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Overweight, Slightly Elevated Blood Pressure. Family History Of Hypertension. Do I Need Treatment?

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Posted on Mon, 25 Jun 2012
Question: I get annual physicals and my last was in October 2011. Due to a family history of High Blood Pressure, I monitor it daily with an electric BP monitor I purchased at the drug store. Over the last couple of weeks, I have noticed that my BP has been averaging 135/92. It is starting to concern me since I am about 15 pounds over weight for my height and have the family history. Do I need to go see my doctor now, or can I up my excercise and diet to try and lose the weight first. I am 48, 5'10" 195 with a muscular build.
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Answered by Dr. Andrew Rynne MD (1 hour later)
Hi there. Thank you for posting your question here on XXXXXXX

There is no need to go and see your doctors just yet. If you do they will simply tell you to exercise more and watch your weight. We all know that.

At 135/92 your BP is only ever so slightly raised at a certain time of the day. This is what we call a 'snapshot'. It actually tells you very little.

What I would suggest you do is this: Hire a 24 hour BP monitor unit and run this on yourself during a working day. Have the readings professionally analysed. This will tell you two things:

(1) Whether or not you do in fact have true hypertension.
(2) Whether or not your raised BP is stress related.

These are two powerful pieces of information that will inform you as to how best to go forwards. BP medication should be only your choice of last resort.

Here's to your continued good health!
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Andrew Rynne MD

General & Family Physician

Practicing since :1968

Answered : 298 Questions

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Overweight, Slightly Elevated Blood Pressure. Family History Of Hypertension. Do I Need Treatment?

Hi there. Thank you for posting your question here on XXXXXXX

There is no need to go and see your doctors just yet. If you do they will simply tell you to exercise more and watch your weight. We all know that.

At 135/92 your BP is only ever so slightly raised at a certain time of the day. This is what we call a 'snapshot'. It actually tells you very little.

What I would suggest you do is this: Hire a 24 hour BP monitor unit and run this on yourself during a working day. Have the readings professionally analysed. This will tell you two things:

(1) Whether or not you do in fact have true hypertension.
(2) Whether or not your raised BP is stress related.

These are two powerful pieces of information that will inform you as to how best to go forwards. BP medication should be only your choice of last resort.

Here's to your continued good health!