My mom had dialysis this morning as per usual. When she got home, she went into intradialytic hypotension with a systolic BP of 50 and she died briefly....

It was the scariest moment of my life. The cause is something that can be avoided completely - the dialysis clinic took too much fluid in an attempt to achieve a "dry weight", but she had recently gained fat weight (recovering from chemo). They should have upped her dry weight to match her fat gain, but they didn't and they took too much fluid and she briefly died because of it. Staring at her laying there limp and cold while I shook her and repeatedly screamed "mom" will haunt me for the rest of my life.

She went to the ER, got IV fluids, had an EKG and monitored vitals for a bit, was released, has now eaten and drank and is perfectly good now.

I can't lose her - I'm getting married and I need her to be there. I'm sure you all have people who can't lose you either. Just keep an eye on this if you gain weight because apparently it's a pretty big risk.

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πŸ‘€︎ u/CyberOctopod
πŸ“…︎ Dec 18 2021
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Nice, nailed a 3-reading average of 115 systolic this morning!
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πŸ‘€︎ u/MrGruntsworthy
πŸ“…︎ Jan 04 2022
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Why does the handgrip maneuver (which inc. afterload) increase the murmur of MVP while it decreasing the murmur of HOCM? It also decreases the duration of the MVP murmur and delays the timing of the mid-systolic click in MVP. I only understand it's effect on HOCM.
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πŸ‘€︎ u/D4n21
πŸ“…︎ Dec 25 2021
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28F systolic blood pressure is 134.

Dialostic 72… And google says it’s hypertension. Is that so? How do I fix it?

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πŸ‘€︎ u/lonerpop805
πŸ“…︎ Dec 20 2021
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Systolic Architecture: History and Applications

SYSTOLIC ARCHITECTURE A network of PEs that rhythmically produce and pass data through the system is called systolic architecture. It is used as a co processor in combination with a host computer and .

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πŸ‘€︎ u/Sad_Fox4509
πŸ“…︎ Jan 11 2022
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{Sketchy} Are the reasons given in bracket supposed to be reversed?-Norepinephrine increases systolic pressure (alpha-1 arteriolar constriction); Norepinephrine increases diastolic pressure (alpha-1 venous constriction)

I was under the impression that Diastolic BP was due to Systemic vascular resistance; and Systolic blood pressure was due to Stroke Volume.

Thus Arteriolar constriction should lead to Increase Diastolic BP, and Venous constriction should lead to increased Preload which should in turn lead to Increased SV and Systolic BP.

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πŸ‘€︎ u/n7-Jutsu
πŸ“…︎ Dec 26 2021
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the highest systolic i have ever seen; pt covid positive ; proned x2 currently supine , on and off cardene drip; not responding to labetolol pushes. a-line transducer level with patient and patient was adequately sedated while on nimbex. i’ve see systolics in the 200s before but like wow;
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πŸ“…︎ Aug 28 2021
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Stage 3 CKD and class 2 stage C systolic HF

How common is CKD in the setting of systolic heart failure (HFrEF)? Does microalbuminuria or macroalbuminuria affect the life expectancy or prognosis? Other than standard therapy with ARB, Beta blocker and aldoserone antagonist along with iron depletion to correct anemia, what therapies improve survival?

Does CRT-D or renal transplant make a big difference?

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πŸ‘€︎ u/Abject-Pay4651
πŸ“…︎ Dec 08 2021
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increase in systolic and decrease in diastolic after eating

My bp is usually 90/60, but after eating it goes to 120/40. I have been having lots of dizzy spells and headaches.

Yes, I eat enough salt and drink enough water.

Advice?

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πŸ‘€︎ u/04rh
πŸ“…︎ Nov 28 2021
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One cup of leafy green vegetables a day lowers risk of heart disease. Researchers examined over 50,000 people over a 23-year period. People who consumed the most nitrate-rich vegetables had about a 2.5 mmHg lower systolic blood pressure and between 12 to 26 percent lower risk of heart disease. ecu.edu.au/news/latest-ne…
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πŸ‘€︎ u/Wagamaga
πŸ“…︎ May 05 2021
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Systolic vs Diastolic

What is more More dangerous, a high systolic or a high Diastolic. Still not sure about this, sorry if its a stupid question .

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πŸ‘€︎ u/nextlevelbankai
πŸ“…︎ Oct 05 2021
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Systolic vs Diastolic Dysfunction

I was under the assumption that:

Systolic = compliant ventricle

Diastolic = stiff ventricle

Why would hypertension lead to systolic failure if hypertension results in a thickened ventricle = increase in afterload = less filling of blood?

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πŸ‘€︎ u/norwich-classic
πŸ“…︎ Oct 01 2021
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Difference of 50-60 between systolic and diastolic pressure

My mother (67) always has a difference of around 50-60 between her systolic and diastolic pressure.

Before she started her BP med last month, her numbers averaged around 140/80.

Now, I see readings around 128/72. Which means the diastolic goes down too along with the systolic, keeping the difference the same.

I’m kind of worried because the normal pulse pressure is considered 40.

Should I discuss this with the dr if it stays this way? Would changing the medicine help?

Her fr changed her from lisinopril 5mg to losartan 25mg last week because of the cough side effect but I didn’t discuss pulse pressure.

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πŸ‘€︎ u/l00t9
πŸ“…︎ Sep 21 2021
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Why is there pulmonary hyn in systolic /diastolic heart failure

????

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πŸ‘€︎ u/imnotcrazyjump
πŸ“…︎ Aug 15 2021
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Can anyone explain. If nor epi causes reflex bradycardia why the pulse pressure increases so much. Shouldnt the pulse pressure decrease because systolic pressure should decrease with decrease HR?
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πŸ‘€︎ u/Duder_X
πŸ“…︎ May 20 2021
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Gut Microbial Diversity Affects Systolic Blood Pressure via Flavonoid Metabolism (Aug 2021, n=904) Microbial Diversity and Abundance of Parabacteroides Mediate the Associations Between Higher Intake of Flavonoid-Rich Foods and Lower Blood Pressure genengnews.com/news/gut-m…
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πŸ‘€︎ u/MaximilianKohler
πŸ“…︎ Aug 25 2021
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(19 M) College Athlete with Isolated systolic hypertension

Hi all, I recently left the doctor's office, and my doctor told me my Blood Pressure is relatively high. I was surprised when he said that because I live a very healthy lifestyle. I train nearly every day since I play football at USC, I drink a little over a gallon of water every day, and for the most part, I rarely eat any unhealthy food. In concern, I bought a blood pressure machine and I tested myself for two weeks once a day and my average came out to be 135/60 on my left arm. With that being said when testing my right arm it dropped down to 120/60. Is this weird? Should I be concerned? My mom suffered from high blood pressure.

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πŸ‘€︎ u/Tcket
πŸ“…︎ Sep 09 2021
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Gut Microbial Diversity Affects Systolic Blood Pressure via Flavonoid Metabolism (Aug 2021, n=904) Microbial Diversity and Abundance of Parabacteroides Mediate the Associations Between Higher Intake of Flavonoid-Rich Foods and Lower Blood Pressure genengnews.com/news/gut-m…
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πŸ‘€︎ u/MaximilianKohler
πŸ“…︎ Aug 25 2021
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Systolic Arrays: The coolest way to multiply matrices youtube.com/watch?v=2Vrnk…
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πŸ‘€︎ u/SigFyg
πŸ“…︎ Aug 01 2021
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Gut Microbial Diversity Affects Systolic Blood Pressure via Flavonoid Metabolism genengnews.com/news/gut-m…
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πŸ‘€︎ u/Vailhem
πŸ“…︎ Aug 25 2021
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Does a systolic reading represent the "right now," whereas diastolic is more indicative of your overall/long term bp? 47M

Years ago I remember reading (not necessarily from a doctor, though it might have been), that one's systolic pressure is symbolic of what's been going on in a person's immediate history (minutes), whereas the diastolic reading is more of an indicator of an individual's long term bp. I could not find anything online to corroborate this, however. Is there any truth to it?

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πŸ‘€︎ u/FlyingAces
πŸ“…︎ Jul 26 2021
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10-25 point difference in Systolic BP between left and right arm.

My systolic blood pressure is 20+- points higher on right arm then the left but diastolic is fine around 70. Bpm is 90ish. 24y old male, 1m82, 88kg and higher muscle mass because I compete in weightlifting. Having a family history for heart attacks, this scares me. Last time heart echo doc said everything looked fine but the blood pressure difference in both arms makes me a abit scared behind my head.

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πŸ‘€︎ u/AZC1997
πŸ“…︎ Aug 19 2021
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Systolic Arrays: The coolest way to multiply matrices youtube.com/watch?v=2Vrnk…
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πŸ‘€︎ u/SigFyg
πŸ“…︎ Aug 01 2021
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GPU .. systolic multiplication

Maybe I could dig through source code on the web, but maybe someone has a tip how to calculate GPU speed. For 3d rotation I need to multiply a 3 element vector with a 9 element matrix. Each of the CPUs of the Jag allows to store 16 elements for the matrix. There is a command for the inner product. Then there is also an option to shuffle the values in the matrix to reuse it for a 2d DCT I think. The manual is quite proud about this because you need it for fluent mpeg video. But it is useless for 3d. So we simply can think of the inner product.

So I could walkt the scene graph and calculate z-values. Only after all Z values for a triangle are positive, I proceed with X. If X > Z, I proceed with Y. In this way I don't have to do the full multiplication in case of frustum culling. The same applies for bounding boxes.

Since I need all vertices for a triangle it would be nice if both CPUs work in lockstep or somehow close to each other on the scene graph. So the page in memory with the current triangle stip stays open. I wonder how the CPUs communicate with each other? Is it possible to for them to send a phrase while a wait state for the DRAM is active? Or should both CPUs try to do far away parts of the scene graph. Then each of them could cache a different part and caches would add up.

There is some latency for the inner product. So each CPU would always work on at least two CPUs. I did not quite find out how to select any of the 16 matrix elements. The command looks like we can only select the first 3 ones. Not a range. How does the C intrinsic look like?

So I wonder if it is even possible to max out the Transformation hardware on the Jag? With about 30 MHz and 30 fps and 2 CPUs and about 8 multiplications we can Transform 250 000 vertices per frame. Translation works in parallel with multiplication. Only thing is, we would have to store the transformed vertices because there is not enough cache for T&L and rendering code. But anyway we need not be ashamed of a missing vector unit. Maybe in the end, the vector unit of PSX is implemented as a systolic multiplier? That is four 16x4 multipliers and 3 hidden registers in between. Similar in the 3DS .

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πŸ‘€︎ u/IQueryVisiC
πŸ“…︎ Aug 11 2021
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When to mark systolic Bp?

So I’ve been an emt for about 6 months now with mostly ift experience and some 911 now. I feel like I’ve gotten a lot better from taking bps in 911 cuz it just felt more urgent I guess. I feel confident I can hear the sound at systolic bp but often the automatic monitors will say it’s like 20 less for systolic. I’m wondering if I shouldn’t say the systolic bp is at the point where I hear a faint heartbeat and wait until it’s super loud?

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πŸ‘€︎ u/Traditional_Flan
πŸ“…︎ Jul 15 2021
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Nebivolol (Bystolic) and Isolated Systolic Hypertension - what can I possibly expect?

I (25M) have isolated systolic hypertension (high top number but normal bottom number) despite no apparent risk factors at all - I'm young, not overweight (6'1" and weigh about 160 pounds), don't smoke, don't drink heavily, not sedentary, etc. Yet my BP at home the past few months has typically been in the 140s over low 80s/high 70s. Heart rate on an oxometer at home was normal.

Finally went to the general practitioner last week, and BP was read as 168 over 72. Read my heart rate as being over 100, but I feel that they were too hasty in not allowing the oxometer to level out, but whatever. The doctor was pretty baffled, and ordered bloodwork done to try and see the cause. She also gave me a sample of the Bystolic which I've been taking the past 8 days now (it caused some soreness in my lower legs initially but it no longer is doing so). Today I had my follow up. Everything they checked in the bloodwork - HDL/LDL levels, blood sugar, thyroid function, kidney function, liver function, and a few other things I don't remember being listed off, all came back looking great. My BP was also significantly lower, at 132 over 72 (it was even better, about 127 over 66 at home over the weekend). It's lowering the systolic w/o inducing low diastolic - obviously good. My heart rate also read normal this time, although I've already laid out my doubts about the first reading.

The doctor (different doctor this time, although the same practice) concluded the Bystolic is working, and that, over time, my systolic BP should continue to get better with continued usage, maybe even in the 110s. So he gave me a full prescription for it (90 day supply) Apart from the initial leg soreness I already mentioned, I have yet to experience any adverse effects. Indeed, the doctor described it as a "very gentle" medication. I have since read that some beta blockers can cause weight gain, although that the gain is typically negligible (approximately 3 lbs from most sources I've read) and that weight gain is primarily linked to older beta blockers, with newer ones (such as nebivolol) generally not associated with it or negative metabolic effects. But I've still found myself worrying about it (I used to be significantly heavier, lost weight, and I've kept it off 5 years now - I don't want that reversed), and I've also since read that beta blockers are generally not the first choice of anti hypertensive drugs anymore - but the doctor is the expert. I can only hope an erroneous diagnosis of wh

... keep reading on reddit ➑

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πŸ‘€︎ u/Clarkinator69
πŸ“…︎ Jul 08 2021
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