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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Heart Attack, Have Stints, Low BP. Taking Clopidogrel And Metropolol Tartrate. Help?

I am a 68 years old female, slender, 5 8 tall and have had two heart attacks. Genetic problem. I also have two stints and take clopidogrel 75 mg and metroprolol tartrate 25 mg; 1/2 tab in AM and 1 full tab in PM. Many times my bp , as it is now, is down as low as 79/46; currently 113/46; heart rate 71. I worry when my diastolic pressure is in the 40 s, as it is now. Is this a problem??
Sat, 9 Feb 2013
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General & Family Physician 's  Response
Hello and welcome
Diastolic BP in lower side is not a matter of concern but it cannot be more than 90 in any means in hypertensive patients like you who is on medications. If you have any signs like vertigo, dizziness, sweating than you needs treatment for hypo-tension may be by changing the medicine. Otherwise you need not to worry and continue your normal life style. One thing I would like to tell you do not measure your BP regularly 3-4 times a day, measure it 3-4 times a week.
Every reading is different in different time so it adds up to your stress and nothing else. Feel free to consult your cardiologist if you have any symptoms describe above.
Best Wishes
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Heart Attack, Have Stints, Low BP. Taking Clopidogrel And Metropolol Tartrate. Help?

Hello and welcome Diastolic BP in lower side is not a matter of concern but it cannot be more than 90 in any means in hypertensive patients like you who is on medications. If you have any signs like vertigo, dizziness, sweating than you needs treatment for hypo-tension may be by changing the medicine. Otherwise you need not to worry and continue your normal life style. One thing I would like to tell you do not measure your BP regularly 3-4 times a day, measure it 3-4 times a week. Every reading is different in different time so it adds up to your stress and nothing else. Feel free to consult your cardiologist if you have any symptoms describe above. Best Wishes