Managing Low Diastolic Blood Pressure: Risks and Remedies

Low Diastolic Blood Pressure

Understanding low diastolic blood pressure is crucial as it plays a pivotal role in our heart’s health. It occurs when the lower number in a blood pressure reading dips below 60 mm Hg, potentially hindering the heart’s ability to receive the oxygen-rich blood it needs. While some may experience no issues, for others, it’s a condition that shouldn’t be ignored.

This article dives into the symptoms that accompany low diastolic pressure, from the mild to those signaling more severe health concerns. They’ll also uncover the various causes, from the effects of certain medications to the natural process of aging, and how these factors contribute to overall hypotension.

Treatment strategies are as varied as the causes, and it’s essential to understand when medical intervention is necessary. They’ll explore the potential complications of leaving low diastolic blood pressure unchecked, ensuring readers are well-informed about this often-overlooked aspect of their cardiovascular health.


Within the comprehensive scope of heart health, low diastolic blood pressure stands as a condition requiring considerable attention. It’s essential to grasp what precisely blood pressure indicates and why maintaining an optimal range is critical for long-term wellness.

What Does Blood Pressure Measure?

Blood pressure, a critical indicator of cardiovascular health, quantifies the force exerted by circulating blood upon the walls of blood vessels. Systolic blood pressure, the top figure in a reading, signifies the pressure imposed when the heart muscle contracts to pump blood. Contrastingly, diastolic blood pressure refers to the pressure present when the heart is in a state of relaxation and refilling with blood.

During a typical blood pressure measurement, healthcare professionals record two numbers, presenting them in millimeters of mercury (mm Hg). These figures represent two distinct aspects of cardiac function during the heart’s beats and rests. The act of measuring blood pressure is not merely a routine component of a health check-up; it’s a crucial diagnostic tool that assists in identifying risks and preventing possible cardiovascular complications.

The balance of systolic and diastolic pressure is pivotal for maintaining the efficiency of the circulatory system. Proper organ perfusion, particularly the delivery of oxygen and nutrients to the heart muscle itself, depends on this equilibrium. An imbalance, especially noted in cases of low diastolic blood pressure, can precipitate a spectrum of symptoms and influence the overall risk profile for heart-related ailments.

It’s noteworthy that assessing blood pressure involves averaging multiple readings, often following a period of rest to ensure accuracy. This method ensures data reflect the patient’s typical blood pressure levels rather than anomalies due to transient factors like stress or activity. Accurate measurement is achieved using standardized protocols and equipment, like the Pressure X Pro with VIBRA technology for detecting arterial pulsation. The data thus obtained is foundational for gauging cardiovascular status and tailoring subsequent medical interventions or lifestyle recommendations.

Blood pressure values fall within a range that’s considered normative, with deviations highlighting potential health issues. A diastolic reading below 60 mm Hg is typically used to signify low diastolic pressure and is an immediate prompt for further medical scrutiny to delineate the underlying causes and necessary therapeutic approaches.

Types of Low Diastolic Blood Pressure

Low diastolic blood pressure, occasionally referred to as diastolic hypotension, can present in several forms, with varying implications for one’s health. Recognizing the different types is essential for understanding potential risks and treatment strategies.

Isolated Diastolic Hypotension occurs when only the diastolic pressure falls below normal. This condition can be particularly concerning, especially among young adults, as it may slip undetected without routine blood pressure monitoring. Studies suggest isolated diastolic hypotension could signify early vascular disease and may warrant more in-depth cardiovascular assessment.

Orthostatic Hypotension is a type of low blood pressure that happens when standing up from sitting or lying down. The sudden drop in diastolic pressure can lead to dizziness and falls, particularly in older individuals. It’s crucial to identify this condition early, as it can often be managed with lifestyle adjustments or medication.

Postprandial Hypotension refers to a decrease in blood pressure that occurs after eating, primarily affecting the elderly. Research indicates that this form of hypotension is associated with a greater risk of syncope and other cardiovascular events. It’s advisable for individuals who experience this to monitor their blood pressure regularly post-meal.

In critically ill patients, Shock-induced Hypotension can be observed, where both systolic and diastolic pressures are dangerously low. This acute medical emergency reflects a failure in the cardiovascular system to provide sufficient blood flow to the organs and requires immediate medical intervention.

Understanding the types of low diastile blood pressure involves considering various factors, including demographic characteristics, lifestyle factors, and underlying health conditions. By evaluating these, healthcare providers can better assess the risk and tailor interventions appropriately. For example, analysis has shown that lifestyle choices such as physical activity levels and smoking status can have a significant impact on managing diastolic blood pressure. Moreover, conditions like diabetes and chronic kidney disease have been linked to fluctuations in blood pressure readings.

Maintaining optimal cardiovascular health involves not only monitoring for high blood pressure but also being vigilant about low diastolic readings that fall below the standard threshold.

Symptoms of Low Diastolic Blood Pressure

Symptoms of Low Diastolic Blood Pressure

When discussing low diastolic blood pressure, it’s vital to pay attention to the body’s signals. Symptoms may not always be present; however, for those who do experience them, awareness and prompt action are key. Individuals with diastolic readings below 60 mm Hg often report feeling tired, dizzy, and faint, which can interfere with daily activities and signal the need for medical attention.

Feeling lethargic or sluggish is a common complaint, potentially leading to difficulty in performing routine tasks. The sensation of tiredness may be accompanied by a notable decrease in the ability to concentrate. Nausea and blurred vision are also symptoms that should not be taken lightly as they can point towards more severe forms of hypotension.

Recognizing Warning Signs

The body’s response to low diastolic blood pressure may manifest in subtle ways. Apart from the general feelings of fatigue and dizziness, individuals might experience trouble concentrating or show agitation and unusual behavior—a significant diversion from their normal demeanor. These changes can catch both the individual and their loved ones off guard, signaling that it’s time to seek medical advice.

Prompt Response to Symptoms

Low diastolic blood pressure symptoms may escalate rapidly, leading to extreme outcomes such as fainting or falls. These incidents are particularly precarious for those on blood-thinning medications, as even a minor injury could result in substantial bleeding. Those experiencing any symptoms of hypotension, especially if combined with lightheadedness severe enough to cause a fall, should consider immediate action to prevent further complications.

For those with a diastolic pressure reading around or below 90/60 mm Hg, understanding these symptoms is crucial. While low diastolic blood pressure does not always necessitate treatment, especially in the absence of symptoms, recognizing when and how these symptoms interfere with well-being is essential in maintaining cardiovascular health and preventing long-term complications.

Causes and Treatment of Low Diastolic Blood Pressure

Understanding the causes and treatment of low diastolic blood pressure helps individuals manage their condition effectively. This section provides insights into isolated diastolic hypotension and overall low blood pressure, along with their contributing factors and potential treatments.

Isolated Diastolic Hypotension

Isolated diastolic hypotension, a condition where the diastolic blood pressure is low but the systolic pressure remains within a normal range, poses specific challenges for healthcare providers.


Several medications, particularly alpha-blockers such as Cardura and Minipress, are known to cause isolated diastolic hypotension by dilating blood vessels. When these medications affect diastolic pressure without altering systolic pressure significantly, individuals may experience symptoms like dizziness and falls. Treatment often includes adjusting the medication or switching to alternative treatments for high blood pressure that do not affect diastolic pressure as profoundly.


As the body ages, arterial walls can lose some of their natural elasticity, leading to a drop in diastolic blood pressure. To address this, healthcare providers may suggest lifestyle changes coupled with regular monitoring to manage the risks associated with aging-related diastolic hypotension.

Postural or Orthostatic Hypotension

This type of low diastolic blood pressure occurs when there is a sudden drop in blood pressure upon standing, which can result in lightheadedness or fainting. Treatment focuses on avoiding sudden movements, improving hydration, and sometimes wearing compression stockings to promote blood circulation.

Overall Low Blood Pressure

When low diastolic blood pressure is part of an overall low blood pressure condition, several factors can come into play.


Various medications aside from alpha-blockers, such as diuretics, certain antidepressants, and medicines for Parkinson’s disease, can lead to both systolic and diastolic low blood pressure. Treatment includes reviewing and potentially altering these medications under medical supervision to achieve a more balanced blood pressure reading.

Heart Conditions

Heart-related issues like bradycardia, heart attacks, and heart failure can cause low diastolic blood pressure. The treatment of the underlying heart condition often helps in restoring blood pressure to safer levels.


Dehydration, whether due to insufficient fluid intake or excessive fluid loss through sweat, can decrease diastolic blood pressure. Increasing water intake and managing medications that contribute to fluid loss are key to treating dehydration-related hypotension.

Other Causes

Factors such as prolonged bed rest and nutritional deficiencies (e.g., lack of vitamin B12, iron, and folate) may also lead to low diastolic blood pressure. Addressing these underlying issues, through dietary changes or increased physical activity, forms an integral part of the treatment plan.

These factors highlight the variability and complexity of managing low diastolic blood pressure. Regular consultations with healthcare professionals ensure personalized care responsive to the nuances of each individual’s blood pressure readings and overall health.

Lower But Not Too Low

In the pursuit of cardiovascular health, isolated diastolic hypotension, with diastolic readings lower than 60 mm Hg, is a nuanced condition. It indicates adequate systolic function paired with potential complications from a diastolic measure that might be too low.

Ensuring the diastolic pressure doesn’t fall below optimal levels is key. A moderate diastolic pressure supports coronary artery health, supplying the heart with needed blood and oxygen. However, when diastolic pressure dips too low, risks for conditions like heart failure may increase. Individuals should remain vigilant for symptoms like fatigue and dizziness which can signpost low diastolic levels.

Lifestyle modifications play a significant role in managing diastolic blood pressure. Staying hydrated prevents dehydration, directly combating the reductions in blood volume that contribute to low blood pressure. Similarly, engaging in prescribed exercise supports vascular health and can improve blood pressure metrics.

Maintain a moderate weight leans heavily as advice for those managing low diastolic blood pressure. Under medical guidance, safe and sustainable weight loss strategies could be beneficial. Medications tailored to lower high blood pressure should be monitored scrupulously, as they have the potential to disproportionately reduce diastolic readings.

Blood pressure readings with a systolic value below 90 mmHg and a diastolic value below 60 mmHg flag as hypotensive. While often asymptomatic and discovered incidentally during routine check-ups, any episodes of dizziness or fainting warrant immediate medical attention.

Certain demographics such as older adults or females; and individuals with conditions like diabetes mellitus or chronic kidney disease are more susceptible to decreasing diastolic blood pressures.

ConditionSystolic BPDiastolic BP
Hypotension< 90 mmHg< 60 mmHg
Isolated Diastolic HypotensionNormal< 60 mmHg

It’s imperative to understand the fine balance required to maintain diastolic blood pressure within a healthy range. While high blood pressure remains a widespread concern, the implications of low diastolic blood pressure and the holistic approaches to prevent its decline are equally important for long-term cardiovascular well-being.

Blood Pressure Categories

Understanding the different categories of blood pressure is fundamental for assessing cardiovascular health and risks associated with low diastolic blood pressure.


normal blood pressure reading typically falls below 120/80 mm Hg. This is the ideal range most healthy adults should strive for. Consistent readings in this category are associated with a lower risk of cardiovascular disease and other health complications. Adhering to heart-healthy habits, such as a balanced diet and regular physical activity, helps maintain normal blood pressure levels.


An elevated blood pressure reading occurs when systolic pressure ranges from 121 to 129 mmHg while the diastolic pressure remains below 80 mmHg. Individuals with elevated blood pressure are more likely to develop hypertension unless preventive measures are taken. Adopting a healthy lifestyle and regular monitoring of blood pressure can help prevent escalation to hypertension.

Hypertension Stage 1

In Hypertension Stage 1, blood pressure consistently ranges from 130 to 139 systolic or 80 to 89 diastolic. Health care professionals may recommend lifestyle modifications at this stage. If the risk of atherosclerotic cardiovascular disease is substantial, medication may also be prescribed to manage blood pressure effectively.

Hypertension Stage 2

Moving into Hypertension Stage 2, individuals experience systolic readings that reach 140 mmHg or higher, or diastolic readings hitting 90 mmHg and above. At this advanced stage, the likelihood of heart attack, stroke, and other serious health incidents increases. Treatment typically involves both lifestyle changes and medication to decrease these risks.

Hypertensive Crisis

A Hypertensive crisis is indicated by systolic pressure over 180 mmHg or diastolic pressure beyond 120 mmHg. This is a critical condition requiring immediate medical attention. Symptoms to watch for include chest pain, shortness of breath, and blurred vision. Prompt intervention is crucial to prevent organ damage or a potentially life-threatening event.

How to Increase Diastolic Blood Pressure

How to Increase Diastolic Blood Pressure

Low diastolic blood pressure can pose health risks, especially when it dips below the recommended threshold. Individuals facing this issue might need to consider measures to boost their diastolic pressure.

Adjusting Medications might be necessary under the guidance of a healthcare professional. Some antihypertensive drugs can significantly lower diastolic blood pressure, and a dosage change or a different medication can make a substantial difference.

Lifestyle Changes play a crucial role in managing blood pressure. Introducing moderate Exercise is beneficial, as it strengthens the heart muscle, potentially improving diastolic blood pressure. Nonetheless, it’s vital to consult with a doctor before starting any new exercise regime, particularly for those with cardiovascular concerns.

Adequate Hydration is another key factor. Staying well-hydrated helps maintain blood volume and pressure. Diastolic blood pressure can drop due to dehydration, so it’s essential to drink sufficient water throughout the day.

Diet also has a significant impact on blood pressure. Certain foods and nutrients, like those high in potassium and magnesium, are known to support healthy blood pressure levels. A balanced diet rich in fruits, vegetables, whole grains, and lean proteins contribute to overall cardiovascular health and can assist in raising low diastolic blood pressure.

In some cases, Supplemental Support might be considered. Supplements such as omega-3 fatty acids have been found to support heart health and may help in managing blood pressure. However, it’s imperative that individuals consult with healthcare providers before starting any supplements.

Regular monitoring of diastolic blood pressure is crucial for those making changes to improve their readings. This helps in assessing the effectiveness of interventions and ensuring diastolic pressure remains within a healthy range. Remember, these strategies should always be personalized to fit individual health needs and conditions.

Prevention and Management

Understanding low diastolic blood pressure is key to safeguarding cardiovascular health. They’ll find that staying vigilant and proactive can make a significant difference. Whether it’s through lifestyle adjustments or close collaboration with healthcare providers, individuals have the power to manage this condition effectively. It’s essential to tailor any intervention to one’s unique health profile, ensuring the best possible outcomes. Remember, regular check-ups and staying informed are the cornerstones of preventing and managing low diastolic blood pressure.

Frequently Asked Questions

What is the lowest blood pressure that is safe?

A safe blood pressure for most adults is generally below 120/80 mm Hg. If blood pressure drops below 90/60 mm Hg and there are no symptoms, it’s typically considered low but safe for individuals who consistently maintain such levels without issues.

What can be done for low diastolic BP?

To address low diastolic blood pressure, consider lifestyle adjustments such as quitting smoking, reducing alcohol intake, eating smaller meals, drinking plenty of water, incorporating regular exercise, and avoiding prolonged periods of sitting or standing. Stand up slowly from a sitting or lying position to prevent dizziness.

What food is good for low diastolic blood pressure?

Increasing your intake of fluids like water to prevent dehydration is beneficial. Consuming coffee can provide temporary relief due to caffeine’s stimulating effects. Foods rich in vitamin B12 and folic acid, like beef liver and eggs, or red meat can also help improve low diastolic blood pressure.

Is 120 over 50 good blood pressure?

While a systolic blood pressure of less than 120 is within the normal range, a diastolic pressure of 50 is lower than the typical normal range of less than 80. It might be normal for some individuals, but it’s best to consult with a healthcare provider to ensure it’s safe if this reading is consistent.

At what diastolic should I go to hospital?

You should seek immediate medical attention if your blood pressure is 180/120 mm Hg or higher and you’re experiencing symptoms such as chest pain, shortness of breath, severe headache, dizziness, numbness, vision loss, or trouble speaking. In such cases, it’s critical to go to the hospital right away rather than waiting to recheck your blood pressure.