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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High BP?

Hello Doctor, I am 34 years old, and have had a high BP since having my first child in 2000. It has been controlled with medication and once i am exercising regularly, i come off the medication. Recently it has been different, remaining high at 140/90 even with medication and daily aerobics exercise for 25 mins. what can be the probem                                                
Wed, 24 Apr 2019
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Cardiologist,  's  Response
Hello,

Regarding your concern, I would explain that high blood pressure is really uncommon at your age.

For this reason, I would recommend performing some tests in order to investigate secondary causes underlying high blood pressure values:

- complete blood count, PCR, ESR for inflammation
- thyroid hormone levels for possible thyroid gland dysfunction
- blood electrolytes for possible imbalance
- kidney and liver function tests
- a Doppler ultrasound of the renal arteries in order to investigate for possible narrowing
- cortisol and aldosterone plasma levels for possible adrenal gland dysfunction.

If all the above tests result normal, you should consider increasing the dose of the anti-hypertensive drugs that you are taking.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ilir Sharka, Cardiologist
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What Causes High BP?

Hello, Regarding your concern, I would explain that high blood pressure is really uncommon at your age. For this reason, I would recommend performing some tests in order to investigate secondary causes underlying high blood pressure values: - complete blood count, PCR, ESR for inflammation - thyroid hormone levels for possible thyroid gland dysfunction - blood electrolytes for possible imbalance - kidney and liver function tests - a Doppler ultrasound of the renal arteries in order to investigate for possible narrowing - cortisol and aldosterone plasma levels for possible adrenal gland dysfunction. If all the above tests result normal, you should consider increasing the dose of the anti-hypertensive drugs that you are taking. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist