Isolated Systolic High Blood Pressure

Topic Overview

In isolated systolic high blood pressure (isolated systolic hypertension, or ISH), systolic blood pressure is elevated, but diastolic blood pressure is normal. This type of high blood pressure is more common in older adults, especially older women.

Isolated systolic high blood pressure is an important risk factor for stroke and heart disease.

Your doctor may recommend lifestyle changes to lower your blood pressure. Depending how high your blood pressure is and your overall risk for a heart attack or stroke, your doctor may also talk to you about taking medicines to help lower blood pressure more.

Lifestyle changes include eating healthy with the DASH diet, losing weight, being active, limiting sodium, and limiting alcohol.

Medicines include:

Related Information

References

Other Works Consulted

  • Whelton PK, et al. (2017). Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal of the American College of Cardiology, published online November 13, 2017. DOI: 10.1016/j.jacc.2017.11.006. Accessed November 20, 2017.

Credits

Current as of: April 9, 2019

Author: Healthwise Staff
Medical Review: E. Gregory Thompson MD - Internal Medicine
Martin J. Gabica MD - Family Medicine
Adam Husney MD - Family Medicine
Robert A. Kloner MD, PhD - Cardiology