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Is BP Of 145/103 And A Pulse Rate Of 90-105 Normal?
Question: I have a high resting heart rate 90-105 and blood pressure of like 145/103 so doctor put me on 50mg of atenolol for heart rate and 12.5 of hydrochlorothiazide for the blood pressure, is this a safe regiment? Some of the reading I do has me kind of freaked out about it leading to more heart problems.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that this combination is quite safe.
I would recommend you to closely monitor your blood pressure values and heart rate frequently during the day (in sitting position after 10 minutes of total relax) to evaluate the efficacy of this treatment in lowering your heart rate and blood pressure values.
If after a week your blood pressure values are still above 135/85 mmHg, I would recommend increasing the dose of hydrochlorothiazide to 25mg daily (as 12.5 mg is a really low dose). You may also add an ARB drug (losartan, valsartan, etc.) to this combination to have a better control of blood pressure values.
The same is for atenolol. It is known to lower your heart rate. If your heart rate values fall below 60 bpm, you may need to reduce the dose. You should also know that atenolol (like all betablockers) can cause a decrease in the physical performance and chronic fatigue. You should consult with your doctor if you experience such adverse effects.
Besides, I would also recommend performing some tests to investigate for some secondary causes that may lead to increased heart rate and secondary hypertension:
- a chest X ray study
- complete blood count for anemia
- thyroid hormone levels for possible thyroid dysfunction
- cortisol and aldosteron plasma levels for adrenal gland dysfunction
- kidney and liver function tests for possible dysfunction
- blood electrolytes for possible imbalance
- fasting glucose for diabetes
- ESR and PCR for inflammation.
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Feel free to ask me again whenever you need!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that this combination is quite safe.
I would recommend you to closely monitor your blood pressure values and heart rate frequently during the day (in sitting position after 10 minutes of total relax) to evaluate the efficacy of this treatment in lowering your heart rate and blood pressure values.
If after a week your blood pressure values are still above 135/85 mmHg, I would recommend increasing the dose of hydrochlorothiazide to 25mg daily (as 12.5 mg is a really low dose). You may also add an ARB drug (losartan, valsartan, etc.) to this combination to have a better control of blood pressure values.
The same is for atenolol. It is known to lower your heart rate. If your heart rate values fall below 60 bpm, you may need to reduce the dose. You should also know that atenolol (like all betablockers) can cause a decrease in the physical performance and chronic fatigue. You should consult with your doctor if you experience such adverse effects.
Besides, I would also recommend performing some tests to investigate for some secondary causes that may lead to increased heart rate and secondary hypertension:
- a chest X ray study
- complete blood count for anemia
- thyroid hormone levels for possible thyroid dysfunction
- cortisol and aldosteron plasma levels for adrenal gland dysfunction
- kidney and liver function tests for possible dysfunction
- blood electrolytes for possible imbalance
- fasting glucose for diabetes
- ESR and PCR for inflammation.
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Feel free to ask me again whenever you need!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
In regards to further tests, chest X-ray came Back fine, my testosterone is very low, vitamin d is a 6, b-12 very low, thyroid tested fine also no signs of diabetes in blood results but I do have high anxiety and also take alprazolam small dose 1mg as needed, take hydrocodone daily for chronic pain, I take 7.5/3.25 two to three times daily, Any other thoughts? Thank you.
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello again!
Coming to this point, I would recommend taking vitamin D and vitamin B12 supplements, to treat these vitamins insufficiency, because they can cause a lot of troubles in your cardio-vascular, nervous and also musculo-skeletal system.
Low testosterone could also be related to high blood pressure. You should discuss with your doctor if you need replacement therapy based on other symptoms too (like erectile dysfunction, etc.) as it is not really recommended for regulating high blood pressure.
Regarding hydrocodone, I would not recommend taking it for a long time as it can cause addiction and tolerance (you will not have the same effect after some time). It can also exacerbate anxiety, when addiction is achieved. From the other hand alprazolam may cause the same adverse effects (addiction and tolerance) if used regularly for a long time.
So, I would not recommend taking them regularly. Instead, I would recommend starting an antidepressant, like duloxetine. It can be really helpful in chronic pain and again anxiety.
I would recommend starting atenolol and hydrochlorothyazide as prescribed by your doctor for high blood pressure and heart rate. Further changes in the dosage may be needed if the desired values are not achieved.
I would also recommend some lifestyle changes to help you have a better control of blood pressure and heart rate:
- reduce salt and caffeine intake
- perform a lot of physical activity (walking, aerobics, yoga, etc.)
- try to reduce some weight if you are overweight
- avoid smoking contacts
Hope you will find this answer helpful!
I remain at your disposal whenever you have any other questions!
Wishing all the best,
Dr. Iliri
My opinion as follows:
Detailed Answer:
Hello again!
Coming to this point, I would recommend taking vitamin D and vitamin B12 supplements, to treat these vitamins insufficiency, because they can cause a lot of troubles in your cardio-vascular, nervous and also musculo-skeletal system.
Low testosterone could also be related to high blood pressure. You should discuss with your doctor if you need replacement therapy based on other symptoms too (like erectile dysfunction, etc.) as it is not really recommended for regulating high blood pressure.
Regarding hydrocodone, I would not recommend taking it for a long time as it can cause addiction and tolerance (you will not have the same effect after some time). It can also exacerbate anxiety, when addiction is achieved. From the other hand alprazolam may cause the same adverse effects (addiction and tolerance) if used regularly for a long time.
So, I would not recommend taking them regularly. Instead, I would recommend starting an antidepressant, like duloxetine. It can be really helpful in chronic pain and again anxiety.
I would recommend starting atenolol and hydrochlorothyazide as prescribed by your doctor for high blood pressure and heart rate. Further changes in the dosage may be needed if the desired values are not achieved.
I would also recommend some lifestyle changes to help you have a better control of blood pressure and heart rate:
- reduce salt and caffeine intake
- perform a lot of physical activity (walking, aerobics, yoga, etc.)
- try to reduce some weight if you are overweight
- avoid smoking contacts
Hope you will find this answer helpful!
I remain at your disposal whenever you have any other questions!
Wishing all the best,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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