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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High BP

My styostolic blood pressure is 142; my diastolic pressure is 86; my pulse is 86. I have been taking my blood pressure all day. s158/114 pulse 68 - s245/d72 pulse 93...my blood pressure has been good for a long time.I take 25 mg on Atenolol. And warforwin 5mg; Larapon - 2 times a day. I have a history of a-fib, but have not had any events for probably over 5 yrs. I would appreciate your advice. Thank you
Fri, 3 Feb 2017
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Cardiologist 's  Response
hello,
You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Reading of must be a false reading, such readings should be reconfirmed. If bp is persistently more than 140/90 mmhg, then either dose of atenolol should be increased or better option to add another drug like Amlodipine or telmisartan. Atenolol is not a first line antihypertensive these days. Regular exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once..
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Suggest Treatment For High BP

hello, You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Reading of must be a false reading, such readings should be reconfirmed. If bp is persistently more than 140/90 mmhg, then either dose of atenolol should be increased or better option to add another drug like Amlodipine or telmisartan. Atenolol is not a first line antihypertensive these days. Regular exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn t abdominal fat deposition or obesity. Get your lipid profile and sugars tested once..