(for South Dakota) to remind them that "s" comes first for
systolic, and "d" comes second for diastolic when measuring blood pressure.
Using medical records from 1.3 million patients, his team confirmed that, yes, high
systolic blood pressure was a stronger risk factor for heart attack and stroke.
"Both
systolic and diastolic hypertension contribute significantly to cardiovascular risk, regardless of the threshold used for hypertension (≥140/90 mm Hg or ≥130/80 mm Hg)," the authors write.
One was progression of white-matter hyperintensity on brain MR images, which is a measure of neuron necrosis in the brain, and this analysis showed that the growth of white matter occurred at a 40% reduced rate among 99 patients treated to an average ambulatory
systolic blood pressure of 130 mm Hg, compared with the average progression among 100 controls treated to an average ambulatory
systolic of 145 mm Hg.
"Also, when we looked at differences in blood pressure over time within individuals, comparing years when they lived in an area with a smoke-free law to years when they didn't,
systolic blood pressure was lower on average when they lived in an area with smoke-free laws, after accounting for overall trends in blood pressure and for how people's levels of risk factors like diet and physical activity changed over the study period," Mayne explained.
Among the patients with treated blood pressure, 27 % had a
systolic blood pressure under 110mmHg during at least one visit.
Significant
systolic and diastolic function impairment have been observed in 4% of 50 samples.
At visit-1 (time of inclusion in the study), sitting
systolic and diastolic BP was taken initially and recorded in the individual patient proforma.
We described our included sample using frequency (% proportion) for gender and mean ([+ or -] standard deviation) for weight, height,
systolic pressure, diastolic pressure, and BMI.
Participants were sorted into four groups based on their baseline
systolic blood pressure: 120-129, 130-139, 140-149 and 150 or greater baseline
systolic blood pressure.
Left ventricular
systolic dysfunction in childhood can occur due to many causes.
Patients with both type 2 diabetes and acute heart failure face a significantly lower risk of death but a higher risk of heart failure-related hospitalisation if they have had high
systolic blood pressure on discharge from the hospital compared to those with normal blood pressure.