Back Ground
Age 50 yrs,, Sex : Female Married
profession : doctor
family history: father / mother both(hypertensive) mother died of M I
elder/younger sister hypertensive
Personal History:
Known hypertensive for last five years. Initially when diagnosed symptom was severe headache and BP was 220/130.
Started on b-blocker(atenalal) but because of nightmares change to lisinopril 5mg OD . BP got controlled to 140/90. but for the last 3 months i was not regular in taking medicines.BP again raised and when i checked it was 170/110 mmhg.
I continued lisinopril 10mg, LasorideOD and Laxalium at night on my physician advise but BP still remained the same for 3 weeks. I changed physician and got hospitalized with cardiologist , started on
tab captopril 25mgTDS, tab moduratic OD , tab lexillium at night from the last one week . Now my BP is fluctuating between 110/70 , 130/100, 140/100. the mean pressure remains narrow. what will you advise further??
Investigation:
ECG Normal, Lipid profile Normal, Kidney Function Normal, U/S kidney Normal , Echo cardiography Normal