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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment to control blood pressure & stress

I am having heart problems. One week a go I was rushed into hospital with high blood pressure of 180/100 and put on a drip etc to calm down. I have suffered similar attacks for about 2 years since I moved from England to Mexico. I often have panic attacks and this seems to cause the high blood pressure. The problem I have now is that every time I panic I think that I am going to have a heart attack which makes me panic further and I end up back in a hospital bed. The doctors did a basic electrical scan of my heart and found nothing at the time. I have lowered my sodium intake since and tried to reduce stress. I was given some pills to help with the process of recovery. The pills do help and my blood pressure seems to be lower, it can now go as long as 88/45, but in an instant of panic it can rise very high and stay there for long periods until I try and calm myself or visit a doctor. I´m only 27 years old and I am beginning to be scared every time I miss a breathe. Is there anything more I can do? Do I need to see an expert? I am living in Mexico and everything is expensive and I´m finding things difficult.
Tue, 18 Dec 2018
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Cardiologist 's  Response
Hello,

Regarding your concern, I would explain that these spikes in blood pressure values are related to the panic attacks and they do not need to be treated with anti-hypertensive therapy.

As you refer your actual blood pressure values are too low. For this reason, I would not recommend taking anti-hypertensive therapy.

Coming to this point, I would recommend trying to focus on your anxiety. Yoga and meditation can help in this regard. If this does not help, I would recommend consulting with a specialist of the field (psychotherapist or psychiatrist).

In the meantime, I would recommend taking a low dose of propranolol during panic attacks in order to prevent further increase in blood pressure values.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ilir Sharka,
Cardiologist
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Suggest treatment to control blood pressure & stress

Hello, Regarding your concern, I would explain that these spikes in blood pressure values are related to the panic attacks and they do not need to be treated with anti-hypertensive therapy. As you refer your actual blood pressure values are too low. For this reason, I would not recommend taking anti-hypertensive therapy. Coming to this point, I would recommend trying to focus on your anxiety. Yoga and meditation can help in this regard. If this does not help, I would recommend consulting with a specialist of the field (psychotherapist or psychiatrist). In the meantime, I would recommend taking a low dose of propranolol during panic attacks in order to prevent further increase in blood pressure values. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist