New research points to the type of heart risk individuals face based on which number of their blood pressure reading is high. Researchers found that an elevated systolic blood pressure (top number) was associated with an increased risk of bleeding strokes and stable angina while those with a higher diastolic blood pressure (bottom number) were more likely to be diagnosed with an abdominal aortic aneurysm. Lead investigator Dr. Eleni Rapsomaniki writes, “Our estimates provide vital new information that can be used to improve patient counseling and decision-making for people with hypertension, which are currently based mainly on the risks of heart attack and stroke, and will help to focus guidelines and doctors to the cardiovascular conditions that might be more common, and in which screening and treatments are more likely to have an effect.” The Lancet, May 2014