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Is a blood pressure reading of 200/110 a cause for concern?

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Posted on Mon, 16 May 2016
Question: I'm 79. After several years of medical problems, i'm free of them , getting into very goo shape, playing tennis working out. Blood pressure controlled around 125/80 by lisinipril 40mg. and HDCTZD 25 mg
Today for no particular reason I decided to monitor my BP just after a moderate run of 3-4 minutes.
200/110. I was shocked and surprised.
As I read online, the 200 maybe is ok (my surprise) but the rise in diastolic could be troublesome.
What do you think? Possible causes of diastolic rise?
Should I restrict exercise?
Thank you.

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Answered by Dr. Ilir Sharka (37 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that your blood pressure values (systolic and dyastolic) are too high. This could be partially explained by the physical activity.

Nevertheless, it may be a sign that your blood pressure is not under control all the time.

An isolated blood pressure value is not very meaningful.

That is why I recommend you to closely monitor your blood pressure several times during the day (in sitting position after 10 minutes of total relax) for the next week and refer those values to your doctor.

If your blood pressure values result frequently high, you should discuss with your doctor on the possibility of making some changes to your actual therapy (increase the doses or add a calcium channel blocker like amlodipine).

Further lab tests (complete blood count, blood electrolytes, thyroid hormone levels, kidney and liver function tests, PCR, sedimentation rate) are needed to exclude possible secondary causes of high blood pressure.

Another clue to consider, is checking your blood pressure monitor if works well. It may also be a battery or machine false value.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 8284 Questions

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Is a blood pressure reading of 200/110 a cause for concern?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that your blood pressure values (systolic and dyastolic) are too high. This could be partially explained by the physical activity. Nevertheless, it may be a sign that your blood pressure is not under control all the time. An isolated blood pressure value is not very meaningful. That is why I recommend you to closely monitor your blood pressure several times during the day (in sitting position after 10 minutes of total relax) for the next week and refer those values to your doctor. If your blood pressure values result frequently high, you should discuss with your doctor on the possibility of making some changes to your actual therapy (increase the doses or add a calcium channel blocker like amlodipine). Further lab tests (complete blood count, blood electrolytes, thyroid hormone levels, kidney and liver function tests, PCR, sedimentation rate) are needed to exclude possible secondary causes of high blood pressure. Another clue to consider, is checking your blood pressure monitor if works well. It may also be a battery or machine false value. Hope you will find this answer helpful! Kind regards, Dr. Iliri