Skip to Content
Home > Wellness > Health Library > Isolated Systolic High Blood Pressure
In isolated systolic high blood pressure (isolated systolic
hypertension, or ISH),
systolic blood pressure is elevated (above 140 mm Hg),
diastolic blood pressure stays below 90 mm Hg. This
type of high blood pressure is more common in older adults, especially older
women. In fact, the majority of people older than 60 who have hypertension have
isolated systolic hypertension.
systolic blood pressure over 140 mm Hg is an important risk factor for stroke
and heart disease.
ISH can cause damage to organs such as the
kidneys, brain, heart, or eyes. And it should be treated.
Treatment includes lifestyle changes and medicines that lower blood pressure.
Lifestyle changes include eating healthy with the DASH diet, losing weight, being active, limiting sodium, and limiting alcohol.
Other Works Consulted
Aronow WS, et al. (2011). ACCF/AHA 2011 Expert consensus document on hypertension in the elderly: A report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. Circulation, 123(21): 2434–2506.
Current as of:
March 12, 2014
E. Gregory Thompson, MD - Internal Medicine & Robert A. Kloner, MD, PhD - Cardiology
How this information was developed to help you make better health decisions.
To learn more, visit Healthwise.org
© 1995-2014 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
Our interactive Decision Points guide you through making key health decisions by combining medical information with your personal information.
You'll find Decision Points to help you answer questions about:
Get started learning more about your health!
Our Interactive Tools can help you make smart decisions for a healthier life. You'll find personal calculators and tools for health and fitness, lifestyle checkups, and pregnancy.
Feeling under the weather?
Use our interactive symptom checker to evaluate your symptoms and determine appropriate action or treatment.