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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Take Medicines For BP With Readings 164/90?

I am 64 years old weighs 100kgs 5ft 11inchs my pressure readings yesterday was 180/100 I was taking ATEN-25 for some time but, I had stopped taking the tablets for the past 3months. as I ran out of stock as I can't find the drug in the UAE I visted a doctor in the UAE and he precribed COVERSLY 5mg But I did not take it thinking the change in drug would effect me.

This morning my readings are 164/90 should I continue taking the tablets for BP

What should I do?
Tue, 26 Apr 2016
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Cardiologist 's  Response
Hello and thank you for using HCM.I carefully read your question and I understand your concern.

I will try to explain you something and give you my opinion.

You should know that we talk about hypertension if we have mean value that exceeds 140 / 90 mmHg.A person might have high value during emotional and physical strees so its mandatory to judge on mean values during day and night.

Hypertension is divided into two groups. Essential hypertension is a chronic disease, whithout an identified cause and it should be treated all live long.
Secondary hypertension is common in younger ages and it means that it has a secondary couse of it.This might be a renal disease, an endocrine problem or a cardiovascular anomaly.

So, if your doctor has previously prescribed you blood pressure medication than they probably has diagnosed you whith esencial hypertension meaning that you should treat it live long.

In this moment, as you have been whithout treatment for a long time, if I was your treating doctor I would recommend some examination like a cardiac echo to evaluate heart function and walls, a full blood analyze to chek renal function, electrolyte and a preassure holter monitoring to evaluate your values during day and night.

After all this we can better judge what is the most adapt drug for you now, atenolol or another class, because treating your blood pressure is mandatory.

Hope I was helpfull.
Best regards, Dr.Ervina.
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Should I Take Medicines For BP With Readings 164/90?

Hello and thank you for using HCM.I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that we talk about hypertension if we have mean value that exceeds 140 / 90 mmHg.A person might have high value during emotional and physical strees so its mandatory to judge on mean values during day and night. Hypertension is divided into two groups. Essential hypertension is a chronic disease, whithout an identified cause and it should be treated all live long. Secondary hypertension is common in younger ages and it means that it has a secondary couse of it.This might be a renal disease, an endocrine problem or a cardiovascular anomaly. So, if your doctor has previously prescribed you blood pressure medication than they probably has diagnosed you whith esencial hypertension meaning that you should treat it live long. In this moment, as you have been whithout treatment for a long time, if I was your treating doctor I would recommend some examination like a cardiac echo to evaluate heart function and walls, a full blood analyze to chek renal function, electrolyte and a preassure holter monitoring to evaluate your values during day and night. After all this we can better judge what is the most adapt drug for you now, atenolol or another class, because treating your blood pressure is mandatory. Hope I was helpfull. Best regards, Dr.Ervina.