Yes, it happens. But for this you need to be young, leggy and politically literate.
I explain. We have discussed pulse pressure many times and how it can be useful or harmful to us. You can read about this case in these two links below with tiny pictures:
If the pulse pressure is high, then this is a sure sign that the arteries of an older person have become stiff. This is bad. We can say that this is an indirect sign of atherosclerosis, which leads to strokes with heart attacks.
There are, of course, exceptions in which the pulse pressure rises for other reasons: the thyroid gland is naughty there, or the heart valves are destroyed. But this, too, is somehow not very good for health.
And only in one case (in my opinion, still in one) high pulse pressure can be a sign of bursting health. This is a manifestation of pulse pressure amplification. Sounds like a drunken man through clenched teeth. Amplification is amplification.
The fact is that under ideal conditions, when a pulse wave flies from our heart to the cuff of the tonometer on our shoulder, it intensifies. Well, how the tsunami enters the bay of the Japanese island and grows before our eyes. This is also related to the stiffness of the arteries. But rather with good rigidity.
While we are young and fresh, our aorta stretches very easily and smooths out the pulse wave. The heart does not need to beat the stiff aorta with its pulse, and therefore the heart rejoices. It makes him feel good.
The further from the heart, the harder the arteries become. They soften the impact of the pulse waves less and less. And somewhere at the level of our shoulders, our favorite home Japanese tonometer measures some kind of pulse pressure for us. If you and I are already over 40, then high pulse pressure suggests a visit to a cardiologist. But if we were 20 more, it would mean nothing. At least for those of us who are men and who are taller.
The fact is that in young and tall men that very stretching of the aorta is so pronounced, and the brachial artery is so far from the heart that even high pulse pressure does not harm them in any way. Because if on the brachial artery we get 140/80 millimeters of mercury, then at the exit from the heart it was only 120/80. Their hearts are happy and are not going to hurt from high blood pressure. They do not even suspect that somewhere downstream we found some kind of hypertension.
That is, it turns out that we honestly intended the young guy to hypertension. There is no mistake here. But the significance for him of this hypertension is rather very insignificant. You don't have to bother.
Older people are getting worse. By the age of 40, the difference between the heart and the shoulder will no longer be 20, but rather 12 millimeters of mercury. And after 60 years, everything will level out. Here, too, everything will be fair - what is at the exit from the heart, then on the dial of the tonometer.
Such pulse pressure in young people is called false hypertension.
You can argue with me about the elderly, because they also have mistakes. This was in a story about pressure that cannot be measured:
But it’s not like that. There, the pressure really could not be measured with a phonendoscope, because the arteries were clogged with calcium. Calcium in the artery wall is bad. This is a potential heart attack or stroke.
With the young, it's the other way around. Their pressure can be measured, but the value of the result obtained is very low. You don't have to worry about a stroke or heart attack.
To please such a young man, he needs to measure the blood pressure at the outlet of the heart. In an ideal world, that would require sticking a pipe through the heart of a guy like that. But we live in a cruel world built on money, and therefore, for $ 250, the guy will buy himself a home machine for non-invasive measurement of pulse pressure in the aorta.
This is an automatic tonometer familiar to all of us. Only a special sensor is screwed to it, which is installed on the wrist, and, like a Tibetan healer, he calculates the pressure in the aorta by touching the pulse with good accuracy. A miracle of medical technology.
I immediately wanted my 135/80 millimeters of mercury to turn into 120/80. Would you like to?
