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High systolic, low diastolic ?

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Hello, I'm a 23 year old-male, Pretty athletic(lift weights 3 days a week and ride 12 miles on my bike 2 days a week) 5'9" and weigh 142 lbs. I don't smoke or do drugs and rarely drink. My Dr. tells me that I have pre-hypertension and white-coat syndrome.

Had an EKG preformed about 12 years ago, that came out fine.
Wore a halter a little over a year ago and that came back normal.
I have my own blood-pressure-monitor now and been keeping track of it since May 14th of this year. My average Systolic is 124, Diastolic is 64.

Sometimes the diastolic is pretty low(low to mid-fifties while the systolic is 128 or more, usually. sometimes its 117/57. Sometimes it's like 132/72. I do feel a little bit light-headed and tired more often than not now. Should I be concerned, would you think I have stiff arteries? or just stress and thinking about it too much?

I currently take Advair for asthma(for about 2 months now) was prescribed a lower dosage which worked for about 3 weeks... the final week it didn't help at all. Was prescribed a higher dosage which seems to help, but could it be causing or adding to my symptoms?

I've also have been diagnosed with having GERD had 2 EGD's preformed, the first they fixed strictures and gave me Protonix. They second time they didn't find anything other than "slight inflammation in my stomach".
Didn't recommend eating certain foods.

I'm not sure what's going on, but I don't like it. What should you recommend I do?
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First Helper User Profile MandMs
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replied June 23rd, 2008
Extremely eHealthy
When and for how long you were taking Protonix?
When are your asthma symptoms usually getting worse?
Have you been tested for your blood levels of sugar and cholesterol?
What's your usual heart rate?

Normal diastolic blood pressure falls between 60 and 80 mm Hg.
Low diastolic pressure can be due to stiffening of arteries, but, high systolic and low diastolic blood pressure is also seen in white coat hypertension.
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replied June 25th, 2012
WHAT ABOUT NORMAL SYSTOLIC AND HIGH (105) DIASTOLIC?
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replied June 23rd, 2008
I took Protonix for one month after the first EGD(April 2006) and again another month after the second EGD(February 2008). The first prescription for it worked wonders. The second time around it didn't change anything.

Asthma symptoms just come and go. There is no certain-time or certain triggers except for the heat sometimes. I get shortness of breath and breathe harder/faster after climbing my flight of stairs(13 steps) or most other tasks.

Cholesterol not sure. I have had my thyroid tested about 4 months ago which came back normal. My step-dad has diabetes so he has the device that checks blood-sugar I tested my blood-sugar which, was I believe 94 or whatever the normal is.

My normal or average pulse-rate is: 69
Average Systolic: 124
Average Diastolic: 65.2

It's strange though, the machine I use to test my pressure and pulse will, say for instance I take 3 separate readings 2-3 minutes apart will usually give me a pretty significant difference. The readings below I recently took 3 minutes apart doing nothing other than sitting in my office chair, feet flat on the ground,palm up, back supported.

138/64 Pulse:76
125/64 Pulse:77
128/54 Pulse:71
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replied July 3rd, 2008
Anyone have any ideas or suggestions?
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replied May 2nd, 2009
Seanstex, I'm just wondering if you've uncovered any answers and/or how you're feeling. I am a 29 year old male with EXACTLY the same dilemma. White coat syndrome so doc told me to buy a home kit. She put me on Coreg for my BP (which at the office was 160/80)...Now, months later, at home my BP readings daily are like this:
135/68
138/65
129/68

Doc keeps telling me everything is fine but I feel like the difference in top and bottom numbers is way too big. I did a stress test on the treadmill, cardiologist says heart looks fine. Wondering if I too need to worry about hard arteries/heart. Scary stuff.

Hope you are doing well, feel free to give me some advice if you have any.
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replied June 9th, 2009
My systolic BP is 160 and diastolic is 64 should i be concerned about that?
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replied November 16th, 2009
Im 17 & my Systolic is 155 and diatolic 65, with a resting heart rate of 50. Train 6 days a week, 3 days weight training and 3 days training related to my sport (Rugby) growing very concerned over this as my physical fitness and diet would be in the same category as most top level athletes. Any ideas why my Systolic is so high?
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replied June 24th, 2011
It's scary looking on the internet for the answers to these questions because you'll run into stuff like "Isolated systolic hypertension is VERY BAD because it's a sign of ventricular hypertrophy blah blah blah," or "a widened pulse pressure (which is a large difference between the diastolic and systolic pressures [the very thing we're talking about] is bad because it leads to an increase in mortality in old people." Correlation doesn't imply causation, and doctors get a little too ad hoc happy when it comes to blood pressure. The reason why a wide pulse pressure in an old person is bad is because it's a compensatory mechanism for dealing with reduced compliance of the arteries and veins caused by aging.

A wide pulse pressure simply means your heart is beating really hard, which it has to to beat at 50 BPM and still get all the blood to your extremities. Your heart is more efficient, and it's probably larger than normal. Imagine a HUGE pump going THUMP. Yes, it's going to exert a lot more pressure than a smaller pump. It's simple physics, a subject doctors seem to not give a crap about these days. If your diastolic were high, it would indicate atherosclerosis or arteriosclerosis, and your diastolic is low, so you're golden.

Tldr; you have a big heart and it's pumping really hard to compensate for only going at 50 bpm.

PS: I worry about this stuff, too... I run 4-6 miles a day and do P90x and have a resting BP of 129/49 and a pulse of 47... when I'm in class and we take each other's BP's, it sometimes shoots all the way up to 150/60, but that's because I'm nervous

Disclaimer: isolated systolic hypertension can, in some cases, be a sign of a LVH or left ventricular hypertrophy which, if not caused by exercise, can be pathological. While I criticize what doctors say on the internet, I don't criticize what they say to their patients... if he/she thinks you should be on BP meds, then you should... but i bet he'll say the same thing i did.
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replied June 24th, 2011
It's scary looking on the internet for the answers to these questions because you'll run into stuff like "Isolated systolic hypertension is VERY BAD because it's a sign of ventricular hypertrophy blah blah blah," or "a widened pulse pressure (which is a large difference between the diastolic and systolic pressures [the very thing we're talking about] is bad because it leads to an increase in mortality in old people." Correlation doesn't imply causation, and doctors get a little too ad hoc happy when it comes to blood pressure. The reason why a wide pulse pressure in an old person is bad is because it's a compensatory mechanism for dealing with reduced compliance of the arteries and veins caused by aging.

A wide pulse pressure simply means your heart is beating really hard, which it has to to beat at 50 BPM and still get all the blood to your extremities. Your heart is more efficient, and it's probably larger than normal. Imagine a HUGE pump going THUMP. Yes, it's going to exert a lot more pressure than a smaller pump. It's simple physics, a subject doctors seem to not give a crap about these days. If your diastolic were high, it would indicate atherosclerosis or arteriosclerosis, and your diastolic is low, so you're golden.

Tldr; you have a big heart and it's pumping really hard to compensate for only going at 50 bpm.

PS: I worry about this stuff, too... I run 4-6 miles a day and do P90x and have a resting BP of 129/49 and a pulse of 47... when I'm in class and we take each other's BP's, it sometimes shoots all the way up to 150/60, but that's because I'm nervous

Disclaimer: isolated systolic hypertension can, in some cases, be a sign of a LVH or left ventricular hypertrophy which, if not caused by exercise, can be pathological. While I criticize what doctors say on the internet, I don't criticize what they say to their patients... if he/she thinks you should be on BP meds, then you should... but i bet he'll say the same thing i did.
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replied February 16th, 2011
Hey guys. I can't really offer too much in terms of an explanation, but rest assured you are not alone. I am 26 Male and I have the exact same symptoms that you have mentioned. I also lift weights 4 days a week and stay fairly active. I got the home BP monitor and my average systolic is around 120 but it has been as high as 154. I know I had so-called white coat syndrome in the dr's office, but sometimes I get nervous while I am waiting to take my BP at home because I am really worried about it being high. So basically, I am a head case. Anyway, I haven't been through all the crazy tests yet, but I am going to get blood work done tomorrow. At any rate I just wanted to thank you all for sharing your stories. Just reading them and knowing that other people are going through the same thing helps.
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replied April 11th, 2011
bp
Im 26, just a bit ago I was at 136/55... my heart rates usually in the 50s or 60s... my bottom number is usually low... curious have any of you taken ephedra in your past? I took it long ago and often wonder about the repercussions. Ive also been diagnosed with GERD in the past as someone mentioned about. And im a female
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replied May 20th, 2011
I'm 35 and just came out of the pharmacy where I check my blood pressure. Again, as usual, my low number is around 80 and my high number is around 140 (144 over 75, to be exact). I stopped smoking two months ago, started excersising vigoursly again (weights, swimming) five days a week. In the last two months, I've brought my bottom number down by ten points, lost ten pounds, but my top number hasn't budged. Like other posters, though, I feel really nervous while I'm taking my blood pressure.
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replied August 10th, 2011
Low Diastolic and Wide Pulse Pressure
I've been in the same situation as Seantex but I'm 70 years old. My heart pulse is around 60 beat per minute and I exercise regularly. My physicians has always told me I'm fit like an athlete and I did not worry at all about my situation until I recently read about wide pulse pressure from the Internet. The explanation by Get209healthy is by far the most logic and many thanks for it.
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replied October 5th, 2011
I think i can relate with some of the cases in here. Also i feel my left arm like burning.
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