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How Dangerous Is BP Of 203/96?
It s always been my understanding that the closer the diastolic to the systolic number the higher the concern. That being said, I also understand that if either number is out of the normal range there is still concern. What are the concerns if the number is 203/96? And the numbers are consistantly the systolic being very high and the diastolic being either normal or only slightly high?
Wed, 2 Sep 2015
Hi and welcome to HCM. I understand your concern. Thank you for your question.
These high blood pressure figures have to be brought under control. At this stage, it is not very important how great is the gap between the systolic and diastolic pressures, but it is rather important that these kind of figures, if they are long-standing and constant findings, have to be brought under control because of the risk they carry to quickly damage the end-organs, especially those who have a lot of small calibre arteries or arterioles, such as the eye and the kidney. Starting on a therapy with two blood pressure-lowering drugs would be the appropriate approach at this moment, and a constant monitoring of blood pressure figures is mandated, to see if the drugs are working and to which stage are effective to control these figures, i.e. they should be kept under 140/90 mmHg. A combination of a beta-blocker or a calcium channel blocker, with an angiotensinogen converting enzyme inhibitor (ACE-I) would be reasonable, at this time. With the figures you provided, you are at risk to develop strokes, haemorrhagic or ischemic.
I hope this information helps you. Take care.
Regards,
Dr. Meriton
These high blood pressure figures have to be brought under control. At this stage, it is not very important how great is the gap between the systolic and diastolic pressures, but it is rather important that these kind of figures, if they are long-standing and constant findings, have to be brought under control because of the risk they carry to quickly damage the end-organs, especially those who have a lot of small calibre arteries or arterioles, such as the eye and the kidney. Starting on a therapy with two blood pressure-lowering drugs would be the appropriate approach at this moment, and a constant monitoring of blood pressure figures is mandated, to see if the drugs are working and to which stage are effective to control these figures, i.e. they should be kept under 140/90 mmHg. A combination of a beta-blocker or a calcium channel blocker, with an angiotensinogen converting enzyme inhibitor (ACE-I) would be reasonable, at this time. With the figures you provided, you are at risk to develop strokes, haemorrhagic or ischemic.
I hope this information helps you. Take care.
Regards,
Dr. Meriton
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