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Blood pressure
Last May I had quadruple bypass. After the operation I had problem w breathing and pain on the left side of my chest. My blood pressure was under control – last couple of weeks my blood pressure is elevated and left site is lover than right side. What side pressure is correct?
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as with many things it depends on how MUCH different the pressure is from right to left. Small differences can be reassuring large ones less so. At 180/91 it's your business to make sure that it comes down to acceptable levels 130/90 minimun in a reasonable amount of time....2-3 weeks.
Excuse me. The line is generally started in the right median antecubital under some paramedic protocols. This leaves the left free for more convenient onboard blood pressure monitoring while the patient is on the guerney. That being said it is not necessarily wrong to start an IV in either arm.
Many people have a differential between the blood pressures of the left and right arms. This is why, in some hospitals only blood pressure on the left arm is taken (as in an ambulance by paramedics) and an "IV" is generally started in the left medial antecubital.
Along with the blood pressure reading, and the heart rate, good practice indicates a notation be made as to whether the reading is from the left arm or the right.
Differential in blood pressure between the right and left arms following a by pass operation is common. I was told this by a physician whose blood pressure I took following such an operation. Thatr was ten years ago and is he doing fine.
The differential between pressures is obviously due to a difference in blood flow. It is abnormal, but not necessarily life-threatening. Both pressures are "correct" insofar as the blood vessels on that side of the body.
As long as you are feeling well, and taking reasonable care in controling cholesterol, and have had an evaluation by a cardiologist, this is nothing to worry about.
Along with the blood pressure reading, and the heart rate, good practice indicates a notation be made as to whether the reading is from the left arm or the right.
Differential in blood pressure between the right and left arms following a by pass operation is common. I was told this by a physician whose blood pressure I took following such an operation. Thatr was ten years ago and is he doing fine.
The differential between pressures is obviously due to a difference in blood flow. It is abnormal, but not necessarily life-threatening. Both pressures are "correct" insofar as the blood vessels on that side of the body.
As long as you are feeling well, and taking reasonable care in controling cholesterol, and have had an evaluation by a cardiologist, this is nothing to worry about.
Yesterday I discussed w/Dr. Badar in STL and his nurse confirmed that the pressure was different between left and right. He informs me that this is normal and I should not worry. He increased Lisinopril from 5 ml to 10 ml (two 5 mil tablets) to lower my blood pressure. The other Metoprolol 25 mil 2 times a day is not change.
Furthermore last week I informed by phone my cardiologist Alan Bravernman MD; that my blood pressure reading is 180 - 91 he added 5 ml lisinopril 1 daily I was directed to measure my blood pressure daily and keep a record for the scheduled appointment (8 Dec 10)
Furthermore last week I informed by phone my cardiologist Alan Bravernman MD; that my blood pressure reading is 180 - 91 he added 5 ml lisinopril 1 daily I was directed to measure my blood pressure daily and keep a record for the scheduled appointment (8 Dec 10)
between left and right. He informs me that this is normal and I should not worry. He increased Lisinopril from 5 ml to 10 ml (two 5 mil tablets) to lower my blood pressure. The other Metoprolol 25 mil 2 times a day is not change.
Furthermore last week I informed by phone my cardiologist Alan Bravernman MD; that my blood pressure reading is 180 - 91 he added 5 ml lisinopril 1 daily I was directed to measure my blood pressure daily and keep a record for the scheduled appointment (8 Dec 10)
Furthermore last week I informed by phone my cardiologist Alan Bravernman MD; that my blood pressure reading is 180 - 91 he added 5 ml lisinopril 1 daily I was directed to measure my blood pressure daily and keep a record for the scheduled appointment (8 Dec 10)
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Blood pressure measured on both arms is same. A change in the two recordings happens due to unequal blood flow to the two arms as may be seen in atherosclerosis, deep vein thrombosis, high blood pressure and cerebro-vascular accidents. Please consult a doctor (a cardiologist or go to ER) as soon as possible (immediately).
Hope this helps. Take care!