Struggling with high diastolic blood pressure? This comprehensive video explains exactly how to lower your diastolic blood pressure naturally and medically. Learn why the bottom number in your blood pressure reading matters just as much as the top number for your heart health. What You'll Discover: • The difference between systolic and diastolic blood pressure readings • How diastolic blood pressure changes with age and peaks around 55 • Health risks associated with high diastolic pressure, including heart disease, heart failure, atrial fibrillation, and chronic kidney disease • What constitutes normal vs. high diastolic blood pressure (under 80 mmHg is normal) • Understanding isolated diastolic hypertension, especially common in adults under 40 Proven Methods to Lower Diastolic Blood Pressure: • Lifestyle modifications that work: aerobic exercise, qigong, smoking cessation, weight loss, and reducing alcohol intake • Effective medications when lifestyle changes aren't enough: calcium channel blockers, ACE inhibitors, ARBs, diuretics, and SGLT2 inhibitors • Important safety considerations: why keeping diastolic pressure between 70-80 mmHg provides optimal heart protection Based on current ACC/AHA guidelines, this video provides evidence-based strategies for managing diastolic hypertension, whether you have diabetes, cardiovascular disease, chronic kidney disease, or elevated heart disease risk. Learn how to work with your healthcare provider to achieve optimal diastolic blood pressure control safely and effectively.
00:00Is the bottom number of your blood pressure reading high?
00:03The bottom number of the blood pressure reading, known as the diastolic blood pressure,
00:09can change independently of the upper number or the systolic blood pressure.
00:15The top number or the systolic blood pressure is a reading of the blood pressure while the heart is contracting.
00:24The lower number or the diastolic blood pressure is a reading of the blood pressure while the heart is relaxed.
00:33The diastolic or lower number tends to rise gradually until age 55.
00:41After that, it decreases gradually.
00:44Now it is clear that high systolic blood pressure is associated with heart disease and strokes.
00:52And studies have shown that high diastolic blood pressure is associated with heart disease, heart failure, atrial fibrillation, and chronic kidney disease.
01:05The 2017 ACC ADHA guidelines for blood pressure recommend either lifestyle changes or medication for persons with diabetes, heart disease, chronic kidney disease, or a 10-year heart disease risk of 10% or more.
01:28A normal diastolic blood pressure is defined as a blood pressure of 80 mm of mercury or lower.
01:37If the diastolic blood pressure is higher than 80 mm of mercury, that is considered diastolic hypertension.
01:46If the diastolic blood pressure, the upper number, is lower than 130, and the diastolic blood pressure, the lower number, is higher than 80, that is called isolated diastolic hypertension.
02:03But the diastolic blood pressure and the systolic blood pressure can both be high at the same time.
02:09In fact, that is the most common scenario.
02:14Isolated diastolic hypertension tends to occur more frequently in younger individuals below the age of 40.
02:24So how do we lower the diastolic blood pressure?
02:27Like in every type of hypertension, lifestyle changes can lower the diastolic blood pressure.
02:35Aerobic exercise and qigong and smoking cessation and weight loss and decreased alcohol intake can all lower the diastolic blood pressure.
02:47When lifestyle changes by themselves are not effective at lowering the diastolic blood pressure, we can turn to certain medications.
02:55For example, ACE inhibitors, or ARBs, or angiotensin receptor blockers, calcium channel blockers, or water pills.
03:06These can all lower the diastolic blood pressure.
03:10The neuroclass of diabetic medications, known as SGLT2 inhibitors, can also lower the diastolic blood pressure.
03:18In treating diastolic hypertension, we have to be mindful of the fact that a diastolic blood pressure of 70 to 80 mm of mercury was associated with the lowest incidence of heart disease and strokes.
03:36Lowering the diastolic blood pressure to lower than 70 mm of mercury was associated with a higher incidence of heart disease,
03:45especially in older individuals who have poor circulation to the heart.
03:53I hope you found this information useful.
03:55If you did, like and share the video with your friends and family.
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04:01Until the next video, stay healthy and stay safe.
