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Suggest remedy for fluctuating BP

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Posted on Wed, 25 Nov 2015
Question: Light headed as if I am going to faint. B.P. fluctuating; sometimes as high as 194/140; sometimes as low as110/40. Generally the diastolic pressure is low e.g. between 40 and 60 even when the systolic is high.
My pulse is usually very low about 52. I get palpitations and feel my heart racing; at these times my pulse has gone up to over 100. This happened when my B.P. reading was 194/140. My medication is as : losartan 100mg amlodipine 5mg bendroflumethiazide 2.5mg. asprin 75mg daily. I had a E.C.G. yesterday and was told it was normal.
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Answered by Dr. Ilir Sharka (59 minutes later)
Brief Answer:
I recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would explain that it is normal to have a higher pulse pressure (the difference between systolic and diastolic blood pressure) in older ages.

This is a physiological change related to the changes in blood vessels and aorta with aging.

Sometimes low diastolic blood pressure is related to the antihypertensive therapy( probably bendroflumethiazide and amlodipine.

A head up tilt test is necessary to exclude possible orthostatic hypotension.

Meanwhile I recommend you to closely monitor your blood pressure and heart rate different times during the day and refer those values to your attending physician.

You should discuss with your doctor on the above issues and the possibility of making some changes to your antihypertensive therapy.

Hope to have been helpful!

Best wishes!

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

Cardiologist

Practicing since :2001

Answered : 8596 Questions

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Suggest remedy for fluctuating BP

Brief Answer: I recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that it is normal to have a higher pulse pressure (the difference between systolic and diastolic blood pressure) in older ages. This is a physiological change related to the changes in blood vessels and aorta with aging. Sometimes low diastolic blood pressure is related to the antihypertensive therapy( probably bendroflumethiazide and amlodipine. A head up tilt test is necessary to exclude possible orthostatic hypotension. Meanwhile I recommend you to closely monitor your blood pressure and heart rate different times during the day and refer those values to your attending physician. You should discuss with your doctor on the above issues and the possibility of making some changes to your antihypertensive therapy. Hope to have been helpful! Best wishes! Dr.Iliri