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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This BP And Pulse Rate While On Lisinopril Indicate?

I am a 76 year old male with a blood pressure reading of 150/70 with pulse reading of 58. I am currently taking 10mg of Lisinopril. I weigh 195 and I am 5 8 and in otherwise good health. Is this considered an unhealthy reading. If possible could you also explain the reading to me. Thank you.
Tue, 2 May 2017
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Internal Medicine Specialist 's  Response
Hello and welcome to HCM.:

Good to hear that you are in good health.
Your blood pressure reading of 150/70.

Currently - in 2017 medical experts disagree on what is the best goal for Blood pressure control.
Some recommend lowering blood pressure to just less than 150/90 mmHg in adults aged 60 years and older without diabetes mellitus. You are in that age group, and you did not mention having diabetes, so if your Blood pressure was just slightly lower = 149/70 you would meet the goal.

Other experts on hypertension in the elderly recommends that the blood pressure be reduced to less than 140/90 mmHg in adults aged 60-79 years and the systolic blood pressure to 140 to 145 mmHg if tolerated in adults aged 80 years and older.
Your age group fall in the 140/90 mm Hg goal under these recommendations.

You are already taking a medication for your BP - lisinopril at 10 mg.
You only provided one reading of your BP of 150/70. Depending on what other readings are, your doctor may decide to just keep you on the current dose, or to increase the dose of lisinopril or even perhaps to add another medication to get your BP under better control - it depends on what recommendation your doctor is following.

Patients are able to check their Blood pressures at home. There are a variety of BP machines available for home use which can be purchased in pharmacies.

Your doctor also probably discussed with you so called lifestyle modifications, but I will also mention them here because they are important.
Based on your height and weight I calculated your BMI = body mass index which is 29.65 which is elevated and means that you are overweight and would likely benefit from weight loss. (normal BMI is up to 25).
Diet and exercise are known to bring both weight and BP down, so this would be strongly recommended for you, and may avoid the need to increase your dose of lisinopril or add another BP medication.

Your HR of 58 is slightly below normal - while normal range for HR is from 60-100 beats per minute, but in itself it is not a serious problem.
Your doctor would look at your EKG - Electrocardiogram and this would give him some indication of what may be causing this slow HR.
Sometimes the cause of a slow heart rate is not determined.

Hope I answered your questions.
If you need additional information I will clarify further.
Regards and best of health.





BMI:     29.65
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What Does This BP And Pulse Rate While On Lisinopril Indicate?

Hello and welcome to HCM.: Good to hear that you are in good health. Your blood pressure reading of 150/70. Currently - in 2017 medical experts disagree on what is the best goal for Blood pressure control. Some recommend lowering blood pressure to just less than 150/90 mmHg in adults aged 60 years and older without diabetes mellitus. You are in that age group, and you did not mention having diabetes, so if your Blood pressure was just slightly lower = 149/70 you would meet the goal. Other experts on hypertension in the elderly recommends that the blood pressure be reduced to less than 140/90 mmHg in adults aged 60-79 years and the systolic blood pressure to 140 to 145 mmHg if tolerated in adults aged 80 years and older. Your age group fall in the 140/90 mm Hg goal under these recommendations. You are already taking a medication for your BP - lisinopril at 10 mg. You only provided one reading of your BP of 150/70. Depending on what other readings are, your doctor may decide to just keep you on the current dose, or to increase the dose of lisinopril or even perhaps to add another medication to get your BP under better control - it depends on what recommendation your doctor is following. Patients are able to check their Blood pressures at home. There are a variety of BP machines available for home use which can be purchased in pharmacies. Your doctor also probably discussed with you so called lifestyle modifications, but I will also mention them here because they are important. Based on your height and weight I calculated your BMI = body mass index which is 29.65 which is elevated and means that you are overweight and would likely benefit from weight loss. (normal BMI is up to 25). Diet and exercise are known to bring both weight and BP down, so this would be strongly recommended for you, and may avoid the need to increase your dose of lisinopril or add another BP medication. Your HR of 58 is slightly below normal - while normal range for HR is from 60-100 beats per minute, but in itself it is not a serious problem. Your doctor would look at your EKG - Electrocardiogram and this would give him some indication of what may be causing this slow HR. Sometimes the cause of a slow heart rate is not determined. Hope I answered your questions. If you need additional information I will clarify further. Regards and best of health. BMI: 29.65