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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause High BP?

I have a high blood pressure problem and have been taking pill for the past 10 years. I am 58 years of age, a woman and married with twin boys who now live 7 and 14 hours drive from us. The doctor and elevated my pill intake of 1 ramipril (10mg - i think) in the morning and 1 at night and in the past 3 weeks, because my blood pressure came higher, he told me to take 2 in morning and 1 at night, after 2weeks of this, I asked him if I could only take one pill, another kind that would do the same, but only 1 per day, so he has given me Coversyl HD (8mg + 2.5) on trial to see what it will so. I have been on these coversyl for the past 10 days and my blood pressure is more normal than with other pills that I was taking. Last night after having people over for supper and when they left around 11pm, I was feeling bad and went to bed and my heart was pumpping real bad, at 114 per minute so I took an Ativan to relax and took deep breaths but I was so tired and was shaking with this. at 4am, I woke up and check by blood pressure and it was good but my heart rate was still showing 94 so we went to the hospital and I got out 1 and 1/2 hour later with only the doctor telling to rest that my heart beat should go down and I have to go for a blood test to check my Thyroid gland. Can you give me an idea of what made my heart beat go fast even at rest. By the way I had a glass of red wine with my supper and a small glass of Porto wine after supper with the desert....what is happening with me and tell me what I should do.....
Mon, 12 Dec 2016
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General & Family Physician 's  Response
hi and very pleased toanswer you.
The causes of tachycardia are multiple and can be:
Alcohol consumption, Fever, anxiety, major effort, certain diseases such as pheochromocytoma (tumor of the adrenal glands) or hyperthyroidism (exaggerated production of thyroid hormones), anemia.
There is a positive relationship between alcohol and hypertension, however, the form of the relationship remains controversial; It would be either linear or in the form of J or U. The pathophysiological mechanisms are multiple: direct action of alcohol on smooth muscle cells, indirect action by stimulation of the hormones involved in the regulation of hydro-sodium and arterial vasoconstriction of the organization.
So, if we summarize you are hypertensive under treatment and you have taken alcoholic drinks which explains your tachycardia which will take 24 to 48 hours to recover, with stopping use of alcohol.
best wishes
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What Could Cause High BP?

hi and very pleased toanswer you. The causes of tachycardia are multiple and can be: Alcohol consumption, Fever, anxiety, major effort, certain diseases such as pheochromocytoma (tumor of the adrenal glands) or hyperthyroidism (exaggerated production of thyroid hormones), anemia. There is a positive relationship between alcohol and hypertension, however, the form of the relationship remains controversial; It would be either linear or in the form of J or U. The pathophysiological mechanisms are multiple: direct action of alcohol on smooth muscle cells, indirect action by stimulation of the hormones involved in the regulation of hydro-sodium and arterial vasoconstriction of the organization. So, if we summarize you are hypertensive under treatment and you have taken alcoholic drinks which explains your tachycardia which will take 24 to 48 hours to recover, with stopping use of alcohol. best wishes