Could you please elaborate on blood pressure fluctuations. 37 y/o m, overweight, but losing. 2 a-fibs 2 years ago, none sense. BP has been hard to regulate. Meds are: Zoloft (25), Cardizem LA (180), Lisinopril (0,10,20- This is where we adjust most), & HCTZ (25). When all this began a couple years ago, I had all the test to rule out secondary hypertension. The problem is I seem to be having trouble getting the BP regulated. I know fluctuations are normal, but frustratingly, mine will go to high, we adjust, then too low, adjust, and so on. Cardio and GP have been wonderful to work with.
Interestingly, losing weight so far has not helped BP (40# so far). I realize there is no magic # where weight loss helps, but??? What other factors should I possibly consider with BP changes. No fried stuff, minimal salt intake, and relatively no caffeine for a couple years now. Also non-smoker.
It is not unbearable, but very aggravating. It would definitely be worse if the 2 Dr.'s were not working together or with me as they have been. I guess my question is what else can I do to get this a little more stable, and, how wide a variation in BP is acceptable before something else could be causing it? By the way, I feel fine when my BP is say 140's/90's. How do you determine what is the BP that is ideal for you as an individual? The standards are set for a reason, but are they applicable to everyone or not? Like how lower BP is fine for some but not others?