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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Stress Cause Elevation Of BP?

I am 66 years old and have alot of stress in my life just had a complete heart exam and all came back normal a little heart murmur which i have had all my life and they did a ekg and ultrsound and all the tests that they normally do, and nothing was found also said that my some thing was over 60 which for my age they said that was good so do you think because of the stress that is why my blood pressure is sort of high and i do have white coat syndrone
Mon, 24 Aug 2015
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Cardiologist 's  Response
Hello. Thank you for your question and welcome to HCM. I carefully read your query.

The "something" that was told to you, is probably the ejection fraction of the left ventricle of the heart. It is a component that describes heart function and, if it is 0.6 or 60%, then it means that this heart fills, pumps and contracts properly (normal ranges being 0.55-0.7, or 55-70%).

Stress itself produces produces rapid heart rate and high blood pressure, almost always. This is attributed to high levels of adrenalin and noradrenalin in your system, during stress. Also, long-standing stress exposes the heart to a hyperdynamic state, which can also produce the so-called "innocent murmurs". I am stating this, because if it was a pathological murmur, it would be diagnosed on the careful echocardiogram examination of the valves and other structures of the heart, which can produce murmurs. You may also have white coat syndrome, and you may also not have high blood pressure (hypertension), but if this is a long-standing high blood pressure then, combined with your age of 66 years old, I cannot exclude the diagnosis of hypertension, at this moment. A 24-hour blood pressure monitor would be a good approach at this moment, to precisely confirm or exclude hypertension and, if confirmed, proper treatment should be initiated immediately, to control these blood pressure figures and keep them under 140/90 mmHg.

I hope I was helpful with my answer. Feel free to ask again. Best regards.

Dr. Meriton
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Does Stress Cause Elevation Of BP?

Hello. Thank you for your question and welcome to HCM. I carefully read your query. The something that was told to you, is probably the ejection fraction of the left ventricle of the heart. It is a component that describes heart function and, if it is 0.6 or 60%, then it means that this heart fills, pumps and contracts properly (normal ranges being 0.55-0.7, or 55-70%). Stress itself produces produces rapid heart rate and high blood pressure, almost always. This is attributed to high levels of adrenalin and noradrenalin in your system, during stress. Also, long-standing stress exposes the heart to a hyperdynamic state, which can also produce the so-called innocent murmurs . I am stating this, because if it was a pathological murmur, it would be diagnosed on the careful echocardiogram examination of the valves and other structures of the heart, which can produce murmurs. You may also have white coat syndrome, and you may also not have high blood pressure (hypertension), but if this is a long-standing high blood pressure then, combined with your age of 66 years old, I cannot exclude the diagnosis of hypertension, at this moment. A 24-hour blood pressure monitor would be a good approach at this moment, to precisely confirm or exclude hypertension and, if confirmed, proper treatment should be initiated immediately, to control these blood pressure figures and keep them under 140/90 mmHg. I hope I was helpful with my answer. Feel free to ask again. Best regards. Dr. Meriton