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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do For High Blood Pressure?

Hi I am 67 year old. I am taking metoprolol (12 mg) & atacane for high bloodHi I 67 years old male. I am taking Metoprolol (25mg) , Atacand (32mg), Teva-Hydrochlorothiazine (12mg) for my high blood pressure which sometime reach 207/98. with medication it lower up to 118/53 and pulse rate 40. I am concern about my pulse rate. Please let me know what I should do? My height is 5'5" and weight is 183.
Thu, 22 Sep 2016
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Diabetologist,  's  Response
Yes pulse rate of 40 is a little disturbing. As you don't have any symptoms due to such low pulse rate, I would suggest you to get an ElectroCardioGram (ECG) done. If there are some changes associated with low pulse rate, I would reduce the dose or avoid Metoprolol. If the ECG is fine and other parameters are normal, then I wouldn't bother much about metoprolol.
Overall ur diastolic pressure of 53 is also not comforting; I would have further fine tuned the doses for a higher diastolic pressure, preferably more than 60.
Please consider all the above points and discuss with your consultant on the future course of action.
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What To Do For High Blood Pressure?

Yes pulse rate of 40 is a little disturbing. As you don t have any symptoms due to such low pulse rate, I would suggest you to get an ElectroCardioGram (ECG) done. If there are some changes associated with low pulse rate, I would reduce the dose or avoid Metoprolol. If the ECG is fine and other parameters are normal, then I wouldn t bother much about metoprolol. Overall ur diastolic pressure of 53 is also not comforting; I would have further fine tuned the doses for a higher diastolic pressure, preferably more than 60. Please consider all the above points and discuss with your consultant on the future course of action.