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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High Blood Pressure

I am a 45 year old female with a recent onset of high blood pressure, and a year long history of low vitamin D. I had recent blood work done to check my blood after starting a new blood pressure med hydrochoridzide(??) . My blood work is showing an elevated sugar 146, low potassium 3.3, low vitamin d (22) UP from 15 last year, and elevated liver enzymes. My PA wants to refer me to a gastroenterologist for the liver test results. ALT (181, AST (65), AP (185) . Can this be related to the meds she has me on for the blood pressure? I feel fine, other then my heart beating hard and profusely at the slightest bit of exertion like climbing stairs. The blood pressure is still hanging out in the 145-150/93-100 range so I don t think the meds are really working unless it is too soon to tell. I am 5 3 tall and weight around 145-150 lbs
Fri, 4 Nov 2016
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Cardiologist 's  Response
difficulty in climbing upstairs is medically termed as dysponea on exertion( if breathing is heavy) or angina on exertion(if heavines is observed in chest) though you say u just feel heart beating hard yet as you are hypertensive grade 2 distolic even on medicines we need to rule out cardiac involvement

hydochlorthiazide is a class of drug termed as diuretics ... diuretcs causes side effects like electrolyte disbalance hyperglycemia (increased blood sugar) and deranged liver functions

as you aree grade 2 hypertensive to
i would advise you to switch over to

tab metolar xr 25mg twice daily
tab amlodipine 2.5 mg once daily
tab ecosprin av 75/20 mg once at night
sachet tayo k 60 k to be taken once for 4 weeks then once a month for 4 months
cbc
tmt
and get a 2 d echo done to rule out cardiac involvement for difficulty in climbing stairs
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Suggest Treatment For High Blood Pressure

difficulty in climbing upstairs is medically termed as dysponea on exertion( if breathing is heavy) or angina on exertion(if heavines is observed in chest) though you say u just feel heart beating hard yet as you are hypertensive grade 2 distolic even on medicines we need to rule out cardiac involvement hydochlorthiazide is a class of drug termed as diuretics ... diuretcs causes side effects like electrolyte disbalance hyperglycemia (increased blood sugar) and deranged liver functions as you aree grade 2 hypertensive to i would advise you to switch over to tab metolar xr 25mg twice daily tab amlodipine 2.5 mg once daily tab ecosprin av 75/20 mg once at night sachet tayo k 60 k to be taken once for 4 weeks then once a month for 4 months cbc tmt and get a 2 d echo done to rule out cardiac involvement for difficulty in climbing stairs