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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 While On Lisinopril?

I have taken 20mg Lisinopril for about 4 years and my BP has been normal. Lately it has risen to as high as 160/109. What could be causing this? I was just at my Dr. 3 woks ago and it was ok. At another Dr. Yesterday and it was 160/109. Today still high
Wed, 29 Oct 2014
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Psychiatrist,  's  Response
Hi welcome to HCM.
Elevated blood pressure while on antihypertensive drug therapy warrants screening of new onset kidney disease which can directly contribute to elevated or resistant blood pressure.I advise you to have an ultrasound abdomen and MR/Renal Angiography of the renal vessels to rule out renal artery stenosis.Drugs like beta blockers and calcium blockers can be used as add on drugs.In case of documented RAS,lisinopril has to be discontinued.I advise you to have a baseline ecg and 2 dimensional echo of your heart to rule any associated new organic heart disease.Restrict the intake of dietary salt to less than 6 gm/day.Consult your cardiologist for further queries.
Thank you.
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What Causes High Blood Pressure While On Lisinopril?

Hi welcome to HCM. Elevated blood pressure while on antihypertensive drug therapy warrants screening of new onset kidney disease which can directly contribute to elevated or resistant blood pressure.I advise you to have an ultrasound abdomen and MR/Renal Angiography of the renal vessels to rule out renal artery stenosis.Drugs like beta blockers and calcium blockers can be used as add on drugs.In case of documented RAS,lisinopril has to be discontinued.I advise you to have a baseline ecg and 2 dimensional echo of your heart to rule any associated new organic heart disease.Restrict the intake of dietary salt to less than 6 gm/day.Consult your cardiologist for further queries. Thank you.