High normal blood pressure is a stage of pre-hypertension, meaning “a level that is one step ahead of hypertension and needs attention. If the risk of disease is high, it is subject to treatment. Systolic hypertension is a condition in which only the systolic blood pressure is particularly high, and is often seen in elderly people with advanced arterial stiffness. Patients with arterial stiffness but aortic stiffness have only high systolic blood pressure and normal diastolic blood pressure. This is because the pressure of blood pumped from the heart is absorbed by the aorta, but in those with strong aortic stiffness, the pressure is not absorbed by the aorta, but is transmitted to the periphery. Many elderly people have this pattern.
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