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What does a drop in BP and elevated heart rate during afternoon in one on BP medicines indicate ?

My blood pressure is 102/55 and my pulse is 99 and happens usually in the afternoon into this time at night (Eastern time). My baseline is around 120/70 and heart rate 72. Should this be a cause for conecern. I have a large family with a history of heart disease . I am on medication for high blood pressure ... Thank you, AAAAAAA
Asked On : Sat, 24 Mar 2012
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General & Family Physician 's  Response
Dear Kathy,

Your blood pressure of 102/55 is good, providing you are not experiencing symptoms of low blood pressure, such as dizziness (or light-headedness), shortness of breath, increased fatigue, chest pain or discomfort, nausea and/or vomiting. Your pulse rate of 99 is borderline high in response to your decreased blood pressure.

Your blood pressure cycles normally throughout the day and is not a concern. However, your physician can evaluate you and may make changes to your medication. S/He may change the time of day you take your medication to lessen the effects of the lowered pressure.

Women do not necessarily present with the classic symptoms of heart disease. Your family history means you must watch for signs that may indicate heart disease. In women, heart disease may present with

1. Shortness of breath
2. Severe fatigue
3. Nausea with or without vomiting
4. Dizziness
5. Chest discomfort (either pain, tightness, or pressure)
6. Abdominal discomfort
7. Shoulder and/or jaw pain

Be well,
Dr. Kimberly
Answered: Sat, 24 Mar 2012
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