Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
179 Doctors are Online

30 years old male having hypertension and EXTREME pulse pressure

Fit 30 yr old male with hypertension and EXTREME pulse pressure - need specialist? Hi, i am a fit 30 year old non smoker with a low resting pulse of 40 bpm, with an average pulse of 58 across all BP measurements, but i have been diagnosed with essential hypertension by my GP. I have been home monitoring my BP for a few months now - Prior to medication, my BP was 150/81 (n= 41, over 7 days). Taking Coversyl 10 mg only reduced it to 143/77 (n =116, over 45 days). I then tried Coversyl Plus (5mg/1.25 mg), which had even less of an effect (148/80, n = 42 over 17 days). I have now been on Coversyl 10 mg and 1.5 mg indapamide for 5 days (140/72, n =22), and it is having more of an effect, although it appears to drop my diastolic very low when resting - I ve had supine measurements (watching the tour de france!) of 146/58. Hence, i am worried about my pulse pressure - my diastolic is low, but my systolic is still high - my average pulse pressure over all this time is 66, with a max of 101 and a min of only 48). Should i see a cardiologist? Cheers all - some extra notes - I m not worried about my low resting pulse - I m proud of it ;) I included it as an indication of my fitness level (yes, i have always exercised regularly). Neither parent suffers from high BP. Re: paramedic - from what i can see in the literature, the vogue now seems to be emphasise MAP or mean arterial pressure [MAP = (sys* 1/3 + dia * 2/3) ]- which provides a better estimate of the total stress your organs are under than either the systolic or diastolic alone. If you use MAP as an indicator, i do have mild hypertension, and i do agree with my GP that in my case (physically fit, non-smoker with no genetic history and only 30 years of age) that is somewhat unusual, and probably deserves treatment. I think i will take your advice and get a referall to a specialist though - I m a little worried about her seeming lack of expertise in the area.
Asked On : Thu, 17 Dec 2009
Answers:  1 Views:  916
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
  User's Response
I would advise to go see a new GP before he kills you. I'm surprised your on medication when your BP is not that high. Your BP is fine although a little on the high side or normal. Hypertension is usually classed as anything over 140/90 with the diastolic being the key factor. I wouldn't be too concerned with the pulse pressure and the low hate rate as yo have stated that you are a young fit non smoker and i would assume you exercise a lot, and if you do its normal for fit athletic type people to have a low pulse rate at rest. Thanks for the feed back and I really think you need a new GP. Just looking now at your Pulse Pressure and even your MAP there is still nothing that would indicate the need to be on meds or need to see a cardiologist. Having a Pulse pressure of 58 is good. It just means your body is being well perfused. Stupid Doctors they even call us for help most days. Just a quick note we work out our MAP by Dia BP + (1/3 Pulse pressure) and your Pulse
Answered: Sun, 20 Dec 2009
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor