Low pulse pressure( difference between systolic and diastolic pressure). Is it a matter of worry?

Question

My regular blood pressure readings are around 110/90. That means a pulse pressure of 20. I am 33 years old male. Is it an indication of any heart diseases?

Answer 1

No it isn't
A high pulse pressure might indicate a leaky aortic valve
Or fever
Or thyrotoxicosis
Or any cause for a hyperdynamic circulation
110/90 is about fine, except the 90 IS rather high
Check it again
It could be just a single recording

Answer 2

I have never heard that the difference between systolic and diastolic is important.

Your BP doesn't look too bad, but you need to get your diastolic number down, 90 is just a tad high.

Do you exercise? Smoke? Drink? Eat well or poorly? Those can all make a difference.

If I were you I would keep an eye on my BP, check it the same time every day (usually after you've been resting, not out running around) and go from there. If your lower number is consistently high, you'll have to do something about it, like get to your dr.

I'm sure somebody more knowledgable than me will be along.

Answer 3

In your case a no is the best answer.

There are situations in wich there is a Big diffrence between systolic and diastolic pressure, cases like aortic regurgitation but you'd have to have the associated peripheral signs, another thing is that your BP (Blood Presure) is more than normal, it's excelent.

Answer 4

Pulse Pressure has been defined as the difference between the systolic and diastolic blood pressure measurements. It is also defined as the difference in pressure between when the ventricles of the heart contract and when they relax.

Usually, the resting pulse pressure in healthy adults, sitting position, is about 40 mmHg. The pulse pressure increases with exercise due to increased stroke volume, healthy values being up to pulse pressures of about 100 mmHg, simultaneously as total peripheral resistance drops during exercise. In healthy individuals the pulse pressure will typically return to normal within about 10 minutes.

For most individuals, during exercise, the systolic pressure progressively increases while the diastolic remains about the same. In some very aerobically athletic individuals, the diastolic will progressively fall as the systolic increases. This behavior facilitates a much greater increase in stroke volume and cardiac output at a lower mean arterial pressure and enables much greater aerobic capacity and physical performance. The diastolic drop reflects a much greater fall in total peripheral resistance of the muscle arterioles in response to the exercise (a greater proportion of red versus white muscle tissue).

If the usual resting pulse pressure is measured as less than 40 mmHg, the most common reason is an error of measurement. If the pulse pressure is genuinely low, e.g. 25 mmHg or less, the cause may be low stroke volume, as in Congestive Heart Failure and/or shock, a serious issue. This interpretation is reinforced if the resting heart rate is relatively rapid, e.g. 100-120 (in normal sinus rhythm), reflecting increased sympathetic nervous system activity attempting to improve stroke volume and cardiac output.

If the usual resting pulse pressure is consistently greater than 40 mmHg, e.g. 60 or 80 mmHg, the most likely basis is stiffness of the major arteries, aortic regurgitation (a leak in the aortic valve), an extra path for the blood to travel from the arteries to the veins, hyperthyroidism or some combination. (A chronically increased stroke volume is also a technical possibility, but very rare in practice.) Some drugs for hypertension have the side effect of increasing resting pulse pressure irreversibly. A high resting pulse pressure is harmful and tends to accelerate the normal ageing of body organs, particularly the heart, the brain and kidneys.

Recent study results suggest that individuals with large pulse pressures are at the greater risk for complications of high blood pressure, such as stroke or heart attack.

I would advise that you see your doctor so he/she can do a Tilt Test to evaluate your vital signs especially your heart rate and bllod pressure while you are in a lying, sitting and standing position to determine if you have heart disease or not.

Answer 5

low blood pressure can be as bad as high blood pressure it,s something you need to watch i don,t know if it has any thing to do with heart disease did you talk to your doctor my blood pressure also runs low your 110/90 your bottom number is good just keep an eye on

Answer 6

Yes