Diastolic blood pressure below 60mmHg can be divided into physiological and pathological, common diseases are hypotensive shock, hypertension in the elderly, malnutrition severe anemia. Physiological monitoring of blood pressure can be; hypotensive shock emergency generally for hemostasis, rehydration, the use of pressure-raising drugs; hypertension in the elderly emergency need to stop antihypertensive drugs, go to the hospital to adjust the use of medication; severe anemia requires blood transfusion.
1. Physiological: some children, the elderly, skinny women and other healthy people, there can be low blood pressure, no dizziness, fainting and other symptoms, generally without treatment, usually pay attention to strengthening nutrition, such as meat, eggs, etc., pay attention to daily monitoring of blood pressure.
2. Hypotensive shock: the blood pressure itself is normal, if there is a large amount of blood loss, resulting in insufficient blood volume of the body, there will be a diastolic blood pressure lower than 60mmHg hypotensive state. The first aid method is generally to stop bleeding, correct the cause of bleeding from the source, rapid intravenous rehydration to expand blood volume, and then use norepinephrine, dopamine and other drugs to raise blood pressure.
3. Elderly hypertension: elderly patients with hypertension may have high systolic blood pressure and large pulse pressure difference due to vascular sclerosis, while using antihypertensive drugs to lower systolic blood pressure, diastolic blood pressure will also be lowered, resulting in diastolic blood pressure lower than 60mmHg. Emergency measures should stop taking antihypertensive drugs, go to the hospital to adjust the medication, to prevent the diastolic blood pressure is too low resulting in ischemia of the organs.
4. Malnutrition severe anemia: emergency measures should be actively transfused to correct anemia and hypotension.
If the patient’s diastolic blood pressure is lower than 60mmHg, it is recommended to go to the cardiology department of the hospital in time to find out the cause and follow the doctor’s instructions.