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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes severe fluctuation in blood pressure?

I am a 47 year old female. I have had high blood pressure my whole life. Recently my pressure was diagnosed as spiking.. It can get as high as 200/140 and 177/125 and this happens in the day. At night it goes below normal readings. I have seen a cardiologist and I felt blown off by him. I have seen a doctor for anxiety for years. I am terrified as my father died of heart disease and was diagnosed 30 years ago with a pheochromocytoma. Why do Canadian doctors blow off their patients...I am terrified. Pamela
Thu, 28 Feb 2019
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Cardiologist 's  Response
Hello,

I understand your concern and would explain that these spikes in blood pressure values could be related to anxiety or physical activity.

I would like to know your current therapy in order to be able to suggest possible changes that may improve your situation.

A beta blocker (carvedilol, propranolol, etc.) would help reduce those spikes in blood pressure values.

I would also recommend checking thyroid hormone levels and trying to reduce salt and caffeine intake.

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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What causes severe fluctuation in blood pressure?

Hello, I understand your concern and would explain that these spikes in blood pressure values could be related to anxiety or physical activity. I would like to know your current therapy in order to be able to suggest possible changes that may improve your situation. A beta blocker (carvedilol, propranolol, etc.) would help reduce those spikes in blood pressure values. I would also recommend checking thyroid hormone levels and trying to reduce salt and caffeine intake. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist