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Please answer!!! First time high blood pressure reading..
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Please answer!!! First time high blood pressure reading..

I visited my internist four weeks ago and he found my BP in 140-100. Never have BP problems, neither in my embarrasments. He gave me to take 20mg og Accupril and Claritin d for descongestant because I had an ear infection. This was the reason of my visit, because I was having dizzling sensations too.  Two days after that I had my first tachycardia and went to the doctor. He told me that must be from the claritin and change acupril to Atenolol  50 mg. I went to cardiologist and make echo and stress test All WAS OK. She told me to take only 25 mg atenolol. There were two days that BP arise in the evenings to 140-90 and she told me to take 5 mg of monopril in the evenings. Now, two days ago, Iam only taking 5mg of monopril, because cardio told me to suspend it, because side effects i was feeling.I know the heart is ok and Iam waiting the blood test results  including thyrod, etc. But I still have this sensation in my head of hot and cold, tingling and pressure in the temple area. Can this be from the medicine?Cardio says it is from a muscular spasm i also have.Iam getting very nervous about all this ,  can BP decrease because the menstruation? I am only taking 5 mg of monopril and BP is ok., I have panic of BP arise again... what can occur if this BP arise. Is the effect of high BP  of long term or i can get a stroke in one of this episodes of Bp high,Please help with your answer..
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Dear Lizy,
High blood pressure is a common finding in many people.  High blood pressure, or hypertension (HTN) , is defined in an adult as a blood pressure greater than or equal to 140 mm Hg systolic pressure or greater than or equal to 90 mm Hg diastolic pressure. Blood pressure is measured in millimeters of mercury (mm Hg). High blood pressure directly increases the risk of coronary heart disease (which leads to heart attack) and stroke (or brain
attack), especially along with other risk factors.

High blood pressure can occur in children or adults, but is particularly prevalent in blacks, middle-aged and elderly people, obese people, heavy drinkers and women who are taking oral
contraceptives. Individuals with diabetes mellitus gout or kidney disease have a higher frequency of hypertension.  

High blood pressure may be primary (essential) or secondary.   If the  hypertension is secondary there may be a treatable cause.  Most of these causes are relatively rare (i.e. renal artery stenosis, pheochromocytoma).  If no secondary cause is found then the high blood pressure is said to be primary.  The vast majority of cases of HTN are  primary.  The main cause of primary HTN is genetic.

Single episodes of very high BP (>200) can lead to stroke but the greater risk is the long term effects of moderately elevated BP. Menstration usually dosen't change blood pressure.   There are many different types of medication that can be used and your doctor may need to try several different types to find the right one.  I would mention the symptoms you are experiencing to your doctor at your next visit.  Hope this helps.  Below are some other questions people have asked about blood pressure.

Q: I believe the higher blood pressure is directly related to anxiety which may be OK for the "normal"
person, however with me having this disorder I deal with anxiety A LOT and I often endure it without my medication.
A: It is important to take the medication you need for anxiety.  In addition you may need blood pressure medication if your high blood pressure continues.

Q: How do salt and sodium affect high blood pressure?
A: Most Americans consume far more salt (sodium) than their bodies need. Heavy sodium consumption increases blood pressure in some people, leading to high blood pressure. People who are diagnosed with high blood pressure are often placed on restricted-sodium diets. Reducing sodium (or salt) consumption may help lower blood pressure in some people. Your doctor may recommend a sodium (salt) restricted diet. This will mean you'll have to avoid salty foods and cut down on the amount of salt you use in cooking and at the table.

Q: How does being overweight affect high blood pressure?

A: Studies have shown that body weight, changes in body weight over time, and skinfold thickness are related to changes in blood pressure levels. These factors have been linked to the subsequent rise and development of high blood pressure. People who are overweight are more likely to have high-normal to mild high blood
pressure.

Physical inactivity is a risk factor for heart disease. In addition, a sedentary or inactive lifestyle tends to
contribute to obesity, a risk factor for both high blood pressure and heart disease. Regular exercise helps
control weight and lower blood pressure. Don't be afraid to be active - exercise should definitely be part of your daily program. Besides helping to reduce your risk of heart attack, it can also help you lose weight or maintain a healthy weight.

Statistics show that many people who have high blood pressure are also overweight. If you are overweight or have gained weight over time, you'll be advised to cut down on calories and lose weight. Your doctor can prescribe a diet that's right for you.

If you're given a diet, follow it closely, including any recommendations about reducing your consumption of alcohol. Alcoholic drinks are high in non-nutritious calories, so if you're trying to lose weight, avoid alcoholic beverages. Often when people lose weight, their blood pressure drops as well.

Q: How does medicine help control high blood pressure?
A: For some people, weight loss, sodium reduction and other lifestyle changes won't lower high blood pressure as much as it needs to be lowered. If that's your situation, you will probably need to take medication. Many medications are available to reduce high blood pressure. Some get rid of excess fluid and sodium (salt). Others relax constricted blood vessels. Others prevent blood vessels from constricting and narrowing. Because there is usually no cure for high blood pressure, treatment generally must be carried out for life. If treatment is stopped, the pressure may rise again.


Q: Will I have to take medications for my hypertension the rest of my life?
A: Generally, someone with high blood pressure will be on lifelong medication.

Q: At what point do I need to see a heart specialist for this condition?
A: Usually hypertension can be managed by an Internal Medicine doctor.

Q: Will there ever be a right combination (of medication) to treat this condition?
A: It may take several trials to find the right combination of drugs.   There are many different medications and new ones are coming out each year.

Q: My parents both had heart attacks and strokes and father had a bypass in Sept. 97 (age 74), mom had her stroke at age 49. They still take meds for hypertension. With this history is there a possibility I might have a heart attack in my later years?
A: Heart disease tends to run in families.  Those who have a family history of heart problems shoud take extra care of themselves (i.e. weight loss, high blood pressure control, exercise, etc.).


http://www.amhrt.org/Heart_and_Stroke_A_Z_Guide/hbp.html
http://www.ihr.com/medreprt/articles/bloodpr.html
http://www.musc.edu/iash/
http://www.am-osteo-assn.org/ccoop/hibldprs.htm
http://www.mco.edu/whl/know.html
http://www.bloodpressure.com/
http://www.mediconsult.com/hypertension/
http://www-med.stanford.edu/school/DGIM/Teaching/Modules/HTN.html
http://www.merck.com/!!uYfKE0uiyuYfKE0uiy/pubs/mmanual/html/khgnjgcd.htm
http://www.aafp.org/afp/091596/special.html
http://pharminfo.com/disease/cardio_db.html
http://www.pslgroup.com/HYPERTENSION.HTM

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