In isolated systolic high blood pressure (isolated systolic
hypertension, or ISH),
systolic blood pressure is elevated (above 140 mm Hg),
diastolic blood pressure stays below 90 mm Hg. This
type of high blood pressure is more common in older adults, especially older
women. In fact, the majority of people older than 60 who have hypertension have
isolated systolic hypertension.
systolic blood pressure over 140 mm Hg is an important risk factor for stroke
and heart disease.
ISH can cause damage to organs such as the
kidneys, brain, heart, or eyes. And it should be treated.
Treatment includes lifestyle changes and medicines that lower blood pressure.
Lifestyle changes include eating healthy with the DASH diet, losing weight, being active, limiting sodium, and limiting alcohol.
Aronow WS, et al. (2011). ACCF/AHA 2011 Expert consensus document on hypertension in the elderly: A report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. Circulation, 123(21): 2434–2506.
ByHealthwise Staff Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine Specialist Medical ReviewerRobert A. Kloner, MD, PhD - Cardiology
PeaceHealth endeavors to provide comprehensive health care information, however some topics in this database describe services and procedures not offered by our providers or within our facilities because they do not comply with, nor are they condoned by, the ethics policies of our organization.