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Can A Hypertensive Patient With Shunt Have Blood Pressure In Low Range?
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Thanks forposting your query.
In 99% cases, Hypertension is labelled as "Essential hypertension" in which no defined reason is available.
In 1% cases, Few hormonal causes may be responsible like hyper/ hypothyroidism, cushing's syndrome, pheochromocytomas.
With past history od stenting and heart ailment signifies the involvement of heart and for the next investigation, you should go for 2 D echo to get the ejection fraction.
Is he symptomatic means getting breathlessness on lying down postion/ chest pain/ squuezing sensationin chest?
If yes, then he may have worsening of heart disease and you should go for repeat coronary angiography.
Few hypertensive patients have increased sympathetic activity, for which no reason has been defined.
This increased symphathetic activity may come to its normal level with time and patient may have normal blood pressure.
As your father has calcification in kidney, there may affection of RAAS (renin angiotensin aldosterone system) and may cause rise in blood pressure.
You should also go for thyroid profile, serum ACTH level and serum epinephrine & nor-epinephrine level with urine vanniyl mendallic acid.
Put your views also if you have any.
Take care,
Dr. Mayank Bhargava
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1. He, being a hypertensive patient and using the medication for so many years ,,why is his BP is now in the range 95/65 in mornings and 110/70 at other times,that is why the bp came down since one month?
2. He dosent have any symptoms mentioned by u.so is there any necessary for any tests?
3.is there any concern if the bp for a hypertensive patient with stunt like my father be in the range 95/65 only,,,,,with out any symptoms??
4. doctor told as his renal function test is with in range and he is nondiabetic ,,,,his vascular calcification of kidney is due to age,,,
Is he taking medicines for blood pressure pesently? If yes, then his controlled blood pressure is because of medicines. If his BP is 95/65 then you should consult with treting docor for reducing the dose of Met Xl or Telma.
As he is a known case of heart disease, you should go for 2 D Echo for clarification.
Yes...few female patients and in males, BP remains at 90/60 mm Hg and still they are asymptomatic.
See what happens....fall in blood pressure is due to some reason and patient is generally symptomatic. if some patient is asymptomatic and getting urine output regularly then this blood pressure should also be considered normal.
When blood pressure drops,kidney is the first organ to whom blood supply is cut off and urine stops forming,so if a patient is getting urine regularly at this blood pressure then it should be considered normal.
Yes...renal calcification may be due to age and it indicates some past illness in kidney.it may be a sequel of past abscess formation/ NSAIDs induced injury etc.
Take care,
Dr.Mayank Bhargava
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