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High readings from Blood Pressure Monitor
My Blood pressure will rise for no reason . my pressure will be around 140/75 with pulse 105. I am on atenolol 50mg twice a day,Diovan Hct 32mg/12.5mg , Nifediac 30mg twice daily,plus Arita. Should I be worried about the reading results. I am 65 and inactive.
True, heart failure can lead to serious cardiovascular decompositon and blood pressure will drop, etc. You will have to accept that is a fact, and blood pressure is not a criterion to determine degree HF. You refer to 3 people as a sample for a decision is not very scientific is it? I am not suggesting my BP during my CHF is decisive, but I can provide the etiology for the condition if you wish! Also, BP is not static so there can be a range for any given heart cycle when in compensation mode...its a compensating factor and can be effective in HF to help maintain equilibrium between the right and left side...decompensation is a different situation and there will be substantial a drop of BP so you are not incorrect. Decompensation can also cause cardiac arrest
EDV is based on venus return. Blood volume (controlled by dilation or relaxation of blood vessels...more blood constrict the vessels, etc. respiratory pump, and skelatal pump and at is maximum size for that given cycle...there is a change cycle to cycle.
ESV is the volume after the heart has finished pumping cycle. Subtract ESV from EDV and divide by ESV times 100 provides the ejection fraction. The metrics you provide indicate a 40%EF. Normal is 50 to 70% so it appears to me to 40% is lower than a normal output because the systolic function is less than normal at 40%! Don't understand your comment!.
Pulse pressure is the resistance the heart pumps against and usually the resistance is higher than normal due to a loss of elasticity of the vessels due to CAD, and central nervous system can also be a factor...what does cardiac output have to do with pulse pressure other than there is high resistance to the cardiac output and lower venus return pressure??! Increased volume doesn't increase or decrease the resistance when the heart pumps against harden vessels, etc. Respectfully, I don't see the connection.
QUOTE: Still, I would guess that heart failure most often generates a reduced pulse pressure. And I would also guess tachycardia has more common causes than heart failure.
....There may be heart failure secondary to harden vessels. Heart failure doesn't harden vessels...does it invoke the CNS? Previously you stated heart failure causes a reduction in blood pressure...now you indicate a high pulse pressure with heart failure...high blood pressure is a component of high pulse pressure. Take care and thanks for your comments.
Ken
I thing you mean jargon, and it has been suggested to verify medication with doctor or least implied. Thank you for agreeing it, could be a possible oversight. Usually a pharmacist will notice the inconsistency. But you never know!!!
EDV is based on venus return. Blood volume (controlled by dilation or relaxation of blood vessels...more blood constrict the vessels, etc. respiratory pump, and skelatal pump and at is maximum size for that given cycle...there is a change cycle to cycle.
ESV is the volume after the heart has finished pumping cycle. Subtract ESV from EDV and divide by ESV times 100 provides the ejection fraction. The metrics you provide indicate a 40%EF. Normal is 50 to 70% so it appears to me to 40% is lower than a normal output because the systolic function is less than normal at 40%! Don't understand your comment!.
Pulse pressure is the resistance the heart pumps against and usually the resistance is higher than normal due to a loss of elasticity of the vessels due to CAD, and central nervous system can also be a factor...what does cardiac output have to do with pulse pressure other than there is high resistance to the cardiac output and lower venus return pressure??! Increased volume doesn't increase or decrease the resistance when the heart pumps against harden vessels, etc. Respectfully, I don't see the connection.
QUOTE: Still, I would guess that heart failure most often generates a reduced pulse pressure. And I would also guess tachycardia has more common causes than heart failure.
....There may be heart failure secondary to harden vessels. Heart failure doesn't harden vessels...does it invoke the CNS? Previously you stated heart failure causes a reduction in blood pressure...now you indicate a high pulse pressure with heart failure...high blood pressure is a component of high pulse pressure. Take care and thanks for your comments.
Ken
I thing you mean jargon, and it has been suggested to verify medication with doctor or least implied. Thank you for agreeing it, could be a possible oversight. Usually a pharmacist will notice the inconsistency. But you never know!!!
To put it in english without all these medical terms and Jargen, you probably need to make an oppointment with your doctor and let him evaluate the situation. You can ask him why you are on both the Beta blocker and Calcium channel blocker and i'm sure he will give you a proper answer or fix his/her mistake.
Sorry, my statement was a bit imprecise.
My point was, to establish a systolic-diastolic delta of 70 mmHg, the heart has to be able to produce a somewhat high cardiac output. I don't know what blood pressure you had with your heart failure, but people I've heard about with heart failure often have a blood pressure of, say, 120/100 or 100/80, or 140/110 for that matter. I know that cardiac output is dependent on other factors than EF (if EDV is 250 ml and ESV 150 ml you have a normal cardiac output but still reduced systolic function). And pulse pressure depends on more than cardiac output.
Still, I would guess that heart failure most often generates a reduced pulse pressure. And I would also guess tachycardia has more common causes than heart failure.
My point was, to establish a systolic-diastolic delta of 70 mmHg, the heart has to be able to produce a somewhat high cardiac output. I don't know what blood pressure you had with your heart failure, but people I've heard about with heart failure often have a blood pressure of, say, 120/100 or 100/80, or 140/110 for that matter. I know that cardiac output is dependent on other factors than EF (if EDV is 250 ml and ESV 150 ml you have a normal cardiac output but still reduced systolic function). And pulse pressure depends on more than cardiac output.
Still, I would guess that heart failure most often generates a reduced pulse pressure. And I would also guess tachycardia has more common causes than heart failure.
You have an usual prescription with both beta blocker Atenolol and calcium channel blocker Diovan. Although there are different mechanisms for reducing blood pressure my understanding both administered together should be contrindicated. Source: "CCBs, especially non-dihydropyridines, should not be administered to patients being treated with a beta-blocker because beta-blockers also depress cardiac electrical and mechanical activity and therefore the addition of a CCB augments the effects of beta-blockade." The EFFECT should be lower heart rate (electrical significance) and blood pressure (relaxes blood vessels).
It may be advisable to have your doctor revisit you prescriptions and make adjustments. Sometimes a CCB is prescribed when a Beta Blocker is not well tolerated. Is it possible your doctor prescribed CCB and forgot to discontinue the Beta Blocker?
When medication(s) is properly administered there should be a reduction of heart rate and blood pressure, and it appears you are overdosed and it is surprising you still have high blood pressure and heart rate!!?.
Another response, QUOTE: "A rapid heart rate with LOW blood pressure could be a sign of heart failure, but in your case, I would guess (I'm no doctor) that your heart is fine." Probably not revelant but what is the etiology of the comment?
>>>>I may not agree with your assessment at all. My experience for heart failure was normal blood pressure and a heart rate sustained at 115 bpm. The higher heart rate is to increase the cardiac output (amount of blood pumped/per minute). The increase is due to a failure of the heart to meet the system's demand for oxygenated blood with normal heart rate, and the increase of the heart rate is compensation for a low volume per heartbeat.
Regarding Blood Pressure: The blood pressure will not change unless there is failure of compensation for a low CO. If there is reduction of blood pressure and falling that would call for an emerency intervention. Keep in mind heart failure has different manifestations and for insurance underwriting the EF (ejection fraction with each heartbeat) below 30%. Many people have no problems with that EF because their system is well compensated.
My EF according to hospital records the cath procedure was stated to be greater than 15% and the report of EF with intake tests states 29%. Blood pressure was normal and told I had had a heart attack and there was some impairment of the heart walls contractility (hypokinesis). Symptoms were edema (lungs and peripheral), high heart rate, shortness of breath and normal BP.
I believe there was some discussion on a prior thread regarding stroke volume at its significance. Stroke volume and the significance is monitored by endthelium cells (lines the vessels). When there is a significant drop in CO the vessel enthelium cells sends a message to increase the blood volume (recognized and not able to distinquish if there is a serious blood loss). The system controls stroke volume by venus return. Stroke volume AND heart rate determine CO (cardiac output). I believe you may be confused by not recognizing the determinants of the venus return phenomonon. Heart rate is result of sympthetic and parasympthetic input.
It may be advisable to have your doctor revisit you prescriptions and make adjustments. Sometimes a CCB is prescribed when a Beta Blocker is not well tolerated. Is it possible your doctor prescribed CCB and forgot to discontinue the Beta Blocker?
When medication(s) is properly administered there should be a reduction of heart rate and blood pressure, and it appears you are overdosed and it is surprising you still have high blood pressure and heart rate!!?.
Another response, QUOTE: "A rapid heart rate with LOW blood pressure could be a sign of heart failure, but in your case, I would guess (I'm no doctor) that your heart is fine." Probably not revelant but what is the etiology of the comment?
>>>>I may not agree with your assessment at all. My experience for heart failure was normal blood pressure and a heart rate sustained at 115 bpm. The higher heart rate is to increase the cardiac output (amount of blood pumped/per minute). The increase is due to a failure of the heart to meet the system's demand for oxygenated blood with normal heart rate, and the increase of the heart rate is compensation for a low volume per heartbeat.
Regarding Blood Pressure: The blood pressure will not change unless there is failure of compensation for a low CO. If there is reduction of blood pressure and falling that would call for an emerency intervention. Keep in mind heart failure has different manifestations and for insurance underwriting the EF (ejection fraction with each heartbeat) below 30%. Many people have no problems with that EF because their system is well compensated.
My EF according to hospital records the cath procedure was stated to be greater than 15% and the report of EF with intake tests states 29%. Blood pressure was normal and told I had had a heart attack and there was some impairment of the heart walls contractility (hypokinesis). Symptoms were edema (lungs and peripheral), high heart rate, shortness of breath and normal BP.
I believe there was some discussion on a prior thread regarding stroke volume at its significance. Stroke volume and the significance is monitored by endthelium cells (lines the vessels). When there is a significant drop in CO the vessel enthelium cells sends a message to increase the blood volume (recognized and not able to distinquish if there is a serious blood loss). The system controls stroke volume by venus return. Stroke volume AND heart rate determine CO (cardiac output). I believe you may be confused by not recognizing the determinants of the venus return phenomonon. Heart rate is result of sympthetic and parasympthetic input.
A BP of 145/75 is completely normal with a heart rate that high, but then again, your heart rate is concerning. There are two possible reasons, either you are extremely stressed when measuring your blood pressure, or something is generally stressing your body and circulation.
A rapid heart rate with LOW blood pressure could be a sign of heart failure, but in your case, I would guess (I'm no doctor) that your heart is fine.
I wouldn't worry about the blood pressure, but you need to find out why your heart rate is that high.
A rapid heart rate with LOW blood pressure could be a sign of heart failure, but in your case, I would guess (I'm no doctor) that your heart is fine.
I wouldn't worry about the blood pressure, but you need to find out why your heart rate is that high.
your top # is a little high which is the systolic reading but your dyastolic is good. If your resting pulse is 105 thats high. 120/80 BP pulse 70 to 75 is ideal but i'm sure that veries with age. Have you been diagnosed with heart problems and what are your other diagnoses?
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