After over 20 videos of pulse pressure this is the first video that explains pulse pressure so well in less than 5 minutes. SMH 🤦🏾♀️ thank you sooo much! I should just hug you 🤗
I couldn’t have said it better myself! I knew what pulse pressure was but this video is the only video of the many that I’ve watched that breaks it down so we’ll.
Thank you so much for the explanation. It was really crystal. Clear of why it was important. I’ve always thought a high pulse. Pressure was a problem now I’ll look for low one after I go running or if I have not had enough water.
BP 100/65 sitting, immediately upon standing it drops to 81/69 - you can imagine how thus impacts me however doctors in Scotland tells me this is normal. It too can be exactly as your example - I'm getting no help and told I have anxiety.
Thank you very much on this very informative talk that explaims the narrow pulse pressure. What is considered critically narrow pulse pressure where there would a risk to death without intervention?
25% is more like 30 points and 40 points is far closer to what we want. Im 58 male in good health and exercise 6 days a week. My BP averages 120/70 and my pulse 58.
I have been an EMT Instructor for about 45 years. I am still actively teaching and I find you videos very helpful but I am confused about pulse pressures. I found another TH-cam channel reportedly by a physician and he stated a normal PP is 30. He continued to explain that a PP greater than 30 indicates there might be a cardiac issue. He also listed listed 4 BP readings all of which had a PP of 40 and 3 of the 4 appeared to be normal reading while the fourth was obviously a low leading. He concluded by saying this is an example why you should not rely on a PP reading. It seems to me that your 25% of the SBP better defines the PP for different individuals rather than his val ue of 30 for all. In my case, my BP taken 3 days ago was 98/64 so by your method it should be at least about 25 and by his method it is over 30 which isn't too good. I also found an internet source taht stated a normal PP is 40-60 so you can see my confusion. Please provide any additional resources if possible. Thank you for what you do.
This is a great question. I really only discuss the low end as it relates to shock--and our ability to identify shock early. I am sure there are parameters that a cardiologist would have that don't apply to us. I do wonder: if anything above 30 may be a cardiac issue, is 120/80 or 110/70 (pulse pressure of 40) bad? Probably not--at least for us. Increased pulse pressure does increase cardiovascular risk and is sometimes seen in hypertension such as a BP of 150/90 (pulse pressure of 60). In a quick glance, there doesn't seem to be a strong consensus on an ideal pulse pressure. One thing I've also been seeing more of is the shock index. That is an oldie but a good which seems to be making a comeback. Divide the pulse by the systolic BP. You want a result less than one. Try it out. HR 70 divided by a systolic BP of 120 = .58. Very good. HR 100 divided by a systolic BP of 100 = 1. Not good. HR 120 divided by a systolic BP of 90 = 1.3. Very bad. Sometimes simple is good.
Nonsense. What might be true for pulse pressure in a person with a resting heart rate of 80 is not going to hold for someone with a resting heart rate of 40.
@67daltonknox While the heart rate is certainly a factor in cardiac output and the blood pressure (especially systolic), 40 is an unusually slow pulse rate--even for an extremely conditioned athlete. Plus, people with narrow pulse pressures tend to have a more rapid heart rate as a method of compensation. Could you explain more?
After over 20 videos of pulse pressure this is the first video that explains pulse pressure so well in less than 5 minutes. SMH 🤦🏾♀️ thank you sooo much! I should just hug you 🤗
So glad it helped! Thank you for the kind words.
I couldn’t have said it better myself! I knew what pulse pressure was but this video is the only video of the many that I’ve watched that breaks it down so we’ll.
Thank you so much for the explanation. It was really crystal. Clear of why it was important. I’ve always thought a high pulse. Pressure was a problem now I’ll look for low one after I go running or if I have not had enough water.
BP 100/65 sitting, immediately upon standing it drops to 81/69 - you can imagine how thus impacts me however doctors in Scotland tells me this is normal. It too can be exactly as your example - I'm getting no help and told I have anxiety.
That's because they're dismissive.
Have you had a work up to see if you have heart disease?
POTS, likely electrolyte imbalance
Thank you very much on this very informative talk that explaims the narrow pulse pressure. What is considered critically narrow pulse pressure where there would a risk to death without intervention?
Excellent explanation
Always been a great educator. Great video.
Never heard of pulse presor. But heart rate above 100 can't be good, right?
Great tip for practice and testing. Well and clearly explained. Thanks!
Great video!
Thank you
25% is more like 30 points and 40 points is far closer to what we want. Im 58 male in good health and exercise 6 days a week. My BP averages 120/70 and my pulse 58.
I have been an EMT Instructor for about 45 years. I am still actively teaching and I find you videos very helpful but I am confused about pulse pressures. I found another TH-cam channel reportedly by a physician and he stated a normal PP is 30. He continued to explain that a PP greater than 30 indicates there might be a cardiac issue. He also listed listed 4 BP readings all of which had a PP of 40 and 3 of the 4 appeared to be normal reading while the fourth was obviously a low leading. He concluded by saying this is an example why you should not rely on a PP reading. It seems to me that your 25% of the SBP better defines the PP for different individuals rather than his val ue of 30 for all. In my case, my BP taken 3 days ago was 98/64 so by your method it should be at least about 25 and by his method it is over 30 which isn't too good. I also found an internet source taht stated a normal PP is 40-60 so you can see my confusion. Please provide any additional resources if possible. Thank you for what you do.
This is a great question. I really only discuss the low end as it relates to shock--and our ability to identify shock early. I am sure there are parameters that a cardiologist would have that don't apply to us. I do wonder: if anything above 30 may be a cardiac issue, is 120/80 or 110/70 (pulse pressure of 40) bad? Probably not--at least for us. Increased pulse pressure does increase cardiovascular risk and is sometimes seen in hypertension such as a BP of 150/90 (pulse pressure of 60). In a quick glance, there doesn't seem to be a strong consensus on an ideal pulse pressure.
One thing I've also been seeing more of is the shock index. That is an oldie but a good which seems to be making a comeback. Divide the pulse by the systolic BP. You want a result less than one. Try it out.
HR 70 divided by a systolic BP of 120 = .58. Very good.
HR 100 divided by a systolic BP of 100 = 1. Not good.
HR 120 divided by a systolic BP of 90 = 1.3. Very bad.
Sometimes simple is good.
@@danlimmer6326 Thank you for your response
@@leocarr9950 As far as i understand PP of 30-40 is normal. And above 40 is whats considered to put you at risk.
25% of diastolic. Really? Data?
Systolic even
25% of Systolic. Here is the reference: pubmed.ncbi.nlm.nih.gov/29494015/
Thanks for the link.
Nonsense. What might be true for pulse pressure in a person with a resting heart rate of 80 is not going to hold for someone with a resting heart rate of 40.
@67daltonknox While the heart rate is certainly a factor in cardiac output and the blood pressure (especially systolic), 40 is an unusually slow pulse rate--even for an extremely conditioned athlete. Plus, people with narrow pulse pressures tend to have a more rapid heart rate as a method of compensation. Could you explain more?