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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes an increase in the BP followed by headache?

had a bad headache over the last two days just got one of those blood pressure monitors reads 192 over 117 and i guess my heart rate was 94? dont have a history of high blood pressure in family. I am 160 lbs,5 7 ,35years old never smoked hardly drink. Not really under stress. should I be going to the E.R.?
Fri, 17 May 2019
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Cardiologist 's  Response
Hello,

The headaches are related to high blood pressure values. These blood pressure values are quite abnormal at your age.

For this reason, I would recommend consulting with your attending physician for a physical exam and some tests:

- a resting ECG and cardiac ultrasound
- thyroid hormone levels for thyroid gland dysfunction
- blood electrolytes
- cortisol and aldosterone plasma levels for adrenal gland dysfunction
- kidney and liver function tests
- a doppler ultrasound of the renal arteries
- urinary metanephrines for possible pheochromocytoma.

If all the above tests result normal, you should consider anxiety as the main cause underlying your complaints.

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

Take care

Regards,
Dr Ilir Sharka, Cardiologist
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