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How Can Hypertension Symptoms Be Recognised?

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Posted on Wed, 17 May 2017
Question: When is blood pressure too low or too high?
doctor
Answered by Dr. Ilir Sharka (23 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

Regarding your concern and considering your age i would explain that a high blood pressure value where anti-hypertensive treatment should be considered is a systolic blood pressure >160 mmHg.

Not rarely also a systolic blood pressure of 140 - 159 mmHg may be treated id the therapy is well tolerated.

From the other side, a systolic blood pressure of less than 100 mmHg should be avoided. It may not be well tolerated at your age.

In order to provide a more realistic conclusion on your blood pressure values trends it is necessary to closely monitor your blood pressure values for a couple of days up to a week (several times daily) and then let them review by your attending doctor.

Hope to have been helpful to you!

In case of any further questions do not hesitate to ask me again.

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (3 hours later)
My blood pressure is 29/70 I am taking 40mg of pravastatin and I think it is 20 mg of atenolol. I have lost about 45lb in a year and a half and would like to take less of the medication now. Would it be beneficial for me to lower the dosage and eventually stop taking the medication. I am now 130 lb at 5'2.

Please respond
doctor
Answered by Dr. Ilir Sharka (8 minutes later)
Brief Answer:
Opinion as follows:

Detailed Answer:
Hello again,

You are right! Your recent blood pressure values seem to have extremely low values.

So, it is necessary to review again your actual anti-hypertensive therapy.

I recommend stopping the daily 20 mg of Atenolol and checking your blood pressure for a couple of days.

After that the decision to continue any anti-hypertensives or no will be judged considering those measured BP values.

Regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (2 days later)
I meant that my blood pressure is 129/70. Should I take medication to lower it or should I gradually take less of the medication?
XXXXXXX Savignac

000-000-0000
doctor
Answered by Dr. Ilir Sharka (11 hours later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Dear XXXXXXX

Your blood pressure values seem to be OK now.

You should known that pravastatin is a drug used to lower your cholesterol levels. It does not have any effects on your blood pressure values.

So, I would recommend you to check your cholesterol levels (considering the fact that you have lost a lot of pounds lately). If your cholesterol levels are low, you should discuss with your doctor on the possibility of lowering pravastatin dose, or even stopping it.

Regarding your blood pressure values, I should say that they are within the normal ranges. But you are taking a really low dose of atenolol. Besides atenolol acts mainly on your heart rate and does not have a visible effect on your blood pressure values.

So, If your heart rate is within the normal ranges or even low, I would not recommend taking it. You should also know that this drug can lower your physical performance, because this is a known adverse effect of all beta-blockers.

So, I would not recommend taking it if not necessary.

Hope to have been helpful!

Wishing all the best,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9545 Questions

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How Can Hypertension Symptoms Be Recognised?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome on HCM! Regarding your concern and considering your age i would explain that a high blood pressure value where anti-hypertensive treatment should be considered is a systolic blood pressure >160 mmHg. Not rarely also a systolic blood pressure of 140 - 159 mmHg may be treated id the therapy is well tolerated. From the other side, a systolic blood pressure of less than 100 mmHg should be avoided. It may not be well tolerated at your age. In order to provide a more realistic conclusion on your blood pressure values trends it is necessary to closely monitor your blood pressure values for a couple of days up to a week (several times daily) and then let them review by your attending doctor. Hope to have been helpful to you! In case of any further questions do not hesitate to ask me again. Kind regards, Dr. Iliri