Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

151 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for fluctuation BP after angioplasty

Answered by
Dr.
Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

default
Posted on Sat, 30 Aug 2014 in Hypertension and Heart Disease
Question: I am 74 yrs old, and have done angioplasty in the year 2012. Recently for last 8 to 10 days my blood pressure is fluctuating from 160 to 185 systolic, diastolic is varying between 72 to 80. I have consulted a cardiologist who has prescribed me medicines as, 1tab Amlong A 5mg, 1tab Korandil 5mg in the morning after breakfast, and 1tab of 20mg omnegest and 1tab of Korandil 5mg after supper. But my BP still fluctuates, XXXXXXX in the morning and goes down later part of the to @ 160 to 165.
What should I do and what r the reasons
doctor
Answered by Dr. Prakash H Muddegowda 45 minutes later
Brief Answer:
Abnormal sleeping pattern.

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.

Looking at the clinical history and query, my opinion is as follows:
1. Blood pressure at your age should be less then 140 systolic and less than 90 diastolic.
2. Some amount of fluctuation is common. However, systolic blood pressure is moderately raised at present.
3. Blood pressure fluctuations are usually common in abnormal sleeping pattern, stress, anxiety, infections or diseases and medications.
4. At present your medication is adequate, and it will take time to come down. Most importantly, reduce stress and anxiety. Have a good and regular sleep. Atleast 9 hours in night is very important. Abnormal sleeping patterns can cause these.
5. In future, try to maintain regular physical activity along with fiber rich diet. Salt and fat restriction should be there also.

Present fluctuation especially if more in the morning, points towards abnormal sleep pattern or stress.
Any further queries, happy to help again.
Dr. Prakash HM
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
default
Follow up: Dr. Prakash H Muddegowda 1 hour later
Are there any chances of sudden heart attack due to flu toons in blood pressure?
I am normally walk for @ 30 minutes a day but due to rainy season it has become irregular.my ECG is normal right now.
doctor
Answered by Dr. Prakash H Muddegowda 22 minutes later
Brief Answer:
At present, you are not at risk

Detailed Answer:
Hi,
Thanks for asking again.
Fluctuations in blood pressure, usually do no increase incidence of heart attack.
At present, there is no chance of heart attack. Take rest, relax. Medication should be regular and concentrate on your diet.

Hope it helps.
Any further queries, happy to help again.
Dr. Prakash HM
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
default
Follow up: Dr. Prakash H Muddegowda 32 minutes later
thank you very much and i appreciate your reply and satified.
As advised binue with same medicine and would like contact you after a week in case if it is not fine with me.

however at our age how to expect the sleep of 8 to 9 hours? unless we take sedative tablets, which is not a good practice.

Are u from XXXXXXX and if we want u to consult you is it possible?

once thanks and regards,

XXXXXXX SXXX
doctor
Answered by Dr. Prakash H Muddegowda 25 minutes later
Brief Answer:
Happy to help you again.

Detailed Answer:
Hi XXXXXXX
Thanks for your kind words.

Do continue with the treatment and I expect blood pressure to be normal.

Sleeping is possible for 8-9 hours. Avoid getting involved in watching TV or on phone after 9 clock. Avoid distractions. Avoid heavy food or food with increased carbohydrates. Dim the lights. Practice it for few days, and in a week, you will get adjusted. Avoid getting up and watching tv or eating anything in between before six in morning. This should help you. Remember sleep is one of your treatment, so you should try to follow it like you take medications. Regularly.

Yes, I am from XXXXXXX Yes, you can consult me through health care magic.

You are welcome at ask any query in future.
I will be happy to help you again.

Dr. Prakash HM
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Drug/Medication
Medical Procedures

Recent questions on  Amlong

doctor1 MD

tsh 22 t3 1.22 t4 28.6 presently on thyronorm 50 .but bp fluctuates from 103/60 to 160/90.hence do not take Amlong 5 prescribed for high bp . pls advise on controlling bp fluctuations with headache and alternatively better medication for normal...

doctor1 MD

Hi Doctor, I am attaching my MHC reports done yesterday. 1) The H.pylori results are positive. What are the medicines should I take and for how many days. Is the infection on a very higher side . What are the precautions I need to take to get it...

doctor1 MD

My mother 73 yrs oldwas hospitalized last week in the ICU for 3 days as she had hyponatremia , Sodium was 105 on admission. She has hence improved and is home, her bp is kind of high from yesterday she was on Amlong 2.5 mg daily, it was stopped...

doctor1 MD

I am 38 yrs. I got my lipid profile without fasting today. Report says Total cholesterol 147 mg/dl, HDL 50 mg/dl and triglycerides 397 mg/dl. LDL and VLDL he has not written citing reason for increased triglycerides. I am taking Amlong H tablet for BP for last 03 years on prescription of a cardiologist Escort Hospital Delhi and my BP is under control i.e 80-90/125-140. I underwent TMT, ECG in Escord Hospital 03 years back but I was ruled out for Heart disease. My check up at Escort Hospital was because I was getting sleepmania in sleep ( in sleep suffocation used to be felt for 5 to 10 seconds and could wake after some inner struggle). I had told this to Cardiologist. But he ruled out heart problem after TMT, Lipid, 02 03 more test for heart. Thereafter, I am regulary doing exercise, running, doing yoga alternatively. But normally I have faced a lot of job and family stress in the past. Now stress is decreasing. Whether lipid profile test without fasting is correct as i doubt last 3 year my triglycerides was 314, 190 and 170 respectively but done in fasting. Should i go for lipid profile in fasting again, or what to do to reduce triglycerides. I exercise regularly, try to walk as much as possible, take mung sprout, fruit, vegetable, green vegetable, take non-veg but chiken normally once or twice a week and mutton rarely once in month or two months. I do sedentary work, For some months I am feeling the following problems While preparing to sleep, momentary breathing stoppage i feel , it happens normally when i prepare to sleep facing my face to ceiling, it happens only in a preparatory stage for sleeping not in sleep, earlier in sleepomania it happened in the middle of sleep. I feel some times in left there is sum sparkling sound. I felt it earlier but when i use to sit or there is gas problem, it will happen, if i run, no problem, if i walk no problem. I am pretty sure that it is due to gas problem but some times it disturbs me. Some time swing of mood happens, and a feeling that I am taking medicine for BP, it means i am a heart patient. BP and asthama is my family history but no heart attack. Totay I am astonished by the triglycerides level, whether it is correct without fasting.

doctor1 MD

1.What is the use of Alerfix Tablet ,and to be taken before food or after food 2.What is the use of Orofer XT Tablet,and to be taken before food or after food 3.What is the use of Citracal Citrate +D3Tablet,and to be taken before food or after food 4.What is the use of Amlong H Tablet,and to be taken before food or after food 5. What is the use of Dalacin-c Capsule,and to be taken before food or after food

doctor1 MD

I am suffering from high B.P. 150/100. My age is 65 years. DOCTOR prescribed Amlong-A tablet one tab daily basis. After one week my B.P. stands as 140/90. My ECG , Echo Cardeiography and Lipid Profile is ok. Kindly adice for suitable medicine so that presure stand at normal i.e. 120/80. Thank you sir. From = N.K.Dey, Kolkata

doctor1 MD

Hi Doctor , I have been suffering from muscle spasms for over a month. My BP was 170/110 but my thyroid, liver and cholesterol tests are all normal. My GP has prescribed AMLONG tablets 1 per day fr a week. I am overweight and think I might have diabetes . I m 36 years old, Female and never experienced such problems before.