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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Malignant Hypertension?

I was diagnosed with malignant hypertension last year when it was 185/90 several times (discovered during an ER visit for bronchitis) - never had any BP problems before. Doctor told me to exercise, watch my diet and lose weight. I did all 3 but BP stayed high, usually 150-160/90 and a few times 185 again. January a new doctor put me on lisinipril 20mg/day. now BP is always below 130 (upper) and stays around 75/80 lower. Today at the fitness center I felt exhausted and staff took my BP, it was 80/60. staff made me sit, drink fluids, and stay until it got up to 98/70. they were very concerned. is low BP really a big deal? I know i can get stroke,etc for high, but other than fainting what is risk of low BP?
Thu, 9 Jul 2015
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Cardiologist,  's  Response
hello,I have gone through your query.Thanks for using HCM.well you did have very high blood pressure,but usually the effect of medicine establishes over period of time.since you have taken excellent care in diet and exercise the 20 mg dose is high for you.so you had spell of low BP .
now you should reduce dose of lisinopril I. consultation with your treating doctor and you should be fine with 10mg.
My best wishes
Dr.Rajesh Teli.
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What Causes Malignant Hypertension?

hello,I have gone through your query.Thanks for using HCM.well you did have very high blood pressure,but usually the effect of medicine establishes over period of time.since you have taken excellent care in diet and exercise the 20 mg dose is high for you.so you had spell of low BP . now you should reduce dose of lisinopril I. consultation with your treating doctor and you should be fine with 10mg. My best wishes Dr.Rajesh Teli.