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Heart Disease (Expert Forum)
Erractic Blood Pressure
Answered by
Cleveland - OH
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Erractic Blood Pressure
by 1Concerned Daughter, Dec 02, 2004 12:00AM
My mom is 72 and had a 5 way bypass in 1998. She is very active and not overweight. Her meds are Aldactazide every other day, 50 mg Toporal daily, 40 mg lisinopril daily, 20 mg lipitor daily. About 6 months ago, she started having erratic BP with blurry eyes, pain in jaw. BP got as high as 295/135. Went to ER, run blood work and EKGs--nothing shows and they doubled meds; blood pressure comes down sometimes as low as 90/50. Then meds are changed again. Blood pressure spikes. Another trip to the ER. The trips to the ER about every 2 weeks. Over Thanksgiving, she was admitted was high BP-more tests--nothing. Yesterday, she was fine until she took aldactazide at 3:30 and by 8:30 her BP was 232/99, pulse 77. It seems her BP only rises at night.
She was seen by her cardiologist yesterday and he scheduled a stress test for January. She's exhausted from spending so much time in the ER and scared. I don't think she should wait until January. Any advice?
One Very Concerned Daughter
She was seen by her cardiologist yesterday and he scheduled a stress test for January. She's exhausted from spending so much time in the ER and scared. I don't think she should wait until January. Any advice?
One Very Concerned Daughter
Doctor's Answer
by Cleveland Clinic, Dec 02, 2004 12:00AM
, Dec 02, 2004 12:00AM
Im sorry to hear about your mother.
The fluctuations of her blood pressure certainly are concerning. Given the fact she is on multiple medications and having these rapid swings, I would be concened about other causes of hypertension. These can include things like renal artery stenosis, hyperthyroidism and pheochromocytoma.
A good internal medicine specialist should be able to handle the adjustment of her medications and help screen for other causes of high blood pressure. Also,they are also probably a bit more accessible then her cardiologist.
Hope this is a start.
The fluctuations of her blood pressure certainly are concerning. Given the fact she is on multiple medications and having these rapid swings, I would be concened about other causes of hypertension. These can include things like renal artery stenosis, hyperthyroidism and pheochromocytoma.
A good internal medicine specialist should be able to handle the adjustment of her medications and help screen for other causes of high blood pressure. Also,they are also probably a bit more accessible then her cardiologist.
Hope this is a start.
