
What Causes High BP When I Go To A Clinic?

124/89 Pulse 62 then at a clinic its like 179/100 I don't understand it.
You are experiencing white coat hypertension (syndrome).
Detailed Answer:
Hi XXXXXX!
I read your query and understood your concern. What you are experiencing is called white coat hypertension (syndrome). In this syndrome the patient has hypertension only during physician visits (in clinical settings), but not in other settings. So you have nothing to worry about.
If you were my patient I would recommend doing the following examinations:
- ECG
- Cardiac ECHO
- BP ambulatory (home) monitoring
- Blood work including BUN and creatinine
Meantime I suggest a healthy lifestyle i.e.:
- avoid salty food
- avoid fatty food
- avoid unnecessary stress
- decrease alcohol intake
- increase physical activity
These measures will help you control your BP.
Wish you health!
Dr. Benard

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