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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Blood Pressure And Is It Harmful?

my blood pressure has been steadily between 155 over 90 to more recently 146 over 101 . I am 29 years old and fairly active , 5ft 11in aprox 195lb athletic build not obese , how concerned should i be ? My family says that it is bad but i feel fine .
Mon, 14 Mar 2016
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Cardiologist 's  Response
Hello and thank you for using HCM.
I carefully read you question and I understand your concern.
I will try to explain you something and give you my opinion.
We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups, essential hypertension without identifiable cause and secondary hypertension, meaning that is a secondary cause of it.
Secondary hypertension is the main cause in young age hypertension. It might have different reasons like problems with renal arteries, adrenal gland problems or other cardiovascular disease as aortic contraction.
Values above 140/90 mmHg might be normal in young ages in a physical or emotional stress but not in steady states. High blood pressure might not give any complain, but it slowly modify the heart if it stay untreated.
If you have evaluated several high values in a steady state that i thing it is reasonable to make some examinations.
If i was you treating doctor i will recommend a cardiac echo, a blood pressure monitoring for 24 h , a full blood chek up analyze, your urinary cathecolamins, an abdominal echo.
After these we can judge what other things to do and how to menage this situation.
Hope I was helpful. Best regards.
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What Causes High Blood Pressure And Is It Harmful?

Hello and thank you for using HCM. I carefully read you question and I understand your concern. I will try to explain you something and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups, essential hypertension without identifiable cause and secondary hypertension, meaning that is a secondary cause of it. Secondary hypertension is the main cause in young age hypertension. It might have different reasons like problems with renal arteries, adrenal gland problems or other cardiovascular disease as aortic contraction. Values above 140/90 mmHg might be normal in young ages in a physical or emotional stress but not in steady states. High blood pressure might not give any complain, but it slowly modify the heart if it stay untreated. If you have evaluated several high values in a steady state that i thing it is reasonable to make some examinations. If i was you treating doctor i will recommend a cardiac echo, a blood pressure monitoring for 24 h , a full blood chek up analyze, your urinary cathecolamins, an abdominal echo. After these we can judge what other things to do and how to menage this situation. Hope I was helpful. Best regards.