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What Causes Hypertension When Diagnosed With Renal Disease?
Question: I have high blood pressure and end stage Renal disease, also I have a clogged cart aroid artery on the right side of my neck. I just took my blood pressure and the right arm is 160/112 pulse 84. The left arm is 87/48 pulse 84. I am being scheduled at Mayo to get the clog cleaned out, my question is why the difference in numbers from the different arms and do I have anything to worry about. Thanks
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that the difference in the blood pressure values between the two arms could be related to a narrowed artery from atherosclerosis.
The fact that you have a clogged carotid artery indicates that you have advanced atherosclerosis, which is a generalized process affecting many arteries in your body.
This difference in blood pressure values between arms could be explained by a clogged subclavian artery.
I recommend performing an angio CT scan of of supra-aortic arteries and the arteries in the arms in order to investigate for possible vessel narrowing, before surgery for carotid artery.
A coronary angio CT scan would also be necessary to investigate for possible coronary artery syndrome, which is related to atherosclerosis too.
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that the difference in the blood pressure values between the two arms could be related to a narrowed artery from atherosclerosis.
The fact that you have a clogged carotid artery indicates that you have advanced atherosclerosis, which is a generalized process affecting many arteries in your body.
This difference in blood pressure values between arms could be explained by a clogged subclavian artery.
I recommend performing an angio CT scan of of supra-aortic arteries and the arteries in the arms in order to investigate for possible vessel narrowing, before surgery for carotid artery.
A coronary angio CT scan would also be necessary to investigate for possible coronary artery syndrome, which is related to atherosclerosis too.
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Kind regards,
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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