Isolated systolic hypertension: A health concern? - Mayo Clinic
This is an excellent article explaining why the lower blood pressure number can be good and the higher blood pressure number can be bad. It could be caused by artery stiffness or heart valve problems. So, it needs to be monitored by the person and his doctor. Another possibility is the effect of an energy drink right before the test or a stressful situation. One other good point in the article is that people over 60 can have a high systolic number of 149 and still be okay. In other words, they would not need treatment. You don't want to lower your blood pressure so much that the diastolic lower number becomes a problem. You could have a heart attack with a diastolic number less than 70.
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