field of cardiology in the USA, the EU and Japan.
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We monitor all innovations and changes in the field of cardiac disease treatment on a daily basis.
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Every 3-5 years, half of the scientific approaches to treatment in the field of cardiology are reviewed as a result of specialized scientific discoveries. With us, you don't have to wait these years to learn about the best ways to treat you and your loved ones.