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What Causes Sudden Increase In BP?

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Posted on Mon, 19 Oct 2015
Question: I usually have a bp of only 128/72 and the highest is 132/80 for several months now. For the first time today starting at 6pm , i have 167/82, then after 10 minutes it is 173/92, then at 7:50 , 177/82. What shall I do ?
I am taking Atenolol every morning 20 mg.

I need the answer ASAP because my bp is still 177/85. I cant wait for a long time. Do I need to go to the doctor now ?
doctor
Answered by Dr. Anantharamakrishnan (14 minutes later)
Brief Answer:
YES / go to ER

Detailed Answer:
Hi friend
Welcome to Health Care Magic

The BP is high / not extremely high

You need examination and investigation
Kidney function, electrolytes and hormones, EKG are generally done, in such situations…
Sudden outpouring of adrenaline – in conditions like Pheochromocytoma - can cause such a thing and needs evaluation

Good luck
God bless you
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anantharamakrishnan (1 hour later)
Thank you for your response. I just have my blood lab. and my GFR is 71 and my sodium is 140. So, do you think I should still go to my doctor and have an EKG ?

As I said I am taking Atenolol 25 mg every morning. Do you think my doctor should increase my dosage ? I just took my bp and it is now 159/82. I took one baby aspirin and drank a lot of cold water.

Can you suggest things that I should do so that my blood pressure can be controlled ?
doctor
Answered by Dr. Anantharamakrishnan (26 minutes later)
Brief Answer:
YES - you should

Detailed Answer:
Hi

Yes, still you should go
The episodic rise can be documented and treated / and tests during the event may shed more light
EKG is an extension of clinical examination / routine / must be done

The dose of atenolol is up to 100 mg.
He may double the dose to 50 as a first step… it may bring down the pulse rate…

Generally another medicine of a different class like ACEI (Angiotensin Converting Enzyme Inhibitor, like ramipril) or ARB (Angiotensin Receptor Blocker like valsartan) as also a Diuretic (water pill like thiazide) – is added
Most people take 2 or 3 drugs (in combination, when stabilised)

Relax! Physical and psychological relaxation is the important thing to do – at this junction
Reduce the amount of salt / caffeine (cola, coffee, energy drinks)

Regards
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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What Causes Sudden Increase In BP?

Brief Answer: YES / go to ER Detailed Answer: Hi friend Welcome to Health Care Magic The BP is high / not extremely high You need examination and investigation Kidney function, electrolytes and hormones, EKG are generally done, in such situations… Sudden outpouring of adrenaline – in conditions like Pheochromocytoma - can cause such a thing and needs evaluation Good luck God bless you