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Frequently Asked Questions<br/>Can stress lead to high blood pressure?<br/><br/>Yes, stressful situations can make blood pressure shoot up temporarily due to the release of stress hormones. However, the link between long-term high blood pressure because of chronic stress is poorly understood and is being researched.<br/><br/>What is the relationship between high blood pressure and stroke?<br/><br/>Stroke refers to a condition with reduced blood flow to the brain resulting in cell death. High blood pressure tends to damage the arteries, making them prone to rupture or clogging. Any damage can lead to a stroke which can be of two types –<br/>1.ischemic stroke arising due to clogging of arteries in the brain<br/>2. hemorrhagic stroke due to rupture of arteries in the brain.<br/><br/>What is the link between high blood pressure and heart attack?<br/><br/>Coronary arteries supply blood to the heart. If the coronary arteries become narrow due to cholesterol deposits, the blood has to flow through arteries with greater pressure because of the resistance offered by cholesterol deposits. When the coronary arteries get obstructed to the extent where they can no longer supply blood to heart muscles, it can lead to a heart attack (also known as myocardial infarction).<br/><br/>What are systolic and diastolic readings of blood pressure?<br/><br/>Systolic readings refer to the pressure in the arteries when the heart muscles contract. Diastolic reading corresponds to the phase when the heart relaxes/rest in between the beats.<br/><br/>Among the systolic and diastolic blood pressure reading, which is more important?<br/><br/>Both systolic and diastolic blood pressure readings are important. But the significance of systolic/upper reading in blood pressure is greater after the age of 60 years since it can help identify the risk for a stroke or heart attack. In younger people, the diastolic reading carries more significance than the systolic reading.<br/><br/>My upper reading of blood pressure is high, and the lower reading is normal; should I be concerned?<br/><br/>An increase of only the upper reading of blood pressure is known as isolated systolic hypertension. The major reason behind it is the stiffening of the aorta. Other underlying conditions that are linked with it include an overactive thyroid and diabetes. It is more common as a person gets older (especially over 60 years of age), but it may also appear at a younger age. Few serious problems that are linked with a long-term isolated systolic hypertension include heart disease, heart attack, chronic kidney problems and stroke. So, you should take medicines and follow dietary instructions to manage them and lower the risk of complications.<br/><br/>I have a high diastolic reading of BP while the systolic is normal, should I be worried?<br/><br/>High diastolic reading in the absence of any risk factors like diabetes, smoking, obesity, kidney problems, etc. is usually not serious. So, monitoring the BP, dietary changes (low sodium diet, fat) and lifestyle changes like regular exercise are needed to manage it. Management

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