Abnormal Blood Pressure: Concerns for Young Adults

Q: Abnormal Blood Pressure: Concerns for Young Adults

Hello： Your blood pressure readings are still within the normal range, so there is no indication of vascular issues. <br>However, it is important to note that blood pressure can fluctuate due to activity, emotions, or physical conditions. <br>Therefore, there are specific guideli

Abnormal blood pressure

Hello doctor, I am 19 years old and for the past few years, I have often felt that there is something wrong with my body.
I have undergone many tests (such as electrocardiograms and echocardiograms), and my primary physician only mentioned that my heart walls are slightly thickened but that it is not a concern.
However, I have consistently measured my blood pressure with a systolic pressure between 120 and 135 mmHg, and a diastolic pressure between 60 and 75 mmHg, resulting in a pulse pressure of approximately 50 to 70 mmHg.
I would like to ask: 1.
Does the higher systolic pressure and lower diastolic pressure, resulting in a large pulse pressure, indicate that there may be an issue with my blood vessels? 2.
Could my lower diastolic pressure be further decreased by light exercise and diet? 3.
Is it possible for me to experience a fatal event in my sleep due to low diastolic pressure?

Mr. Gu, 10~19 year old female. Ask Date: 2020/08/09

Dr. Huang Yinghe reply Cardiology

Hello: Your blood pressure readings are still within the normal range, so there is no indication of vascular issues.
However, it is important to note that blood pressure can fluctuate due to activity, emotions, or physical conditions.
Therefore, there are specific guidelines for measuring blood pressure: it is essential to have adequate rest and to measure it in a quiet and comfortable environment.
I generally recommend that patients take their readings during two calmer times: in the morning upon waking and in the evening before going to bed.
Regular exercise and a low-sodium diet can undoubtedly improve high blood pressure, and these lifestyle adjustments are unlikely to cause excessively low blood pressure.
Past research on blood pressure has clearly established that higher systolic pressure is associated with an increased risk of cardiovascular mortality or sudden death.
However, there is no definitive conclusion regarding diastolic pressure.
Therefore, I recommend that you maintain the habit of measuring your blood pressure, follow a light diet, engage in regular exercise, and collaborate with your physician for monitoring or treatment.

Reply Date: 2020/08/09

More Info

Understanding abnormal blood pressure in young adults is crucial, especially given the increasing prevalence of hypertension and related cardiovascular issues in younger populations. Your concerns are valid, and it’s important to address them with a comprehensive understanding of blood pressure dynamics and their implications.

1. Blood Pressure Readings and Vascular Health: Your systolic blood pressure (SBP) readings of 120-135 mmHg are within the normal range, but they are on the higher side of normal. Your diastolic blood pressure (DBP) readings of 60-75 mmHg, while also within the normal range, indicate a wider pulse pressure (the difference between SBP and DBP). A pulse pressure of 50-70 mmHg can be considered elevated, and while it does not automatically indicate vascular problems, it can be a sign of increased cardiovascular risk, especially if it persists over time. Factors such as stress, physical activity, and even hydration levels can affect these readings. It’s essential to monitor your blood pressure regularly under consistent conditions to get a clearer picture of your cardiovascular health.

2. Impact of Lifestyle on Blood Pressure: Engaging in regular physical activity and maintaining a balanced, low-sodium diet can indeed help regulate blood pressure. However, if your diastolic pressure is on the lower end, excessive exercise or a very low-sodium diet could potentially lower it further. It’s important to find a balance that keeps your blood pressure within a healthy range without causing it to dip too low. If you notice significant fluctuations or symptoms like dizziness or fatigue, it would be wise to consult with your healthcare provider to adjust your lifestyle or dietary choices accordingly.

3. Concerns About Low Diastolic Pressure: The fear of experiencing severe health issues, such as sudden death in sleep due to low diastolic pressure, is understandable but generally unfounded in young, healthy individuals. While extremely low diastolic pressure can lead to inadequate blood flow to vital organs, it is rare for a healthy 19-year-old to experience such severe consequences solely from low diastolic readings. However, if you have other underlying health conditions or experience symptoms like fainting, severe fatigue, or chest pain, it is crucial to seek medical attention promptly.

In summary, while your blood pressure readings are mostly within normal limits, the slight elevation in systolic pressure and the lower diastolic readings warrant regular monitoring and possibly lifestyle adjustments. It is also essential to maintain open communication with your healthcare provider, who can guide you based on your specific health profile and any changes in your symptoms. Regular check-ups and a proactive approach to your health can significantly mitigate the risks associated with abnormal blood pressure readings. Remember, maintaining a healthy lifestyle, including regular exercise, a balanced diet, and stress management, is key to long-term cardiovascular health.

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