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Is Blood Pressure Of 150/130 A Cause For Concern?
Question: My blood pressure readings are 150+ over 120 to 130. I have never had my blood pressure with the lower number that high. I have congestive heart failure and am concerned. What may be causing the lower number to be so high?
Brief Answer:
Needs to change the medicine.
Detailed Answer:
hello,
First thing, you mentioned about congestive heart failure, have you got your echo done, and try to find out the cause, if not you should. If heart function is low then may need further investigation. I guess you don't have any chest pain or heaviness especially on exertion.
Secondly, about your bp, it's a age related change occurs due to hardening of vessel, but this needs to be controlled. Atenolol is not strong antihypertensive medicine and also not very effective for lower bp.
First you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have LOW salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week and most of the readings should be less than 140/90 mmhg. Also have fluids including water tea milk coffee etc restriction due to congestive heart failure. Regular exercises like brisk walking, walking according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once..
You should get medicine like telmisartan and hydrochlorothiazide(40/12.5) combination prescribed for bp, which is effective medicine.
Needs to change the medicine.
Detailed Answer:
hello,
First thing, you mentioned about congestive heart failure, have you got your echo done, and try to find out the cause, if not you should. If heart function is low then may need further investigation. I guess you don't have any chest pain or heaviness especially on exertion.
Secondly, about your bp, it's a age related change occurs due to hardening of vessel, but this needs to be controlled. Atenolol is not strong antihypertensive medicine and also not very effective for lower bp.
First you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have LOW salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week and most of the readings should be less than 140/90 mmhg. Also have fluids including water tea milk coffee etc restriction due to congestive heart failure. Regular exercises like brisk walking, walking according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once..
You should get medicine like telmisartan and hydrochlorothiazide(40/12.5) combination prescribed for bp, which is effective medicine.
Above answer was peer-reviewed by :
Dr. Yogesh D
Thank you for the guidance and recommendations. I am working to incorporate them or for many, I have incorporated them. However, this is the first time I have had the lower reading above 130 and am perplexed about it. I have been working on reducing the bp...I have an enlarged heart and my doctor and I have been working to improve it.
What would cause my reading to be so high?
What would cause my reading to be so high?
Brief Answer:
Multiple factors coming together
Detailed Answer:
Firstly, at baseline line you are a hypertensive patient that probably lead to your enlarged heart. So make sure your bp is under control for the treatment of same with or without medicine.
Secondly, high bp occurs due to hardening of blood vessels as age progresses and on the top of it, blood pressure being a very dynamic parameter, it can increase with activities, stress, anxiety, change in diet like increased salt intake, cold exposure, smoking or drugs if any. There are multiple causes. Importantly single reading is not that important, we have to look at a average readings. so keep monitoring it and most of readings, may not all be all should be 140/90.
Multiple factors coming together
Detailed Answer:
Firstly, at baseline line you are a hypertensive patient that probably lead to your enlarged heart. So make sure your bp is under control for the treatment of same with or without medicine.
Secondly, high bp occurs due to hardening of blood vessels as age progresses and on the top of it, blood pressure being a very dynamic parameter, it can increase with activities, stress, anxiety, change in diet like increased salt intake, cold exposure, smoking or drugs if any. There are multiple causes. Importantly single reading is not that important, we have to look at a average readings. so keep monitoring it and most of readings, may not all be all should be 140/90.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
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