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Question

A doctor is assessing two patients: one with high systolic blood pressure and another with high diastolic blood pressure. If these conditions remain untreated, what is the most likely outcome?

This question was previously asked in
RRB Technician 2026 Grade 3 Question Paper (7-Oct-2026) (Shift 3)
The correct answer is

Both are at risk of vessel and heart damage

Systolic pressure (normal about 120 mm Hg) is the pressure in arteries when the ventricles contract; diastolic pressure (normal about 80 mm Hg) is the pressure when the ventricles relax.

If either value stays high, the artery walls are under constant extra strain. This damages and stiffens the blood vessels, and the heart must pump harder, which can enlarge and weaken it.

So both patients face the risk of damage to blood vessels and the heart — including heart attack, stroke and heart failure — if untreated.

Kidney problems and headaches are not limited to only one type of high pressure, and untreated high blood pressure does not usually return to normal on its own.

Hence, the answer is Both are at risk of vessel and heart damage.

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