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Don't know which option to take?

by nes1, May 24, 2007 12:00AM
I had posted a question/concern a few days ago. This is in reguards to heart palpitations and chest pains from my TSH going hypo to hyper. Well the symptom list has gotten longer along with the stress. Now there is insomnia, nausea, grossly increased indigestion and I have a history of migraines but the headaches I am having now are unexplained and happening daily with increased chest pain and can't get a control on my heart rate.

Here's my dilemma: My endocrinologist told me to start taking Toprol XL ( blood pressure med. ) to slow down my heart rate. My blood pressure on the other hand today and has been for the past week no higher than 130/84, today's was 110/74. If I take this medicine it will drop my blood pressure but on the other hand slow my heart rate down. So I am scared. I need to slow it down or I am as my endo says definately heading in a very bad direction. Do I take the chance of dropping my blood pressure too low. HELP my doctor still wants me to take this but I have reservations. Can someone please shed some light on my situation for me.  Thanks

nes1
Member Comments (3)

by tangrammz, May 24, 2007 12:00AM
get a second opinion. . . . it can't hurt to go to a different endo and your general family doctor to get their take on the situation. . . .

by GravesLady, May 24, 2007 12:00AM
Blood pressure changes throughout the day, standing or sitting, sick or well.

Systolic blood pressure for most healthy adults falls between 90 and 120 millimeters of mercury (mm Hg). Normal diastolic blood pressure falls between 60 and 80 mm Hg.

The most important and what some doctors are going by now is the PP = Plus Pressure. PP is the difference between the Systolic and diastolic.  The Ideal healthy difference is 40. I would assume that any where in the 40 range would be fine.  Unfortunately mine is not.

Some people have low blood pressure all the time. They have no symptoms and their low readings are normal for them. In other people, blood pressure drops below normal because of some event or medical condition. Some people may experience symptoms of low pressure when standing up too quickly. Low blood pressure is a problem only if it causes dizziness, fainting or in extreme cases, shock.

People who have lower blood pressures have a lower risk of strokes, kidney disease, and heart diseases. Athletes, people who exercise regularly, people who maintain ideal body weights, and non-smokers, tend to have lower blood pressures. Therefore, low blood pressure is desirable as long as it is not low enough to cause symptoms and damage to organs in the body.

I wouldn't stress over it, unless you are having symptoms, in which case, you  should notify your doctor.

GL


by shaerich, May 25, 2007 12:00AM
110/74 sounds pretty good to me... not too low.  My BP is usually 90-100 over 60-70 and dr.s always say, "Great."  As long as you don't have symptoms like fainting or dizziness, I would say that your BP today is not bad.

I'm no dr. though. :)
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