- by Manipal Hospitals
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- Aug 03 2017
UNDER 90/60 MM Hg: Need we worry?
When we talk of the ’worrisome’ heart symptoms most of us usually take into consideration the factor of high blood pressure or what in textbook medical term is known as hypertension! More often than not, for a layman a heart malaise would automatically mean a case of hypertension. In reality though, our heart undergoes the direct reverse effect of a high blood pressure syndrome, which is known as HYPOTENSION! Some people naturally have low blood pressure. However, when high blood pressure suddenly becomes low blood pressure, it could be cause for concern.
It is believed that mildly low blood pressure or hypotension may be a sign of good health and a decreased risk of heart disease, but in some people, hypotension can be a problem. At times, continuous low blood pressure or a sudden drop in blood pressure can lead to troublesome symptoms and at times serious risks.
If the blood pressure is 120/80 millimeters of mercury (mm Hg) or lower, it is considered normal; however, if the blood pressure reading is less than 90/60 mm Hg, it is called hypotension. Some adults regularly have a blood pressure in the hypotensive range, but have no symptoms at all and do not require treatment. But in serious cases, hypotension can result in a decreased supply of oxygen and nutrients to the brain, which can eventually lead to a life-threatening shock.
It is likely for just about anyone to develop hypotension, but certain groups of people are more liable to experience it like older adults who might register a serious dive in their blood pressure levels either when they are standing up or even while they are well seated!
Most medical professionals do not consider hypotension a crisis unless it shows some visibly worrisome signs and symptoms, which may include:
- Problems concentrating
- Blurry vision
- Clammy, pale skin
- Shortness of breath
Hypotension, it has been observed can substantially set in when a person:
- Has been on bed rest for a long period of time, and then resume an upright posture
- Is in the first 24 weeks of pregnancy
- Has lost a lot of blood
- Is taking certain medications, such as blood pressure lowering medications certain heart medications
- Has a heart problem, such as a very slow heart beat, heart valve problems
- Has an endocrine problem, low blood sugar or diabetes
- Has a severe infection that enters the blood stream
- Is experiencing anaphylaxis (a life-threatening allergic reaction)
- Has a neural disorder that affects the blood pressure
- Has a serious nutrient deficiency, such as low vitamin B12 and folic acid level
If the blood pressure is always on the low side and if one does not have any worrisome symptoms, there is usually no cause for concern. However, if the blood pressure drops suddenly and one is experiencing symptoms or problems, like dizziness it is the time to call in a doctor. It is then up to the medical professional to assess the situation and suggest further course of action.
Be it on the high side or the down side, blood pressure should not be ever consciously allowed to escape a certain recommended range. Both hypertension as well as hypotension has the capability of bringing instant bad news to the patient as well as their family and friends. One should be aware that the heart is the most over-worked organ in our system, therefore when it skips a beat here or adds in a beat there, one should immediately realise that there is a signal there which might be saying that all is definitely not well!
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