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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Systolic Pressure To Be Over 200?

What can cause a systolic measure to be over 200 and the diastolic to be of normal range, dizzines, the feeling of all energy completely being drained, shakiness in hands, instant migraine in this phase and it only lasts about 3 to 5 minutes? Once the bp measurement returns to normal all symptoms subside. These are my mother s symptoms.
Wed, 10 Aug 2016
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General & Family Physician 's  Response
Hi,
Thanks for posting in HCM.
I understand your concern.
Based on the symptoms and presentation if increased systolic blood pressure, it appears that your mother needs to be investigated for 'malignant carcinoid syndrome'.
It could be due to serotonin secreting tumour present in the intestines leading to sudden increase in blood pressure.
You need to get a CT scan of abdomen and her urine to be tested for 5-hydroxyindole acetic acid (5-HIAA).
Kindly consult Physician with the report for proper evaluation and appropriate management.
Hope the information provided would be helpful.
All the best.
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What Causes Systolic Pressure To Be Over 200?

Hi, Thanks for posting in HCM. I understand your concern. Based on the symptoms and presentation if increased systolic blood pressure, it appears that your mother needs to be investigated for malignant carcinoid syndrome . It could be due to serotonin secreting tumour present in the intestines leading to sudden increase in blood pressure. You need to get a CT scan of abdomen and her urine to be tested for 5-hydroxyindole acetic acid (5-HIAA). Kindly consult Physician with the report for proper evaluation and appropriate management. Hope the information provided would be helpful. All the best.