How Low to Lower Your Blood Pressure?

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    Jun 23, 2015 5:08 AM GMT
    NYT: More than 58 million Americans take medicines to lower blood pressure, reducing their risk of heart attack and stroke. But experts aren’t certain how low blood pressure should go.

    http://www.nytimes.com/2015/06/23/health/blood-pressure-the-mystery-number.html?ref=health
  • FRE0

    Posts: 4864

    Jun 23, 2015 5:53 PM GMT
    Probably it will be at least another five years before medicine becomes an exact science.

    The article should have covered how blood pressure is determined. It can vary significantly from one reading to another. Generally my blood pressure is about 120 / 60 or below, and once it was 105 / 55 which the nurse found concerning because it was so low. However, there were no symptoms. According to an olde absolute standard, at my age the systolic should be 197.

    When president FDR died, his blood pressure was something like 300 / 200. It was alarmingly high well before he was elected for his fourth term in 1944 but at that time the ability to control blood pressure was very limited.
  • jeepguySD

    Posts: 651

    Jun 24, 2015 10:41 AM GMT
    My blood pressure was taken two days ago and was 90/60. Normally mine is between 118/50 and 120/60, or pretty close to that. The 90/60 sounded low to me, but the doctor was unconcerned.
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    Jun 24, 2015 11:53 AM GMT
    This is an issue between patient and doctor, since multiple factors need to be evaluated. There's no simple numerical answer that can be given online that applies to everyone.

    Speaking only for myself (and I stress MYSELF, not others), when my blood pressure drops much below 115 (top number) due to meds I take for it then I start to get a bit woozy. But without blood pressure meds I jump sky-high into dangerous territory (195/165 is typical for me).

    My husband, on the other hand, is normally around 120/70, remarkable for a guy about to turn 81. In fact, his entire blood panel is better than mine, so that when our latest doctor first saw it he said: "You're gonna live to be 120!".

    To which I impertinently said, sitting there with them: "He's gonna live to 120? Doctor, can I have a second opinion?"

    ***SMACK*** He always smacks ms! But I love it, we have too much fun for guys our ages. icon_biggrin.gif

    And I hope he does live to be 120, he's in better shape than I am. Though as I said to our doctor: "But, that means I'll have to be 105 before I'm rid of him!" ***SMACK*** icon_lol.gif
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    Jun 24, 2015 10:21 PM GMT
    My Aunt passed away just short of her 101 birthday with a blood pressure of 90/60.

    The only thing that caused her to have hypertension was when Obama cut off her Social Security at age 100 under his Centenarian Project.

    It was restored just before she died but not retroactively back to her 100th birthday causing her more stress which contributed to her death.

    The Obama Investigator's Interrogation of my Aunt included having her recount being raped which gave her nightmares until she died.





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    Jun 24, 2015 10:34 PM GMT
    mx5guynj saidMy Aunt passed away just short of her 101 birthday with a blood pressure of 90/60.

    The only thing that caused her to have hypertension was when Obama cut off her Social Security at age 100 under his Centenarian Project.

    It was restored just before she died but not retroactively back to her 100th birthday causing her more stress which contributed to her death.

    The Obama Investigator's Interrogation of my Aunt included having her recount being raped which gave her nightmares until she died.

    You are insane.
  • Twenty_Someth...

    Posts: 1388

    Jun 25, 2015 6:09 PM GMT
    Art_Deco said
    mx5guynj saidMy Aunt passed away just short of her 101 birthday with a blood pressure of 90/60.

    The only thing that caused her to have hypertension was when Obama cut off her Social Security at age 100 under his Centenarian Project.

    It was restored just before she died but not retroactively back to her 100th birthday causing her more stress which contributed to her death.

    The Obama Investigator's Interrogation of my Aunt included having her recount being raped which gave her nightmares until she died.

    You are insane.


    Ha! My exact thought before I read your comment!
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    Jun 25, 2015 8:48 PM GMT
    woodsmen saidHow Low to Lower Your Blood Pressure?
    I heard that dying will lower it quite a bit.
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    Jun 25, 2015 9:07 PM GMT
    The standard is a moving target. It used to be 140/90, then 120/80, and now, in patients over 55, they say to use the older standard. Bp is generally highest in the evening, after a heavier meal. Bp is generally lowest in the morning.

    Contingent to my exercise levels I see it bounce around. Stress plays a huge factor, too.

    If your bp is above 140/90.
  • musclmed

    Posts: 3284

    Jun 26, 2015 4:07 AM GMT
    chuckystud saidThe standard is a moving target. It used to be 140/90, then 120/80, and now, in patients over 55, they say to use the older standard. Bp is generally highest in the evening, after a heavier meal. Bp is generally lowest in the morning.

    Contingent to my exercise levels I see it bounce around. Stress plays a huge factor, too.

    If your bp is above 140/90.


    Resting blood pressure is what we use to judge and compare patients.

    Blood pressure is generally highest in the Am and after meals.

    Measuring blood pressure during or post exercise has little value.

    Other medical problems such as diabetes and kidney disease play a part in deciding on a goal blood pressure.

    The Veterans administration anecdote in the article is 100% true and still goes on to this day. Although it is somewhat relaxed the VA still has "clinical reminders" popups that bug a doctor to prescribe medication for patients that are often not indicated.

    For example "thiazide" diuretics in hypertension. Thiazide diuretics are no longer a first line drug for patients younger than 55. The VA is obsessed with them. Mainly because they are cheap. However, now in 2015 we know thiazides like hydrochlorothiazide can worsen or cause type 2 diabetes.

    As you probably guessed the reason why the VA chooses these measures to measure "doctoring" is because the system is way to big and clumsy to know what is important or ineffective.


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    Jul 04, 2015 9:37 AM GMT
    Twenty_Something said
    Art_Deco said
    mx5guynj saidMy Aunt passed away just short of her 101 birthday with a blood pressure of 90/60.

    The only thing that caused her to have hypertension was when Obama cut off her Social Security at age 100 under his Centenarian Project.

    It was restored just before she died but not retroactively back to her 100th birthday causing her more stress which contributed to her death.

    The Obama Investigator's Interrogation of my Aunt included having her recount being raped which gave her nightmares until she died.

    You are insane.


    Ha! My exact thought before I read your comment!


    +2. Been working in intensive care for 8 years. When patients die, their blood pressure is 0/0. Oh and here are the other vital signs during death: pulse = 0. And last but not least….respiratory rate = 0.