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Dr. Andrew Rynne

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White male, 59 years old, no medications. early morning BP

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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 6217 Questions

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Posted on Thu, 3 Jan 2019 in Hypertension and Heart Disease
Question: White male, 59 years old, no medications. early morning BP check is 155 0ver 88, HR at 49, BP little high for some time now. 6 ft tall 200 lbs, is this something to be concerned with?
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Follow up: Dr. Ilir Sharka 0 minute later
White male, 59 years old, no medications. early morning BP check is 155 0ver 88, HR at 49, BP little high for some time now. 6 ft tall 200 lbs, is this something to be concerned with?
doctor
Answered by Dr. Ilir Sharka 59 minutes later
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I understand your concern and would explain that your actual blood pressure values are high.

Anyway, a single high blood pressure value is not concerning and could be related to physical activity or emotional stress.

But if these high blood pressure values persist, antihypertensive therapy should be started in order to lower your cardio- vascular risk.
In such case some tests would be necessary:

-complete blood count, PCR, ESR for inflammation
- thyroid hormone levels for thyroid gland dysfunction
- fasting glucose
- kidney and liver function tests
- blood electrolytes
- blood lipid profile
- a chest x-ray study
- a resting ECG and cardiac ultrasound.

You should discuss with your doctor on these tests and the possibility of starting antihypertensive drugs in case your blood pressure values are persistently high.

In the meantime, I would recommend reduce salt and caffeine intake and try to loose some pounds.

Hope you will find this answer helpful!

Kind regards,

Dr.Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Ilir Sharka 0 minute later
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I understand your concern and would explain that your actual blood pressure values are high.

Anyway, a single high blood pressure value is not concerning and could be related to physical activity or emotional stress.

But if these high blood pressure values persist, antihypertensive therapy should be started in order to lower your cardio- vascular risk.
In such case some tests would be necessary:

-complete blood count, PCR, ESR for inflammation
- thyroid hormone levels for thyroid gland dysfunction
- fasting glucose
- kidney and liver function tests
- blood electrolytes
- blood lipid profile
- a chest x-ray study
- a resting ECG and cardiac ultrasound.

You should discuss with your doctor on these tests and the possibility of starting antihypertensive drugs in case your blood pressure values are persistently high.

In the meantime, I would recommend reduce salt and caffeine intake and try to loose some pounds.

Hope you will find this answer helpful!

Kind regards,

Dr.Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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