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- [Instructor] When using the
terms systole and diastole,

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maybe they trigger the thought or idea

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that hey, maybe this is blood pressure.

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Systolic pressure,
diastolic blood pressure.

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Well, it's the same basic idea.

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Systole is when the
ventricles are contracting,

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while your systolic blood pressure,

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the higher of the two numbers,

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happens from the contraction
of the ventricle.

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So a systolic blood
pressure is the top number

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of the blood pressure,

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or the higher of the two blood pressures,

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as measured as the ventricular
is going through systole,

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while diastolic refers to diastole.

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It's the lower pressure
or that bottom number.

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This happens when the
ventricles are at rest,

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when the ventricles are in diastole.

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The way to measure it
is a sphygmomanometer.

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The sphygmomanometer is
that blood pressure cuff

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they put on your arm and you
can pump up the pressure.

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What typically occurs is systolic pressure

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should be around that 120ish mark,

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maybe it's 110, maybe it's 125,

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it's all pretty much in
the normal range there.

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It depends on the person.

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Diastolic, give or take
around the 80 mark, 85, 75.

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But some people have varied numbers.

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A person might have a
systolic pressure of 105

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over a diastolic of 65.

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That's what you'd personally find

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because that's their normal pressure.

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These normal readings are just guidelines.

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It all depends on what you typically have

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as blood pressure, and
what works for your doctor.

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So if you don't have
a perfect 120 over 80,

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don't worry about it.

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What's important is as long as the doctor

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is happy with what the blood pressure is.

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How about hypertension?

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Hyper is high, so too much tension.

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Too much tension is not a good thing

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as far as blood pressure goes.

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Hypertension is a sustained
high blood pressure.

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It's where your blood
pressure stays elevated

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for days or weeks on
end, even months on end.

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I put there the silent killer,

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because hypertension slowly
wears down the heart.

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It slowly wears down the blood vessels.

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And you pretty much have
one heart your entire life.

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You might, if problems
arise, be lucky enough

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to find a transplant,
but more often than not,

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you've got to keep that heart healthy.

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So it's hypertension.

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If you're treated by
trying to reduce stress,

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yeah, that's a real easy one, sure.

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We're all stressed.

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Maybe it helps out with exercising more,

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something that most people can do.

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It could help out with eating healthy.

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It could help out with
proper sleeping cycles.

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But sometimes none of those matters,

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because the hypertension is genetic.

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In that case, a lot of times
doctors turn to medicine

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to try to help and lower
the blood pressure.

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Hypotension, H-Y-P-O is low.

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Hypotension, the blood
pressure is too low.

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You get dizziness, you might be fainting.

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It's hard to keep a balance.

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Now some causes of hypotension,

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severe burns, because you're losing fluid,

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blood loss, again, losing
fluid, orthostatic.

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The idea here is all
these are cutting down

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on the amount of fluid in your body,

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creating a problem where you cannot

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get the adequate blood pressure
to the rest of your body.

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If there's not adequate blood pressure,

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you cannot get enough
blood up to the brain.

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Not enough blood to the brain
means not enough oxygen.

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Hence the dizziness.

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If you're lacking too much
oxygen, you'll absolutely faint.

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It's your body's protection
of trying to say, hey,

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get more air in here, breathe more.

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So here we have a sphygmomanometer
wrapped around the arm.

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What it's gonna do is
it's gonna be inflated

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to its highest pressure

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where it cuts off the
blood flow in that artery.

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Then as the pressure is slowly released,

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the person listening to the stethoscope

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will hear one all of a
sudden pulse, a rush,

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that's when there's enough
pressure to push the cuff.

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It'll lower the pressure
and also there will be

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a second sound coming through.

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That's when enough pressure

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on the low end of things
goes through the cuff.

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So you'll hear as the
blood first goes through,

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and then when it all passes through.

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That will give you your systolic,

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the highest pressure
that pushes through first

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over diastolic, the pressure
that goes through the end

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when it was low enough to
let everything go through.

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Pressure is measured in
millimeters of mercury.

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You might have a pressure of 120 over 80

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millimeters of mercury.

