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Heart Disease  (Expert Forum)
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Hypertension at 18
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve, Pacemaker, PAD, Stenosis, Stress Tests

Hypertension at 18

by knicks30, May 01, 2004 12:00AM
Well anywayz 4 months ago diagnosed with HBP at 18 years old, 100 lbs overweight slightly high cholestorol levels, got scared with chest pains and headaches. Went to the ER they did EKG, bloodwork and that came back normal. Month later went to a cardiologist and he did a EKG, Echo, holter, chest xray, which were all normal. Oh i do have a history of asthma.



Well anywayz cholestorol levels went from TC: 204 to 171, LDL stayed the same, HDL went down but i know i can bring that up, Triglycerides went from 273 to 140 on diet and slight exercise(i know i still have to do more!!) I have lost 45 pounds and im still going! sad thing is though losing 45 pounds and getting alot less salt my HBP stays high at docs office, at home its normal(have a digital and a regular one)Home ranges from 120-135/65-80. Am i doing enough? I mean im losing weight, restricing salt, taking diovan 80mg and still high at docs office!!



Now im complaing of chest pressure in middle of chest thats lasted for 3 months and counting...still have some periods of shortness of breath and just wondering whats wrong with me cause im literally going mad here! I have no history of heart disease in my family grandma had MVP, but hypertension does linger around. I dont smoke and i dont drink(i thank the lord i dont!) I really would like to start exercising more and more so i can get this weight off and be healthy for once in my life!



1. should i be re-evaluated?

2. what do you think could be the new chest pressure?

3. could someone my age develop CAD or an enlarged heart?



Thank you for cool forums!

by CCF-M.D.-RCJ, May 01, 2004 12:00AM
knicks30,



Thanks for the post.



Q:"Am i doing enough?"



Well anywayz, I think you are on the right track.  The 45# weight loss is a great start to the 100# you said you need to lose.



Q:"... and still high at docs office!!"



Many people have high blood pressure at the doc's office but lower at home.  This is usually for one of two reasons: either you have anxiety-provoked hypertension (from being at the doc's office), or you are not getting accurate home measurements.



Q:"1. should i be re-evaluated?"



That depends on your anxiety level.  The incidence of chest pains with a cause from the heart is exceedingly low in 18 year old women, but we do rarely see an 18 year old with heart disease.



Q:"2. what do you think could be the new chest pressure?"



I don't know enough about you to give an answer.



Q:"3. could someone my age develop CAD or an enlarged heart?"



Yes, but it would be rare.



Hope that helps.







Member Comments (18)

by knicks30, May 01, 2004 12:00AM
also one more thing....3 weeks before i was diagnosed with HBP my blood pressure was normal. Secondary??? Once again docs you guys should be proud of yourselves...great site i love it!

by renee1952, May 01, 2004 12:00AM
Im no Dr. but I just wanted to say that I think you should be very proud of yourself. Losing 45lbs. and lowering your triglycerides almost 130 points in 4 months sounds like you are doing a wonderful job. I know you are eating low salt but other than that what kind of diet are you following? I'm sure you will get alot of your questions answered here but keep up the good work..My Best..

by Shroom, May 01, 2004 12:00AM
sodium vs salt. You need to make sure that your overall SODIUM intake is lower, not just your salt. Food like bread can have 100-300 mg sodium per slice. Good job with your weight and good luck!

by knicks30, May 01, 2004 12:00AM
I try to be under 2400 mgs of salt a day. Yes i also watch out for the sodium. I understand the difference. My diet consists of eating oatmeal, cornflakes with skim milk or 1% milk, tuna salad, fruits, cholesterol free eggs.



Oatmeal or cornflakes in the morning with skim milk or 1%

or cholestorol free eggs.



Lunch i have a good tuna salad with red wine vinegar.



Dinner i have a turkey sandwich(wheat bread) with lettuce and tomatoes.



I know that isnt a fad diet cause i dont use one! I never trust those fad diets so on my own diet and so far its worked for me and plus a bit of prayer doesnt hurt.



Thank you for you kind comments really appreciate it, i know if exercise more the weight could be handled i just need my HBP to be controlled and wondering what this pressure in the middle of chest but i mostly feel it more when i lay down.  



Well just waiting for the doc's response!



Thank you 2 again for the comments.

by ozark, May 01, 2004 12:00AM
congrats!  are you doing any muscle exercises such as lifting weights?  using your chest muscles?  the other thing is your asthma undercontrol...stress re you bp may cause this........good luck

by knicks30, May 01, 2004 12:00AM
i used to lift weights cause i used to play football. I dont lift weights anymore and despite losing weight im also losing a bit of strenght as well. I played Defensive end at high school now i look like i should be a kicker!! I heard its dangerous to lift weights if you have hypertension which i need to do again cause i cant stand the fact im losing my strength. My asthma is weird. I use a inhaler(albuterol) and it feels as though it dosnt work. Stress? Im not so sure about stress i feel like i go fine without stress throghout the day.

by renee1952, May 02, 2004 12:00AM
I think if you are also losing strength as well as weight that you are not getting enough of the basic food groups that you need to stay healthy while in a weight loss program..Your doing a wonderful job but I have been where you are at with weight loss many times.If the diet you posted is what you eat every day your going to burn out.Noone can eat the exact same foods over and over for months and not burn out..I wonder if you had considered a more organized weight loss program such as joining weight watchers? You are allowed a variety of foods and in an amt. that if you follow it correctly you lose weight and are not hungry. It demands you eat from the 5 food groups but also allows occasional splurges without cheating..They also have an exercise part of their program that compliments the dietary side. Just wanted to mention it to you as something for you to think about. It cost about 12.00 per week...Best of luck to you,

Renee