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Fluctuating blood pressure levels. Low pulse rate. Is this white coat syndrome?

I am a 40 yr old male and my blood pressure fluctuates throughout the day. in the morning the reading is 128 over 78 and in the early evening it is 145 over 85. My pulse averages 63. When I go to the dr my BP goes up to 160 over 90. My dr has me monitoring my BP but thinks I may have white coat syndrome . Should I be concerned about my BP? Do I need medicine? Thanks
Asked On : Fri, 21 Dec 2012
Answers:  2 Views:  126
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Nephrologist 's  Response
Thanks for the query.
You need to check your blood pressure when you are seated quietly for 15 mins and avoid exercise, smoking or coffee atleast 30 mins before. If your BP is persistently above 140/90 , you should consult your physician.
Low salt in the diet, weight loss, decreasing smoking and alcohol and relaxation help in control of blood pressure.
Hope this helps
Good luck.
Answered: Sun, 23 Dec 2012
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Internal Medicine Specialist Dr. Mayank Bhargava's  Response
Jan 2013
Thanks for posting your query.
There is always diurnal variation in blood pressure.
If we compare morning and evening blood pressure then evening blood pressure is always more then morning blood pressure.
So variation in blood pressure should be considered as normal.
Are you taking any other medication for control of blood pressure?
Low pulse rate may be due to use of beta blockers or may be due to vagal effect.
You should keep watch on the pulse rate.
White coat hypertension is labeled when blood pressure is raised in the presence of doctor.
You should maintain a chart and should note down your blood pressure regularly.
This is the only way by which essential hypertension and white coat hypertension can be differentiated.
Take care,
Dr. Mayank Bhargava
Answered: Fri, 21 Dec 2012
I find this answer helpful
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