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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes elevated systolic level post a heart valve replacement surgery?

My Blood pressures top line is too high like it runs 170 to217 l take 3 meds like Clonidine 3 Times a and Cozaar but does not keep it down only a short timeCozaar n water pills but my Dr had my do an ultrasound on my reanal artery and it came back ok. The lower level and pulse seem to always be normal. I did have a new Heart valve replacement 4 months ago which was sucessful
Fri, 2 Mar 2018
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Internal Medicine Specialist 's  Response
Hello! Welcome to HealthcareMagic!

You may be suffering from resistant hypertension. What about your serum creatinine levels and what about estimated GFR? Possible causes are obstructive sleep apnea, renal parenchymal or underlying chronic kidney disease. Aortic stenosis or left ventricular hypertrophy etc. You can use calcium channel blockers like Cilnidipine according to blood pressure. You may need to consult your cardiologist he will examine for other secondary causes and treat you accordingly.

Thank you for contacting us. Hope this clarifies your concerns.

Take care

Regards,
Dr. Penchila Prasad Kandikattu , Internal Medicine Specialist
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