What are some potential causes of high systolic blood pressure?
November 19, 2012 7:10 PM Subscribe
I would like to figure out why my systolic blood pressure is high, but my diastolic is usually normal. What avenues are there for me to begin looking into?
posted by Earl the Polliwog to Health & Fitness (4 answers total) 1 user marked this as a favorite
I am a 29 year old male, 5'10" and 170 lbs. I lowered my resting blood pressure from ~140/88 two years ago to ~124/82 one year ago with exercise, diet, CoQ-10 and garlic. My diastolic number has remained good and even has improved in the last year, but the systolic number has begun creeping up again and I want to figure out why.
My diastolic blood pressure is usually in the 70s mmHg and virtually never in the hypertensive range. My systolic blood pressure varies wildly - in the morning it's usually in the low to mid 120s. In the day or evening, my first reading upon sitting could be anywhere from mid-upper 120s to occasionally 150s. 160 if I'm at the doc's, which always makes me nervous. It'll generally settle for half the difference between 120 and the first reading if I wait a few minutes and take a couple more readings.
I know "lower salt intake" is a common recommendation, and I understand this is due to the fact that some people retain more water in response to this, which raises blood pressure. I'm interested in more things one can try for lowering systolic blood pressure, but moreso in the reasons behind them.
I'm not asking for a diagnosis, but I would like to know more about the potential causes for this condition to look into with my doctor. All he can currently suggest, besides potentially medicating, is to suggest eating low-salt (which I tend to do anyways - I eat "primal" / loose paleo) and getting aerobic exercise (I have recently started adding cardio to my lifting routine). Thanks.
My basic blood panel is very good except for elevated LDL and TSH (T3, T4, rev T3 are perfect).