High Blood Pressure: What You Need to Know at 24 - Cardiology

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Blood pressure issues


Hello, I am currently 24 years old and have issues with high blood pressure.
I have been monitoring my blood pressure regularly, with systolic pressure typically around 130-140 mmHg, but diastolic pressure often ranging from 60-70 mmHg.
I researched online and found that the difference between the two is called pulse pressure, and a high pulse pressure can indicate a higher risk of problems.
However, when I visited my cardiologist, they did not seem to express much concern about my blood pressure.
Should I take any specific actions regarding this?

Niming, 20~29 year old female. Ask Date: 2016/02/16

Dr. He Dongjin reply Cardiology


Hello, I believe there is no major issue and observation should suffice without any need for concern.
A low-sodium diet, regular exercise, and maintaining a normal daily routine should be sufficient.
Changhua Hospital cares about you.

Reply Date: 2016/02/16

More Info


Hello! It's great that you're taking an active interest in your health, especially regarding your blood pressure at the age of 24. High blood pressure, or hypertension, can be a significant health concern, even at a young age, and understanding your numbers is crucial.

From what you've shared, your systolic blood pressure (the top number) is between 130-140 mmHg, while your diastolic blood pressure (the bottom number) is between 60-70 mmHg. This gives you a pulse pressure (the difference between systolic and diastolic) of around 60-80 mmHg. A normal pulse pressure is typically around 40 mmHg, so yours is elevated. High pulse pressure can indicate stiff arteries or other cardiovascular issues, which can increase the risk of heart disease and other complications.

It's important to note that while your systolic reading is on the higher side of normal, your diastolic reading is relatively low. This combination can sometimes indicate an underlying issue, such as increased arterial stiffness or other cardiovascular concerns. However, your healthcare provider's reassurance suggests that they may not see any immediate cause for alarm based on your overall health and medical history.

Here are some steps you can take to manage your blood pressure effectively:
1. Lifestyle Modifications:
- Diet: Adopt a heart-healthy diet, such as the DASH (Dietary Approaches to Stop Hypertension) diet, which emphasizes fruits, vegetables, whole grains, and lean proteins while reducing salt intake.

- Exercise: Regular physical activity can help lower blood pressure. Aim for at least 150 minutes of moderate aerobic exercise each week, such as brisk walking, swimming, or cycling.

- Weight Management: If you're overweight, losing even a small amount of weight can help reduce your blood pressure.

- Limit Alcohol and Caffeine: Both can raise blood pressure, so it's wise to consume them in moderation.

2. Regular Monitoring: Continue to monitor your blood pressure regularly. Keeping a log of your readings can help you and your doctor identify patterns and make informed decisions about your health.

3. Stress Management: High stress can contribute to elevated blood pressure. Techniques such as mindfulness, meditation, yoga, or deep-breathing exercises can be beneficial.

4. Follow-Up with Your Doctor: Since you have already been seeing a cardiologist, it's essential to maintain regular follow-ups. If you notice any changes in your symptoms or if your blood pressure readings increase, make sure to discuss these with your doctor.

5. Consider Further Evaluation: If your blood pressure remains consistently high or if you experience symptoms like headaches, dizziness, or palpitations, further evaluation may be warranted. This could include additional tests to assess your cardiovascular health.

6. Medication: If lifestyle changes are not sufficient to control your blood pressure, your doctor may consider prescribing medication. This is typically a last resort after lifestyle modifications have been attempted.

In summary, while your current blood pressure readings may not seem alarming to your healthcare provider, it's essential to take proactive steps to manage your health. Regular monitoring, lifestyle changes, and open communication with your doctor will help you stay on top of your blood pressure and overall cardiovascular health. Remember, early intervention can prevent complications down the road. Stay healthy!

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