What is Pulse Pressure?
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- Опубликовано: 4 июн 2024
- Today’s video is on Pulse pressure - this is an interesting easily calculable value that can give us helpful information about the overall state of our cardiovascular health.
Blood pressure is usually expessed in 2 sets of values e.g 120/80. The 120 refers to the systolic blood pressure i.e the pressure in the blood vessels when the heart is contracting - it is always the higher value.
The 80 refers to the diastolic pressure - the pressure in the blood vessels when the heart is relaxing and hence the diastolic pressure is always the lower value of the two.
If you minus the diastolic from the systolic numbers, you get a third value. This is called the pulse pressure and is a reading that can provide even more information about the overall health of our vascular system. So if your systolic is 120 and your diastolic is 80 then the pulse pressure is 40.
In general if the pulse pressure is less than 25% of the the systolic reading then it is considered to be low and if the pulse pressure is more than 100mmHg then it is considered to be high.
So in our example if the blood pressure was 120/100 then the pulse pressure is 20 which is less than 25% of the systolic then it is considered too low. On the other hand if the blood pressure was 120/15 then the pulse pressure would be considered excessively wide because it is above 100.
Different conditions may cause the pulse pressure to be too low or too high but to understand how these conditions affect the pulse pressure we have to understand the systolic and diastolic pressures first because calculation of the pulse pressure is dependant on the systolic and diastolic pressures.
I will go into this in more detail but in essence any condition that increases systolic pressure without concomitantly increasing diastolic pressure or any condition that reduces diastolic pressure without reducing the systolic pressure will lead to an increased pulse pressure and vice versa.
Lets us see what factors govern systolic pressure first:
Thank you for explaining the pulse pressure. My cardiologist has NEVER talked to me about this. Once again, you have hit one out of the park!
how kind Joanna!
@@YorkCardiology The very kind person is definitely you Doctor, just discovered that I am at stage two hypertension, and by chance came across your video’s full of informations at a very panicking time of my!… A episode of intense anxiety, that caused me many physical sensations and fear about my hypertension. Thank you SO much for being incredible and spreading the hope!
Joanna, no one has ever spoken with me about this either, and it's not for lack of asking on my part. Really disappointing.
1:21 1:22 @@bathie2636
10 years ago my wife's Consultant asked if I would monitor her blood pressure. While doing this I also took my own.
During a Google search on BP I came across a research paper on Pulse Pressure, which I found intriguing as mine was 60, my wife's 27.
A while later I asked my GP about the relevance & he had no idea what I was talking about, and in fact got quite annoyed with me for asking...
Good to hear a Cardiologist discussing it now, thank you!
My blood pressure story.
Two weeks ago I tested 158/95 and the pharmacist wanted me to test for drugs that I would be expected to take for the rest of my life. I asked about diet and exercise changes and was told ‘no, you need to be on medication. I was shocked at that response, went home and found one of your videos from a few years back. I looked down the comments at many stories about how people corrected their pressure by increasing magnesium and/or potassium levels.
2 days and 5 baked potatoes later my pressure was reading 120’s over low 80’s. Today it rests at 117/71.
So, there’s that.
Hi doc u really made unstand.I am not well I. got all u name I got.wav sick now I am weak. can I try B 12. I need. get strong.
That is incredible! Good luck to you!
@Craig Sips, Just what I needed to know, are you still taking baked potatoes everyday?
@@smallgardenidea Yes 400g of potato’s with my meal. I have been on one meal a day for the past 2 years and hadn’t noticed that my potassium intake was just shy of 2000mg, it’s meant to be 4700mg. I must have been gradually starving myself of potassium. Everything is fine now, thanks for your comment Small Garden Ideas.
@@craigsips8677 , thanks for the response friend, I have started the baked potato protocol, hoping for some good results.
What a wonderful explanation Sanjay! This is something GPs never talk about. I'm 57, and just bought a new home monitor as my father died in his 70s from morbid hypertension (220/110) which caused a AAA.
I had a clear scan for this a few years back and so far my BP is much lower than his was at my age. My average BP is 125/85 so I'm fairly pleased with my pulse pressure. My readings vary from 110/70 to 140/95 so my pulse pressure rarely changes from around 40 which is a good sign from your explanation!
My BP is often lowest after watching one of your videos so please take this as a compliment! Many thanks.
My word for your work is ASTONISHING. I am working in medical field and never heard my cardiologist colleagues mentioning pulse pressure. And for me today's lecture was extremely important. Thank you for your commitment to teach people. I am taking a huge advantage of it .
Dr. Gupta,
You are a life saver! We need more cardiologist like you in this world. I began watching your videos over the past three months and so far have watched more than a dozen. You have enlightened me more have my heart condition than I could imagine. Only wish I was in the UK, I would certainly visit you for my heart health care.
I would love to communicate with you privately on my specific heart condition.
Thank you.
BRILLIANT video DOC G! Nothing helped my blood pressure more than getting the carbohydrates/sugar out of my diet!
Dr. Currenlty I am a neet aspirant and I also want to become a cardiologist...MY Grandpa and grandma died just because of heartattack and I just lost my loved ones just because there were no doctors were available.....My father is a diabetic patient nd he has hypertension also... I love to watch your videos it provides me some extra knowledge so that i can help mh loved one.... Thank you doctor ....There are many doctors who just diagnose patient for money they used to write unwanted medicines without reasons..in this fake world ,everyone wants a genuine doctor like you ....who don't crave for money just spread a positive information.....Thank you so much doctor ,..you're my inspiration...One day I'll become a doctor like you .... ❤
After being a practical nurse (RPN) for three years, finally understand the meaning behind low diastolic pressure. Great explanation and even better than my text books.
Always release my stress after watching your video sir so informative and relexing
Best doctor on youtube!
I am pleased that Dr. Gupta has explained this. No medic has ever mentioned it when discussing my BP, which is why I raised it in the comments of one of Dr. Gupta's previous BP talks
Good call. Thank you.
@@jmc8076why would they,you arent their student,they have limited time per session and will only explain as needed.
Dr, you truly are a wonderful man and a gift to.mankind. You love people and understand human beings. One of a kind ! We are so blessed to have you in this world. You explain things so simply that most layman can understand. Truly, truly I can't say more. Keep up this wonderful work you are doing!!
Thank you Sanjay yet again for explaining something that is not widely known and rarely explained. As a retired clinician I was enlightened, informed and educated by your excellent video which also affects me personally. What would we do with experts such as you explaining contemporaneous issues in your inimitable and empathetic way empathetic way. Thank you so very much ❤
My pleasure;-)
Thank you so much for your kind words - I am overwhelmed
Dr Gupta, I have been a fan of your youtube channel and your passion for educating people on heart disease, especially preventative medicine. Please continue doing what you're doing :)
Thank you for the clear and concise information regarding pulse pressure. I, for one, have never heard mention of this before but it clearly has an important bearing on the management of hypertension.
Thanks for the videos. I suffer from severe health anxiety after going down with stress in 2020, worsened by several health scares and daily frequent multifocal PVC, PAC and short SVT (possible rare short NSVT too). Bradycardia, tachycardia. Pounding. I’ve had countless EKG, holters and an echo. All of the cardiologists tell me I’m fine, that my burden is less than 3% (but I feel every single one, often both in chest, stomach and head/throat) and that it’s my anxiety (and the stomach issues, tension and struggling to eat enough that followed), but I get crippled with my symptoms and the anxiety over them, so much that I’ve avoided leaving my house/room 85% of the time the past 3 years. 😢 I used to be healthy, but now I feel ruined. I dropped out of my studies and cut off all social contact, to just sit in my bed most days.. Completely waste my life and dreams, just to live in fear of worsening my symptoms/arrythmias or going into cardiac arrest or what not every day. Which has made me depressed. I started obsessing over my BP too, and after my anxiety over it got worse my diastolic would go really high when anxious or tense, where the systolic would stay mostly normal. This often caused a pulse pressure of 15-25. My pulse pressure has been both narrow and wide (though never above 70), but usually stick around the normal value when managing to take a not-anxious measure. I stopped home measuring though. Your videos are giving me courage to finally battle this anxiety once and for all, in hope that I will gain back a quality of life and hope for a future, before I turn 30 in October… 🥺🙏🏻
Hi yasmine so sorry to see you’re going through this. I am currently going through a very similar phase and i am only 25 years old. My pulse pressure has all of a sudden become very weak and i am struggling to get answers from anywhere. Can you tell me how you realised something if wrong with your pulse pressure please? I feel like i am all alone in all of this. No one understands i feel so hopeless. I used to put my hand on my chest and would be able to feel every beat. But now its like its gone and i get the most weirdest sensations. I have to dig my fingers deep into my neck to feel my pulse. I’m losing my mind slowly
This is exactly what I have been goin through for the last 8 months. I am only 24, but am so terrified that something could happen. You are not alone!!!
Thank you for explaining PP. I’ve been checking my PP for over a year.❤
If only all drs were as helpful and as empathetic as you are. The world would be a much better place
Thank you so much for this excellent video, my BP has surely lowered just listening to your relaxing voice.
You are the best!! One of the clearest communicators on RUclips!! I am going to systematically watch all your videos.
Dr Gupta, I’m a huge fan!! Your delivery of complex concepts in understandable layman’s terms is outstanding. Thanks for sharing your knowledge and expertise with all who appreciate you!
Could you please address cholesterol and specifically ApoB in an upcoming video?
Thanks so much. 🙏🏼
I had been wondering about this exact topic, thank you for this clear explanation and for your commitment to help you human brothers and sisters.
Thank you Dr Gupta you remind me of my cardiologist. You have a heart of Gold helping others that don't understand our heart symptoms. And womens symptoms are different than men. I am now working on my diet and exercise
Thank you so much for your very clear and kind explanations in your videos. The last couple of days I have watched most of your videos. I feel so empowered now that I understand what is happening to my body. You are an absolute gift. I also love how humble you are. Make it so easy to take in the information.
I just wanted to thank you so much for sharing this information so freely. 💗
Your balloon example makes this so easy to understand. Thank you so much for educating us on this topic, Dr Gupta! 💜
I had never heard of this, but you explain everything so well!!! Thanks for the info!!!
Dear Sanjay Gupta, needless to say, you are doing such a honorable service to mankind. I have come across your page recently and I my heart so very grateful to you. The information you share is so very good, but what touches my heart is that you put in a lot of heart in what you say. When I listen to you, my heart receives much more than just words & information, and I wish the audio was louder in most of your videos.
I can manage with the subtitles, but as I said, when I hear you, I receive much more than just information.
Regards & God bless.
Thank you so much for the time and effort you put in the videos, especially in everyday language that I would understand! My GP never mentions the diastolic, always the systolic. My diastolic blood pressure usually goes up when my systolic goes up, so I'm now aware to consider the pressure pulse as well. Thank you for helping so many of us.
No doctor, including my Cardiologist, ever took the time to explain BP to me like this and I've been on BP medication over 20 years. Thank you for taking your time to share your experience and knowledge in a comprehensive and professional way.
Thank you!!!!! Mystery solved. My pulse pressure usually ran consistently in the mid 40s when I was young and athletic (104/60). I'm now in my 50s, 30lbs overweight and prediabetic. Most of last year, my pulse pressure dropped into the low 30s and often less than that (108/80). Freaked me out. I'm still overweight but am now an avid hiker. Pulse pressure is now ranging from 35 to 40. Now that I know *what* to be concerned about, I'm not going to worry about it. Continuing to get physically fit and clean up the diet a bit more.
My pulse pressure hovers around 26 - 30 and I have never had a problem.. Feel great...
Very clear, This really helped in identifying what my meds are doing to me. This is stuff you don't get from your regular doctor. Since stress is what caused my hypertension, it's not helpful not knowing what my meds are doing to me. I'm so happy I found you on youtube. Your informative videos have definitely lowered my stress level. I've learned so much. Thank you!
Thank you for sharing your knowledge! Love your heart❤️
Thank you for giving people all over the world the opportunity to have medical terminology ❤ explained in such a detailed and simplified manner. God bless and good luck. You are gre8t and your dad is looking out for you from his heavenly abode.
Excellent video & very informative! I never knew anything about Pulse pressure & now I do ! Thank you !!
I know this is off topic but I just found your videos from 7-8 years ago on A-Fib and SVTs. WOW! thanks to you, I now understand what's going on, what to do about it both naturally and surgery wise, and how to control this disorder. I realize you've been under scrutiny for trying to help us, and I for one, want to thank you from the bottom of my heart...no pun intended. I'm sure I will live longer with greater quality of life, because of you. God Bless...
Thank you for all the information you have shared in your videos. It helps us understand our heart.
Nice information doctor...I am from india pune....your videos are helping me control BP without medicines since many years....thanx a lot....
Amazing, amazing doctor you are!
Excellent explanation! My father-in-law’s BP is usually 170/50 but he is 98 years old and had a TAVR last year successfully. They gave him blood pressure medication because of the systolic (just as you said they would) but they are pushing a pacemaker (which he does not want)
Thanks so much for watching Nilda.
I can’t blame your dad esp at 98. TBF to his cardiology team maybe it’s reasonable and there’s something they see and not explaining clearly. A second opinion/consult could be of value to re-review his case/history in detail and ideally examine and speak to dad? I hope it works out.
I'm a PA cardiology and would never recommend a surgery and general anaesthesia on a man that age,the risks would very likely be higher than the years he has left.
Excellent teacher this man is, I've listened to hours of him on my 3 hr drives to work.
This is terrific. Not complicated at all. This is me. My diastolic is almost always in the 40s. My systolic used to be in the 80s or low 90s, but it's going up a bit and I knew that widening gap had to mean something. I have POTS and OH and am often dizzy and lightheaded. If I used beta blockers I'd be in a coma.😆I have had lovely docs, they just don't seem to think it's an issue, but I can feel in my body that it is.
Tried Folic Acid? Are you elderly 🙂
What a wonderful professional and a person
I so love listening to you Dr. Gupta 😊. I watched All of your videos
This is the most thorough discussion on pulse pressure I've found and it answered many questions. With the balloon blowing analogy, I think the balloon needs to have two properties: stretchability and length. A young balloon is long like a sausage, while an old one is round. The long one maintains the pressure for longer and flies farther if you let if off. An old balloon is stiff, such that the pressure surges when you blow, and it doesn't keep the pressure for long when you let if off. Ageing affects the stretchability first, thus both the sys and dia rise. Then the length drops, so does the dia.
You are an amazing doctor,really look forward to your educational videos
Excellent. Thank you, Doctor.
Wow Thanks for taking a 2023 approach to Health. Has anyone considered the state of the exclsuion zone (liquid water gel) in our veins and ateries. IMO this may account for the major factor in blood flow and associated heart load .... when this is consdidered it is quite easy to conceive of the heart NOT as a PUMP, but as a VORTEX. With this perspective one can productively focus on health without toxic posions and implement top nutrition and lifestyle changes (i.e. don't be obese and eliminate causes of inflammation)
Dr. Gupta, your podcasts are very simple and easy to follow. They are very informative and educative as well. Your way of narration is very listener-friendly.
Excellent information thank you for taking time to explain blood pressure & pulse pressure so fully. Pulse pressure seems to be one of those values that is almost ignored & never spoken about.
True, I am 83 and retired Internist after nearly 50 yrs of medical practice . I recall that very little to none , emphasis was placed on pulse pressure.
Thank you very much Dr Gupta for this video , helps me understand my own mildly elevated blood pressure and medication for it. Pl keep educating us . Greeting from Canada.
Thank you for this great advice
I find your videos to be easy to understand and your presentation of the information in a manner that is not lecturing but as a friendly conversation.
I like your approach of preventing it, instead of waiting and treating it.
Another absolutely fantastic video. Please keep this up, you're the very best at explaining these things in a way everyone can understand.
Your work and videos are just tremendously helpful!! Thank you so much for all you do. Is there a test where you can check for the gene for familial hypercholesterolemia ?
I'm so glad you're back.🙂 I was afraid you stopped posting on RUclips!
Excellent information! Thank you so much, Dr. Gupta! Why is it that I haven't found a doctor yet who understands this? I'm always telling them my worries about the vast difference b/t my DP and SP, but they always brush it off as non-worrisome. My typical BP runs around 90/55 but has also occasionally been 112/50. Point is, my diastolic never keeps up with my systolic. Also, they never seem to take low blood pressure seriously.
I've been looking for this kind of info for years, and I can't thank you enough for putting it out there for free on YT. God bless you.
Thank you Doctor .All my doctors ever said to me about my blood pressure is oh it is high monitor it for a week and come back .When I go back the doctor say carry on with your medication See you in a month's time.They don't bother explaining like you do .May God bless you always.
Thank You, for such a good talk on pulse pressure. You do an excellent simple explanation where the lay person can understand!!
Thank you so much doctor Sanjay.
You're wonderful doctor. God bless
Thank you Dr Gupta this is so very helpful
BEST DOCTOR IN THE WORLD!
Thank you! This this clearest explanation of pulse pressure I've heard anywhere, either from my doctor or anywhere else on the internet. I was worried about my pulse pressure when I first learned about the term in my reading. Your explanations have put it all in context.
Awww thank you so much!
Thank you doctor for your time & knowledge in producing these videos. I just recently subscribed and was told my condition is Paroxysmal Atrial Tachycardia (PAT). I also have 4 mild valves regurgitation (aortic, mitral, tricuspid pulmonic, no evidence of stenosis or pericardial effusion but an aneurysm of thoracic aorta. Never a smoker or drinker. I hope to see a video explaining PAT. Regards,
Many years ago prior to a back surgery, I had a severe reaction to a contrast dye during a myelogram. It was life threatening and over night, My bp went from 120/60 to 180/90. Due to fear of a lawsuit, I was not told of this until I had a stroke a few years later. Prior to this event, I taught EMT classes and my bp was taken several times a week as a training exercise and it was always120/60. The back injury took me out of the EMS career and I didn’t take my blood pressure regularity and was unaware of my condition until I had an accident at work and ended up in the ER. I was treated by a nurse that knew me well and helped with the classes and she was freaked out by my blood pressure and told me to see a doctor about it so I made the appointment but had the stroke ( a brain bleed ) before the appointment. I survived the stroke and started taking benazepril to treat the hypertension. It never worked all that well and my systolic remained high but, because I was always very fit and athletic, my diastolic remained normal, usually between 80 and 70. I tried all kinds of anti hypertensives but they either didn’t work or had horrible side effects. I still take the benazepril maximum dose but usually run about 170/70. A couple of years back, a cardiologist put me on a statin , which I took religiously, but it made me feel like shit and I began to experience what felt like angina. I finally dumped the statin and immediately felt better and the angina went away. I work out every day, eat well, do not drink or smoke and feel healthy without the statin. There has never been a time in my life when I couldn’t drop and do 50 push-ups except when I was on the statin and then I couldn’t even do ten. I am now 70 and am very fit but my BP remains high with a very wide pulse pressure. If I would have found out what the hospital did to me in time, I could have been part of a class action suit against the manufacturer of the dye and got a ton of money but the statute of limitation had run out. I guess all I am looking for now is some suggestions on what else I can do to keep from stroking out or dying of kidney failure. It was suggested that stents in my kidney arteries would possibly help as the original event caused scaring through my circulatory system but I have not found a surgeon to do it. I want to live and don’t want to live in fear of another stroke anymore. What canI do?
How come doctors don't explain this to their patients. It's so important. Thank you, Doctor!
Because you're a number not a person. They look at you like your McDonald's Mcnuggets .
No, they see income in the future when you get 2-3 prescriptions.
Thank you again for your easy to understand explanations.
Because it takes longer than the allotted 8 minutes per patient to explain.
So grateful for taking time to share all this very important information with us. This is never explained by my GP
Thank you!
Excellent perfecto.Never heard about pulse pressure. Thanks doc.
Thanks for this. Can't wait to discuss with my cardiologist!
Thank you so much, Doctor. I had never heard of pulse pressure....very interesting indeed!
You are welcome!
I have ME and have developed Orthostatic Intolerance; I spoke to my doctor about my low pulse pressure when my BP drops: at best it's 30 sitting but standing it's 20 and can go as low as 13 - 3 doctors had no idea what I was talking about. You've also put my mind at rest because I've been really concerned about the low pulse pressure and couldn't find anything online about it.
You always have such great, awesome information. Thank you. I'm still in hospital from Cryo Ablation yesterday. 🙏
Wishing you speedy recovery!
This is so info packed. I had stop and take notes. Thank you!
This info is very interesting. Today my Pulse Pressure is 38 which is good. 111/73 (I’m 59 yrs old, had an MI and stent at age 55.)
I just love all your post always wonderful info thank you
aww thank you!
Hi Dr. Gupta! This is so Informative. I have CKD, recently diagnosed. My blood pressure seems to be high at times. Mostly when I walk through the doctor's office lol. My dr. Prescribed bp med. First couple of times, my bp went very high 190/86 . I stop taking it. usually it is 140 or 130 /80. This information is so helpful. I'm afraid of mentioning it to my physician. I want to learn more. I want my dr. to know I do need him. I hope this will help me to talk to him. I really thank and appreciate you ! Thanks so much!
Hi again Dr. Gupta! I looked up nitrate information. So interesting! Makes sense! I ate spinach for about a month. And I had labs done that were ordered and they were good! Even the creatinine level was ok. For me , I just hate medication. Well I will continue to talk to my dr. To get better! Thanks again Dr.
That was useful and presented in layman's terms. As others have already said, that was never explained to me before. Thanks.
So pleased that it was helpful. Thank you for watching!
I wish Dr. Sanjay was my cardiologist ,he would have me straightened up in no time concerning meds that I am taking.
Would love to also see video on chronic narrow pulse pressure. Great info!
My DBP tends to run high and I was unable to easily find information regarding a narrow pulse pressure and what to do about it. Thank you so much for this video. It is extremely helpful. I shall worry a little less. 🙂
So pleased that it was helpful Jennifer
Excellent video... thanks doc
Thank you again for sharing your valuable knowledge.
Most welcome charles. Thank you so much for watching.
@@YorkCardiology Hi, I have a question in regards to red blood cell count. If one isn’t a smoker of any kind and drinks plenty of water, but tends to have ADHD which causes one to be restless, nervous, high strung, what would possibly cause a slight elevation in red blood cell count?
Wow! What great info! Thank you 💖
You confirmed my belief that the pulse pressure is important.
I hadn't fpund any information about that before.
I've noticed that while the systolic and diastolic blood pressure varies prett easily. My pulse preassure is alvays the same.
So that what I myself has focused on.
Intrestingly enough, my pulse pressure have become lower since I began with systematic and pretty extensive vitamins and minerals supplementation.
That from being very stable for years!
Thank you very helpful information. Its nice to know we can help ourselves with diet and exercise.
Excellent, excellent presentation. Thank you. Nice suit. You're looking good. Would you give your thoughts on LABILE blood pressure at some time?
Most interesting and informative thank you. Clearly expressed and comprehensible, which is why I follow your channel so closely.
Wow, thank you!
Thank you.
❤your explanation.
Thank you.
Thanks for helpful information.
Can you do a video on the pulse rate speed’s affect in relation to long term high blood pressure medicine usage due to hypertension? And the different reasons why it can be higher or lower than a typical heart healthy persons? During exercise or rest?
😊 Thanks
P.S.
7 minutes into the video, the idea of why physicians emphasize worry in higher pulse pressure made sense. 👍🏻
Thank you so much Doctor
Brilliant information,thanks
Thank you for information Doctor Gupta. I was diagnosed as afib. They prescribed bisoprolol, eliquis, feburic, spironolactone and ansemido. I always thinking in the future of my kidneys effects. Im feeling over medications
Love you, Dr Gupta! Amazingly articulate explanation of pulse pressure..who knew it is so important!! Thank you so much...❤
Glad it was helpful!
This is information about the low number I have never heard before. Can you comment on athletes that cycle and run long distance with a stronger heart and what theirs numbers should be? Are we looking at ratios rather than target numbers? Thanks.
You are one of the best I wish you were my DR
Very helpful thank you Dr
Thank you Dr Gupta. I also didn’t know about this. I am currently taking metoprolol for lone persistent Atrial Fibrillation. Would this increase my pulse pressure and therefore be likely to make my AFib worse? I have been waiting a long time for my second ablation as the first one was unsuccessful.
Lovely doc God bless
Thanks doc will keep an eye on mine