![]() That's especially true in people ages 50 and older, which is why doctors tend to monitor the top number more closely. ![]() However, most studies show a greater risk of stroke and heart disease related to higher systolic pressures compared with elevated diastolic pressures. ![]() Over the years, research has found that both numbers are equally important in monitoring heart health. Systolic pressure reflects the force produced by the heart when it pumps blood out to the body, while diastolic blood pressure (the bottom number) is the pressure in your blood vessels when the heart is at rest. While both numbers in a blood pressure reading are essential for diagnosing and treating high blood pressure, doctors primarily focus on the top number, also known as systolic pressure. When I am monitoring my blood pressure, which number is most important - top, bottom, or both?Ī.
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