HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes Rise In Blood Pressure Level?

Posted on Mon, 13 Oct 2014

Question: This is follow up to earlier question where I discussed high bp in the nights for my mother.

We realize that there is around 30 points rise in BP in the nights for last 3 consecutive days.
can you please let know what could be happening?

Regards,
XXXX

Answered by Dr. Vinay Bhardwaj (31 hours later)

Brief Answer:
I'm thinking her meds are not doing enough

Detailed Answer:
Hi XXXXXXX welcome back! I remember you're mom's case. Episodic rises in the BP can be due to three things.

1) Improper dosing of existing meds
2) Improper timing (forgetting doses or taking them at the wrong times)
3) An undiagnosed heart arrythmia (improper rate and rhythm of the heart beat)

Possibility 1 requires that she go back to her primary doc and get her meds adjusted. Possibility 2 requires that she make a schedule and have reminders given to her so she doesn't forget her meds.

Possibility 3 would mean that some testing needs to be done. A simple ECG when her BP is high would be enough to rule out the issue. If she has an arrythmia, then she will need to get to a cardiologist and further investigate the issue. Most of the time, the addition of a Beta Blocker medication (eg Atenolol or Propanolol or Metoprolol) would be enough to settle the issue. Now I'm not a cardiologist, so i don't want to start guessing.

Get her to her primary doc and show them the records of your BP checks. That will guide them as to what adjustments need to be done.

Hope this helps, feel free to follow-up

Vin

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

Follow up: Dr. Vinay Bhardwaj (44 minutes later)

I have taken ECG and have reports with me.
I am not able to attach to this query.
So will generate a new query and attach the reports.
Please check and let us know if you see issue with ECG report.

Regards,
XXXX

Answered by Dr. Vinay Bhardwaj (36 hours later)

Brief Answer:
No Arrythmia on ECG

Detailed Answer:
Hey there XXXXXXX there are no arrythmias that I can see on these ECG's. So I think we can safely say that possibility 3 is ruled out. We should concentrate on the first 2 possibilities now.

Vinay

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

Follow up: Dr. Vinay Bhardwaj (3 hours later)

Dear doctor,

Thanks for reply.

OK, we will monitor taking timely medicines.

Did the attached report show Lead-III data?
Is Lead-III data required for diagnosis?

Regards,
XXXX

Answered by Dr. Vinay Bhardwaj (3 days later)

Brief Answer:
Didn't see lead III

Detailed Answer:
Hi XXXXXXX I can't see lead 3 data in there. Though I really don;t tgink it would tell us very much that the other leads wouldn't tell us.

Vinay

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