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Dr. Andrew Rynne

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Suggest treatment for raised BP and pulse rate

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Dr. Vaishalee Punj

General & Family Physician

Practicing since :2003

Answered : 2222 Questions

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Posted on Wed, 14 Jan 2015 in Hypertension and Heart Disease
Question: I woke up this morning with a pulse of 145 and my oxygen level was at 94. Checked my BP and it was 132/93. It took a while, but I was able to get my pulse down to 97. I had an EKG done less than a month ago and everything on it was normal. I have had an average PB of 135/92 for the past couple of months. Prior to that it was 120/80. I have been sick recently but am feeling much better now. I am just concerned about my heart. I have been exercising and have lost about 5 lbs. But can't seem to get my BP down. And then this morning to have such a high pulse. Do I need to be concerned about heart attack?
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Answered by Dr. Vaishalee Punj 47 minutes later
Brief Answer:
Sickness may have caused it

Detailed Answer:
Hi
Thanks for your query.

From your description, raised BP and pulse seem to be due to the sickness you have recently had. Please let me know the details of the sickness. Also let me know the reason for taking qvar. It is a steroidal preparation and may cause infections.

I would suggest a few lifestyle modifications to keep your blood pressure low.

-Diet: Please take low salt, low calorie, low sugar diet. Avoid high calorie foods like milk products (cheese, butter, creams, chocolate, sweet dishes, etc). Take more of fruits and vegetables. Take cleanest drinking water to avoid water borne infections. Curd and yogurt to be taken in moderation. Give atleast 3 hrs break between food.

- Exercise: It is good you are exercising. It is better to exercise with a good mood.

- Stress: should be addressed with exercise, yoga, meditation, breathing techniques, etc.

Raised BP and pulse raise the chance of heart issues and need to be controlled. A repeat ECG and other basic tests can be done to check for reasons of raised pulse. I am also thinking of low BP in the early morning causing high pulse.

Regarding raised BP you can try the lifestyle measures for 3 months. If you are unable to control the BP with lifestyle measures, then you will need to take BP medicines.

Hope I answered your query.

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Vaishalee Punj 2 hours later
I take qvar for asthma. I have had an upper respiratory infection and the flu. High fever and cough. This has been for a week now, but my fever is down and the cough is much better. I have been under a lot of stress with the holidays and we moved two months ago. that is when I noticed my PB had raised. I was hoping it would go down once we were settled, but has not been the case. I worry about heart issues even though all test have come back normal (ekgs done about every 3 months.) I have been trying to cut out salt and junk food (although I don't eat a lot anyway). Do I need to worry yet about heart attack? Or stay on the course and get BP down with exercise and diet. Just really freaked me out to have such a low Oxygen level and high pulse this morning.
doctor
Answered by Dr. Vaishalee Punj 22 minutes later
Brief Answer:
High pulse may be alarming

Detailed Answer:
Hi again

I can understand your concerns.

High pulse can be for many reasons. In your case it seems that infections compromised your breathing causing low oxygen and high pulse. If you are not experiencing any other symptoms like palpitations, chest pain, confusion, dizziness, etc then it can be regularly and safely watched. If pulse is raised persistently or has other symptoms, then we will need cardiac testing.

Oxygen level is not low to cause alarm. Keep an eye on it. If its goes lower than 85 or 90 please tell your doctor. Breathing techniques called as XXXXXXX in yoga should help with breathing capacity. Playing mouth organ, flute etc should also help.

We should not be worried about a heart attack at present, though you do seem to be experiencing anxiety/stress. It is ok to experience stress during situations like moving etc. But when the situation is over try to get back to normal and forget that stress.

We should keep the BP within normal range. Nowadays they have classified a BP of > 140 (systolic) or 90 (diastolic) as stage 1 hypertension. But yours is just at the edge and can be controlled with diet and exercise.

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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