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Dr. Andrew Rynne

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Suggest treatment for high BP

Answered by
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Dr. Shanthi.E

General & Family Physician

Practicing since :2005

Answered : 2408 Questions

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Posted on Tue, 2 Sep 2014 in Hypertension and Heart Disease
Question: I have high Bp and a stent in my widow maker I am currently taken bystolic 5mg asprin 81mg atorvastatin 10mg and when I'm inactive Bp is fine as soon as I stand up and walk around my Bp jumps up high is there something wrong I was at hospital Friday night with Bp at 160/110
doctor
Answered by Dr. Shanthi.E 1 hour later
Brief Answer:
review the medications with your doctor

Detailed Answer:
Hello,

I am sorry about your shooting high blood pressure. You probably require a review of your medicines with your doctor. If I were your treating doctor, I would increase the dose of bystolic to 10mg once daily, and continue rest of the medicines.

You will need frequent monitoring of your blood pressure to prevent hypertensive crisis situations.

Decrease your salt intake to less than 4000mgs/day. You must also do deep breathing exercises and slow walking to prevent the blood pressure from jumping high.

Let me know about your other queries, if you have.




Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Shanthi.E 11 minutes later
I also have asthma so if they increase bystolic it may mess with my breathing. Friday night when my pressure shot up to 160/110 I had trouble witha sentence I was trying to say I ran to hospital and they waited for pressure to drop and sent me home. Tonight I Am not feeling right and my vision is blurred but my Bp is 117/79. I have been to the hospital so many times since I had my stent put in that they think I crying wolf everytine I go there. Tomorrow morning I going to try to get a appointment with the cardiologist and neorologist to see if there is a underlying problem. I was told stent was put in a little wrong but shouldn't cause any problems is this true. I have done a stress test since stent was put in and also numerous other tests and no one can find anything wrong. Also since stent was put in I have ringing in both ears. Any ideas on what I should ask for as far as testing. I'm sorry I am 41 and scared.
doctor
Answered by Dr. Shanthi.E 30 minutes later
Brief Answer:
change over to other anti-hypertensive medications

Detailed Answer:
Hello,

If you have asthma, then you can look at changing over to other anti-hypertensive medications like losartan, depin or enalapril.

You must get a neurological evaluation done at the earliest. It could be TIA (Transient Ischemic Attack) or a partial stroke. That was the reason why you were unable to speak a sentence at the hospital.

NO, the stent put in wrong place can cause problems. Hence, this is not true.

Please ask for a review x-ray of the chest to look at the position of the stent. If need be a cardiac MRI can be done. A Doppler study of the heart is required as well.

Do not neglect your symptoms, and fix an appointment at the earliest with the cardio and neuro doctors.

I understand your concerns, and yes, it is definitely scary to be sick at 41.

Get well soon and wish you good health.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shanthi.E 7 minutes later
Thank you so much for the help I will update you after I see both doctors tomorrow if I can get in to see them here in south Florida it's hard to get same day cardiology appointment neurology shouldn't be that hard to see.
doctor
Answered by Dr. Shanthi.E 43 minutes later
Brief Answer:
I understand

Detailed Answer:
Hi,

I do understand that it is difficult to get appointments there. Try your best. At least see the neurologist and let me know his opinion.

Good luck and thank you too for consulting me here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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