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Chronically Low Diastolic Blood Pressure

diastolic hypotension

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9 replies to this topic

#1 KimberCT

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Posted 01 September 2014 - 07:36 PM


Looking for help raising my chronically low diastolic blood pressure.
 
Below is a list of my systolic/diastolic blood pressure followed by heart rate over the last several months.

All measurements on a home blood pressure monitor resting in the same position.

105/39 P75 (today)
103/53 P71
111/51 P69
111/57 P74
119/51 P87
112/47 P75
121/52 P76
103/54 P77
107/49 P57
105/46 P65
105/39 P75
110/47 P59
109/55 P58
87/53 P57
88/57 P56
98/58 P77 (baseline)

Ironically, I've been able to raise systolic BP fairly easily with caffeine, ephedrine, or ginseng. I really haven't been able to modify diastolic BP.

Anyone encounter anything that may help in this case?

#2 Gerrans

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Posted 01 September 2014 - 07:56 PM

The question is, how do you feel? If you feel OK, then should you worry too much? My levels are similar to yours, though I have never gone into the 30s. The heart rate often goes up to balance blood pressure levels. As we get older our diastolic blood pressure does go down and is more difficult to influence, though a little salt might help. But remember that readings at home are often lower than those at the doc's, because we are so relaxed--particularly in the evening.



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#3 KimberCT

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Posted 02 September 2014 - 12:17 AM

Primary complaints that I suspect are associated with it is lethargy and occasional chest pain.

The latter is more concerning and becomes more noticeable the lower the BP.

Also, in light of articles like the below, I believe low blood pressure should be more alarming than it is.

Ever doctor I've seen has praised my impressive blood pressure rating (no white coat effect here).

http://www.hindawi.c...hy/2013/178780/
 

The majority of studies looking at harm with aggressive BP lowering have not been consistent in defining a limit to which BP should not be lowered beyond. The data in this study suggest that the benefit of lower DBP is limited to the range of 70–85 mmHg, with a nonstatistically significant trend between 60–65 mmHg. Any DBP value less than 60 mmHg increases the likelihood of all-cause mortality.

Edited by KimberCT, 02 September 2014 - 12:18 AM.


#4 Gerrans

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Posted 02 September 2014 - 08:18 AM

 

Primary complaints that I suspect are associated with it is lethargy and occasional chest pain.

The latter is more concerning and becomes more noticeable the lower the BP.

Also, in light of articles like the below, I believe low blood pressure should be more alarming than it is.

Ever doctor I've seen has praised my impressive blood pressure rating (no white coat effect here).

http://www.hindawi.c...hy/2013/178780/

My reply was to try to reassure you. But if you have bad symptoms from low diastolic pressure, then of course you should be concerned. In my case, I have few symptoms--just a tendency to cold in the peripheries and the very occasional swimmy sleep, which I treat effectively with a couple of scoops of salt and gelatin mix that I keep in the bathroom.

 

As you can imagine, I have read a lot about this, and I have been cheered by the suggestion that if I feel normal then low diastolic pressure is nothing to worry about. You are worrying that low diastolic pressure gives you a greater risk for heart problems, because of what you read in that paper and others. My advice first of all would be to start reading papers that identify certain foodstuffs and activities with reducing mortality from heart disease. Each time you take a measure recommended in those sources you will reduce your risk, and very soon you should outbalance your low diastolic risk. If in fact your low diastolic blood pressure is associated with a potential heart issue, I am sure that such measures would raise it in the process of lowering your heart risks in general. If you follow heart-healthy practices such as exercise and healthy diet, I suspect your chest pains will go away, easing your worries.

 

Another reassuring thing I have often read is that systolic blood pressure is more significant for health. You have raised yours to a healthy level, and I am not surprised the doctors are praising you on that side. The two forms of blood pressure represent the way the heart pumps in and out, and so they are intimately connected.

 

I still say, however, that home readings are not to be relied on. The machines are not the best, and we are in a much more chilled state when we take them than we are when out in the real world. The bigger part we take in the hurly burly of every day life, the higher our blood pressure goes. Time spent at home brings the blood pressure right down.


Edited by Gerrans, 02 September 2014 - 08:47 AM.


#5 shaggy

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Posted 02 September 2014 - 06:10 PM

Two things that may help that spring to mind are creatine monohydrate or salt.
Al ways try getting anxious. .I've found that the best way of upping my dbp..lol

#6 niner

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Posted 02 September 2014 - 07:01 PM

Ever doctor I've seen has praised my impressive blood pressure rating (no white coat effect here).

 

Does that mean that more than one clinician is unconcerned with your low dbp?  (Doesn't mean they're correct in their lack of concern, but it's a data point...)



#7 Dolph

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Posted 03 September 2014 - 07:15 AM

Diastolic pressure is pretty reactive to resistance training in my experience. When I did bodybuilding dbp correlated very well with my muscle mass. So if my assumptions are true you might well be a little cachectic? Overdone it with caloric and protein restriction maybe?

#8 timar

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Posted 03 September 2014 - 08:06 AM

Ever doctor I've seen has praised my impressive blood pressure rating (no white coat effect here).

 

If the readings they got were similar to what you've measured yourself they should rather have been concerned. Many GPs still seem to think that for any blood pressure reading the lower is the better but it is known since more than a decade now that high pulse pressure (SBP-DBP) is a risk factor for heart deasease and mortality just as high blood pressure is. Abnormal high resting pulse pressure (> 60) may have serious causes such as aortic insufficiency, especially when accompanied by angina pectoris. As you experience chest pain with episodes of high pulse pressure, I would urge you to have an ECG taken in order to exclude such a cause.

 

I don't want to scare you, though. The most likely explanation has already been brought up by Dolph.


Edited by timar, 03 September 2014 - 08:10 AM.

  • Informative x 2

#9 KimberCT

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Posted 04 September 2014 - 01:08 AM

Thanks for the comments all. Yes, all the clinicians I've dealt with seem to work under the assumption that lower is always better. I think I will push for an ECG as I've never had one done before.

Also, this thread has spurred my memory. While I still have decent muscle mass, I did feel a hell of a lot better when I was lifting and supplementing creatine.

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#10 drew_ab

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Posted 04 September 2014 - 03:18 AM

I agree with the suggestion to get an ECG.





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