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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Fluctuating BP Readings Through Out The Day Be Treated?

my husband had a minor stroke one wek ago, discharged from hospital on monday. He is on 2x BP meds 1x Diuretic and a seizure med. He feel very cold and fatigued this evening. Heis resting in bed under covers. Should I worry? BP today : 9am 146/93 10am 112/72 1pm 113/78 5pm 122/71
Fri, 28 Apr 2017
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Addiction Medicine Specialist,  's  Response
Very good question. BP flluctuates from a variety of internal causes and on how you read it with the cuff. a true reading of systolic > 200 and/or the lower number > 120 is quite serious and needs medical attention. THere is a large grey area for what numbers are perfect. Without signs of fainting, there might not be a lower limit to the blood pressure. Frequently, I've seen people with 60/30 bp's that are fine (the blood pressure reader misfires). The ideal number is tricky. we find some increase in stroke if the numbers go too low too fast (130's / 80's is safe). but there is lower risk of heart disease the lower the number. The risk doesn't go up very much until the upper number is over 140 and/or the lower number is over 100.
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How Can Fluctuating BP Readings Through Out The Day Be Treated?

Very good question. BP flluctuates from a variety of internal causes and on how you read it with the cuff. a true reading of systolic 200 and/or the lower number 120 is quite serious and needs medical attention. THere is a large grey area for what numbers are perfect. Without signs of fainting, there might not be a lower limit to the blood pressure. Frequently, I ve seen people with 60/30 bp s that are fine (the blood pressure reader misfires). The ideal number is tricky. we find some increase in stroke if the numbers go too low too fast (130 s / 80 s is safe). but there is lower risk of heart disease the lower the number. The risk doesn t go up very much until the upper number is over 140 and/or the lower number is over 100.