High Diastolic Blood Pressure: When to Worry

Is it possible to have hypertension that is primarily diastolic (with a systolic blood pressure below 140 mmHg)? “Yes,” replies Professor Furber, “particularly in those under 65. After that, it tends to become more systolic. This is due to aging, which leads to a stiffening of the artery walls.”

certain medications such as the contraceptive pill;

anti-inflammatory drugs or corticosteroids;

and the use of drugs such as cocaine or amphetamines.

More rarely, there may be underlying causes. For example, renal artery stenosis (a reduction in blood flow in one or both of the main renal arteries or their branches), or any disease that can lead to kidney failure.

In the absence of a known cause, it is referred to as essential hypertension, often with a genetic component (a history of early-onset hypertension in one’s father or mother).

Diastolic blood pressure between 90 and 100

: “If diastolic blood pressure is between 90 and 100, it’s best to wait a while before considering any treatment. At this stage, dietary measures may be sufficient.”

get at least 150 minutes of physical activity per week;

adults to consume less than 5 grams of salt per day.

: “When diastolic blood pressure is higher, above 100, treatment should be started more quickly. Generally, the doctor begins with monotherapy. In other words, they prescribe a single medication to the patient. A few weeks later, the patient returns for a follow-up appointment to assess the effectiveness of this medication. If it works, great. If not, the doctor may try a combination of several medications.”