Aging is always accompanied by a violation of the internal organs, especially the heart. Therefore, women over the age of 55 often notice that they have high and low upper pressure. This pathological condition is called isolated systolic arterial hypertension, it is one of the main risk factors in assessing the probability of developing cerebral circulation disorders.
Causes of high upper pressure and normal lower
Isolated arterial systolic hypertension occurs due to various external factors:
- susceptibility to stress;
- depression;
- lack of sleep;
- smoking;
- too strong physical and mental stress;
- overweight ;
- excess salt in the diet;
- alcohol abuse;
- prevalence of fats in the diet.
It is worth noting that these circumstances more often contribute to the disruption of the heart both in systole and in diastole. But that's why the upper pressure is high with a normal lower index can not be precisely established. Cardiologists suggest that this is also influenced by diseases of the internal organs:
- excessive activity of the thyroid gland;
- pathology of the aortic valve;
- excessive work of the adrenal glands;
- obstructive sleep apnea syndrome;
- atherosclerosis of the arteries;
- kidney disease;
- cholesterol plaques in the vessels.
There are studies indicating that in women the described problem can arise due to a decrease in the production of the hormone estrogen in the menopausal period.
What should I take with a high upper pressure and a normal lower one?
In general, drug therapy for isolated systolic hypertension is based on the use of drugs with indapamide:
- Ravel-SR;
- Indapamide-MB;
- Arifon-Retard.
There is also a newer conservative approach. In this case, it is recommended to take drugs based on spironolactone or eplerenone. These active ingredients are able to reduce systolic pressure to a greater extent, without affecting diastolic values.
Simultaneously, studies are being conducted on the use of various nitrates in the treatment of the described type of isolated hypertension. For example, isosorbiddinitrate effectively and quickly normalizes the upper pressure, especially in elderly patients. This requires a fairly long course of therapy - from 8 weeks.