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Is Blood Pressure Value Of 152/90 A Cause For Concern?
Question: My blood pressure was 152/90. I am 49 nearly 50. I had an EKG done at my primary doctor and it came back:
P/PR 118/53 ms
QRS 94 ms
QT/QTc 382/415 ms
P/QRS/T Axiss 62/21/14 deg
Heart rate 71 BPM
It said probable LVH
She is having me see a cardiologist before prescribing blood pressure meds. How bad were my readings. I had an EKG 2 weeks ago and it was normal
P/PR 118/53 ms
QRS 94 ms
QT/QTc 382/415 ms
P/QRS/T Axiss 62/21/14 deg
Heart rate 71 BPM
It said probable LVH
She is having me see a cardiologist before prescribing blood pressure meds. How bad were my readings. I had an EKG 2 weeks ago and it was normal
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that your actual blood pressure values are above the normal ranges.
But a single value of blood pressure is not equivalent to uncontrolled high blood pressure. For this reason, I would recommend to closely monitor your blood pressure values frequently during the day (sitting position after 10 minutes of total relax), and write them down.
If your blood pressure values are higher than 140/90 mmHg, most of the time, I would recommend discussing with your doctor on the possibility of starting anti-hypertensive therapy.
But before coming into this conclusion, further tests are needed to investigate for other causes of secondary hypertension:
- a complete blood count
- blood electrolytes
- thyroid hormone levels for possible thyroid dysfunction
- kidney and liver function tests
- fasting glucose for diabetes
- cortisol and aldosterone plasma levels for possible adrenal gland dysfunction.
You should discuss with your doctor on the above issues.
Regarding your ECG reports, I carefully reviewed them and would explain that they are quite normal, except for P/PR. I am not sure about these values.
I would like to directly review your ECG if you can upload it (like a photo) and give a more professional opinion.
Regarding LVH, you should know that this diagnosis is not based on ECG.
I would recommend performing a cardiac ultrasound, in order to examine better your cardiac function and structure, the anatomy of your left ventricle, its mass and determine if you really have LVH.
Hope to have been helpful!
Feel free to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that your actual blood pressure values are above the normal ranges.
But a single value of blood pressure is not equivalent to uncontrolled high blood pressure. For this reason, I would recommend to closely monitor your blood pressure values frequently during the day (sitting position after 10 minutes of total relax), and write them down.
If your blood pressure values are higher than 140/90 mmHg, most of the time, I would recommend discussing with your doctor on the possibility of starting anti-hypertensive therapy.
But before coming into this conclusion, further tests are needed to investigate for other causes of secondary hypertension:
- a complete blood count
- blood electrolytes
- thyroid hormone levels for possible thyroid dysfunction
- kidney and liver function tests
- fasting glucose for diabetes
- cortisol and aldosterone plasma levels for possible adrenal gland dysfunction.
You should discuss with your doctor on the above issues.
Regarding your ECG reports, I carefully reviewed them and would explain that they are quite normal, except for P/PR. I am not sure about these values.
I would like to directly review your ECG if you can upload it (like a photo) and give a more professional opinion.
Regarding LVH, you should know that this diagnosis is not based on ECG.
I would recommend performing a cardiac ultrasound, in order to examine better your cardiac function and structure, the anatomy of your left ventricle, its mass and determine if you really have LVH.
Hope to have been helpful!
Feel free to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you here is my EKG
Brief Answer:
My opinion:
Detailed Answer:
Hello again!
I carefully reviewed your uploaded ECG and would explain that besides LVH signs on your ECG, the rest of your ECG is quite normal.
I would strongly recommend performing a cardiac ultrasound to examine your cardiac function and structure (including your LV walls thickness, LV mass measurement).
I remain at your disposal in case you have further uncertainties or you need to review your cardiac tests.
Best wishes,
Dr. Iliri
My opinion:
Detailed Answer:
Hello again!
I carefully reviewed your uploaded ECG and would explain that besides LVH signs on your ECG, the rest of your ECG is quite normal.
I would strongly recommend performing a cardiac ultrasound to examine your cardiac function and structure (including your LV walls thickness, LV mass measurement).
I remain at your disposal in case you have further uncertainties or you need to review your cardiac tests.
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
How likely is it that I will need surgery based upon the LVH or could that be treated by medicine
Brief Answer:
My answer as follows:
Detailed Answer:
Hello again!
I understand your concern and would explain that the main treatment of this disorder is treating the underlying risk factor, which is high blood pressure.
Medical therapy consists in antihypertensive drugs such as:
- ACE inhibitors (ramipril, lisinopril, etc.)/ ARB
- Beta blockers (atenolol, etc.)
- Calcium channel blockers (amlodipine, nifedipine)
- diuretics (hydroclorothyazide, etc.).
There is no surgical treatments, unless there is any possible severe aortic valve stenosis resulting from the cardiac ultrasound, which could be the underlying cause of LVH.
Some lifestyle modifications would also help manage your blood pressure:
- avoid smoking
- diet modifications (reduce salt and caffeine intake)
- perform a lot of physical activity (walking, yoga, aerobics, etc.)
- reduce your weight if you are overweight.
Hope you will find this answer helpful!
Regards,
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello again!
I understand your concern and would explain that the main treatment of this disorder is treating the underlying risk factor, which is high blood pressure.
Medical therapy consists in antihypertensive drugs such as:
- ACE inhibitors (ramipril, lisinopril, etc.)/ ARB
- Beta blockers (atenolol, etc.)
- Calcium channel blockers (amlodipine, nifedipine)
- diuretics (hydroclorothyazide, etc.).
There is no surgical treatments, unless there is any possible severe aortic valve stenosis resulting from the cardiac ultrasound, which could be the underlying cause of LVH.
Some lifestyle modifications would also help manage your blood pressure:
- avoid smoking
- diet modifications (reduce salt and caffeine intake)
- perform a lot of physical activity (walking, yoga, aerobics, etc.)
- reduce your weight if you are overweight.
Hope you will find this answer helpful!
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
How severe was my LVH reading on the EKG
Brief Answer:
My answer as follows:
Detailed Answer:
Hello again!
Regarding your concern, I would like to explain that there is not a good correlation between ECG findings and LVH severity.
As I explained you before, the best test to investigate and determine the severity of LVH is cardiac ultrasound.
I would be happy to review your cardiac ultrasound reports, as soon as you can upload it for another second professional opinion!
Hope to have clarified some of your uncertainties!
Greetings!
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello again!
Regarding your concern, I would like to explain that there is not a good correlation between ECG findings and LVH severity.
As I explained you before, the best test to investigate and determine the severity of LVH is cardiac ultrasound.
I would be happy to review your cardiac ultrasound reports, as soon as you can upload it for another second professional opinion!
Hope to have clarified some of your uncertainties!
Greetings!
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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