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Dr. Andrew Rynne

Family Physician

Exp 50 years

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My husband got high blood pressure. He is not overweight, eats well and physically active

My husband just returned from a doctor visit with a prescription for? high blood pressure medication. He has had elevated blood pressure since he was 8. He is only 26, not overweight at all, eats well (because I decide what he eats), does not drink or do any drugs, and he is very physically active. He is a smoker though, but obviously not since he was 8. He did not ask the doctor why he has high blood pressure!!!! Has anyone heard of this in such a young man with no other risk factors aside from smoking?
Tue, 13 Sep 2011
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  User's Response
's  Response
Pediactric Hypertension is something that is rarely ever discussed but is believed to affect about 3% of all children. Children who are found with persistently elevated blood pressures without a defined cause (like adrenal tumor or morbid obesity) are classified as Primary or Essential Hypertension. They will grow into adults with Essential Hypertension. Unfortunately, your husband seems to fall under this classification, and is further impacted by the smoking habit that he acquired in adulthood. His principle needs here are to limit the negative aspects that his hypertension has on his life by frequent monitoring and taking his medications as prescribed, and by adjusting his lifestyle (smoke cessation) to prevent a worsening of what will be his lifelong disease. I wish him success. Good luck. Ralph
Cardiologist Dr. Naresh Ruparelia's  Response
Hi well come to HCM.
You have not mentioned how much is his BP. What drugs are being prescribe.
Smoking can not be the sle reason for his BP. He is less likely to have primary hypertemsion at this age and for secondary hyper tension many invetigations are
required. socondary BP could be hormonal ar renal origin and elaborate test are needed
for that. If BP is border linr need not worry much. So its very important to know
severity of BP. So let us know how much BP he is having. Thanks
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