Is high diastolic pressure considered high blood pressure?

Written by Chen Tian Hua
Cardiology
Updated on March 01, 2025
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If the diastolic blood pressure exceeds 90 mmHg, hypertension should also be considered. Patients with a high diastolic blood pressure who do not actively undergo hypotensive treatment can suffer long-term damage to target organs such as the heart, brain, and kidneys, as well as severe hypertensive complications. For patients with high diastolic blood pressure, it is also necessary to adopt effective lifestyle adjustments and choose clinically frontline antihypertensive drugs for long-term treatment. Only by effectively controlling elevated diastolic pressure in the long term can severe target organ damage and hypertensive complications be avoided, thus improving the clinical prognosis for patients with hypertension.

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Which is more dangerous, low blood pressure or high blood pressure?

Blood pressure is a crucial indicator for maintaining human life. Both low blood pressure and high blood pressure can pose significant risks to the body. High blood pressure can lead to arteriosclerosis, and prolonged high blood pressure can cause cardiovascular and cerebrovascular diseases, with severe cases leading to cerebral ischemia and myocardial infarction. Low blood pressure affects the blood supply to vital organs and also brings negative factors to the body. Extremely low blood pressure can also endanger human life. Therefore, whether it is low blood pressure or high blood pressure, it should be correctly treated and improved under the guidance of a doctor to ensure the health of the body.

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Hypertensive crisis blood pressure values

At any stage of hypertension development and other disease emergencies, severe life-threatening blood pressure increases can occur, requiring emergency treatment. Hypertensive crises include hypertensive emergencies and hypertensive urgencies. Hypertensive emergencies refer to severe blood pressure increases within a short time—hours or days—with diastolic pressure greater than 130 mmHg and/or systolic pressure greater than 180 mmHg, accompanied by severe dysfunction or irreversible damage to critical organs and tissues such as the heart, brain, kidneys, retina, and major arteries. Hypertensive urgencies may present as increased blood pressure but without obvious target organ damage.

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Is it called hypertension if the diastolic blood pressure is high?

High diastolic pressure, which is an increase in diastolic pressure, is also considered hypertension when the diastolic pressure exceeds 90mmHg. If you have hypertension, it is essential to have a formal medical examination at a hospital, such as blood tests for lipids and glucose to check for diabetes and hyperlipidemia. Blood tests are also done to evaluate liver and kidney functions, to see if there are any kidney diseases causing the increase in blood pressure. Additionally, under the guidance of a doctor, conduct ambulatory blood pressure monitoring to observe the overall situation of blood pressure increase within 24 hours. Based on the results of the blood tests and ambulatory blood pressure monitoring, determine whether antihypertensive medication is needed and which type of medication to use.

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Pregnancy hypertension symptoms

The symptoms of hypertension during pregnancy vary depending on the blood pressure level, individual tolerance, and other factors. Common symptoms include high blood pressure, protein in the urine, and generalized edema. Edema can vary in severity; it can start with bilateral ankle swelling, progress to the calves, thighs, and then become generalized throughout the body. Increased blood pressure can also lead to headaches, dizziness, nausea, and blurred vision. In more severe cases, pain in the upper abdomen and convulsions may occur.

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The difference between hypertensive crisis and hypertensive encephalopathy

Both hypertensive encephalopathy and hypertensive crisis involve a rapid increase in blood pressure, symptoms of headache, restlessness, nausea and vomiting, palpitations, shortness of breath, and blurred vision, with systolic pressure increasing to 200 mmHg and diastolic pressure to 120 mmHg, typically presenting similar clinical blood pressure readings. The main difference between the two is that hypertensive encephalopathy is based on excessively high blood pressure in patients with severe hypertension. Furthermore, hypertensive encephalopathy can lead to clinical signs of cerebral edema and increased intracranial pressure, whereas hypertensive crisis occurs when blood pressure suddenly rises over a short period, causing symptoms due to excessive secretion of catecholamines driven by increased sympathetic nervous excitement.