Abnormal Finding
Abnormal Finding
- Two or more diastolic
pressures 90 or over on subsequent visits
- 40% of older patients
Systolic hypertension:
Systolic greater
than 160 with diastolic less than 90
Systolic blood pressure rises linearly with age.
Isolated systolic hypertension in 10-20% or more of 65+
years old.
Hypotension: Less than 90/60, or a value
based on past reading and current clinical state
Postural hypotension: Fall of 20 mm Hg of
systolic pressure in erect position (Drugs, volume loss, autonomic
dysfunction)
Differential hypertension: Lower BP in
legs (Coarctation of aorta)
Asymmetric BP: Difference between arms
more than 15 mm of Hg (Subclavian steal, dissection of thoracic aorta)