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Q: High systolic, low diastolic ?
asked by: Seanstex on June 21st, 2008
New User
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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MandMs
replied on 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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Seanstex
replied on June 23rd, 2008
New User
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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Seanstex
replied on July 3rd, 2008
New User
Anyone have any ideas or suggestions?
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AJMcCarthy
replied on May 2nd, 2009
New User
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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Xuxux
replied on June 9th, 2009
New User
My systolic BP is 160 and diastolic is 64 should i be concerned about that?
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funnyusername
replied on November 16th, 2009
New User
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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