What causes fluctuations in heart rate and mild hypertension?
Changes can be made
I am Dr Mittal
I have read your query.
I understand your concerns.
But I agree with your doctor.
It sounds exactly like classical "white coat hypertension".
The BP and HR always go up in a doctors office.
But since your average and usual BP is normal, I think I would suggest continuing the same treatment.
However, I personally prefer to avoid beta blockers.
I prefer to give medicines called ARBs eg olmesartan and telmisartan.
For the same reason that you have quoted- low heart rate.
That can cause symptoms like fainting.
I would suggest keeping a automatic BP machine at home.
Monitor BP on your own with heart rate at different times of the day.
And give this record to your doctor.
He may be able to suggest better with that.
Best of luck.
meet the dr in a week
The body cannot adjust to a phamacological induced dose.
It will become better during the day as the effects become less.
I will also suggest not cutting the dose to half on your own.
High blood pressures are dangerous business.
I suggest you maintain the record for a week.
and then meet the dr again.
Best of luck.
Considering that the dose reduction is on medical grounds, I would suggest you follow the advice.
As for the heart rate, I prefer to keep my patients between 60-70.
As I have already said, I prefer other drugs, not beta blockers due to the possible side effects I have mentioned.
I mean imagine getting dizzy while you are on a road driving a car?
Besides ARBs are known to be cardioprotective.
They avoid cardiac remodelling- changes in heart that come about due to high blood pressures. Something that beta blockers cannot do.
I hope that helps you.
Please feel free to contact us for more information.
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