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I Am Female, Age 76, High Bp For Over 30
Question: I am female, age 76, high bp for over 30 years, four way heart by pass 7 years ago. Released from hospital two weeks ago, had a mild heart attack, so they placed two stents. They changed my bp meds to: clonidine .2 mg 3/day, hydralazine 50 mg 3/ day, labetalol 100 mg 3/day, nifedipine 60 mg 2/day, furosemide 20 mg 1/day, plavix 75 mg 1/ day. My bp ranged from 134/82 pulse 55 to high of 178/122 pulse 57, this was yesterday, this morning it was 176/103 pulse 63, before taking meds. I took my bp 6 times yesterday 4 were over 160. What do i do?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome to - Ask a Doctor - service!
I passed carefully through your medical history and would explain that its important properly controlling blood pressure values. Some practical measures may be followed:
- Hydralazine daily dose may be increased from 50 mg three times daily to four times daily (every 6 hours);
- Labetalol from 100 mg 3 times daily may be increased to 200 mg two times daily (every 12 hours); if blood pressure remains persistently high after 3-4 days, further increased may be applied to 300 mg twice daily.
- ACEI or ARB drugs may be added (if no contraindications exist).
You need to discuss with your attendin doctor on the above mentioned issues.
Hope to have been helpful!
Let me know in case of any further questions.
Kind regards,
Dr. Ilir Sharka
cardiologist
I would explain as follows:
Detailed Answer:
Hello!
Welcome to - Ask a Doctor - service!
I passed carefully through your medical history and would explain that its important properly controlling blood pressure values. Some practical measures may be followed:
- Hydralazine daily dose may be increased from 50 mg three times daily to four times daily (every 6 hours);
- Labetalol from 100 mg 3 times daily may be increased to 200 mg two times daily (every 12 hours); if blood pressure remains persistently high after 3-4 days, further increased may be applied to 300 mg twice daily.
- ACEI or ARB drugs may be added (if no contraindications exist).
You need to discuss with your attendin doctor on the above mentioned issues.
Hope to have been helpful!
Let me know in case of any further questions.
Kind regards,
Dr. Ilir Sharka
cardiologist
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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