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What Do My Lab Test Reports Indicate?
Question: Rishu, I am still compiling my BP records taken over a period of time.
One thing that puzzles me. Why does my BP fall so much between the first take and the third. Just a short period of 5 minutes will see my Systolic drop by as much as 15% and the diastolic by 10% approx. Appreciate your thoughts. My head still gets very hot as the day proceeds. Regards xxxxxxxxxxx
One thing that puzzles me. Why does my BP fall so much between the first take and the third. Just a short period of 5 minutes will see my Systolic drop by as much as 15% and the diastolic by 10% approx. Appreciate your thoughts. My head still gets very hot as the day proceeds. Regards xxxxxxxxxxx
Brief Answer:
Follow up answer!
Detailed Answer:
Hi again,
Sorry for the delayed reply,
Inflating and deflating the cuff again and again within a short span of time is responsible for this variation. However a 10% variation of blood pressure recorded in a few minutes is almost insignificant.
while recording BP two times, a lag period of 5-8 minutes should be given. So, when you record the readings next time, take 1st reading deflate the cuff, relax for 5 min and again take the second reading. If the difference still persists please inform me.
Kindly post the question as speciality query (simply go to Ask a Specialist, then select Cardiology from the category) alternatively you can even post them as a direct query to me .
Thank you
Follow up answer!
Detailed Answer:
Hi again,
Sorry for the delayed reply,
Inflating and deflating the cuff again and again within a short span of time is responsible for this variation. However a 10% variation of blood pressure recorded in a few minutes is almost insignificant.
while recording BP two times, a lag period of 5-8 minutes should be given. So, when you record the readings next time, take 1st reading deflate the cuff, relax for 5 min and again take the second reading. If the difference still persists please inform me.
Kindly post the question as speciality query (simply go to Ask a Specialist, then select Cardiology from the category) alternatively you can even post them as a direct query to me .
Thank you
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Dr Rishu,
I have just completed 2 weeks of monitoring. Perhaps I did it the wrong way but it has produced some interesting results. I have had a marked improvement in the averages. My method was to take BP at four times during the day at roughly the same time. I recorded the lowest of 3 takes which resulted in the third always being the lowest. As I already said the drop from first take to third was in the late evening as much as 155/92 down to 135/87. I have exercised with walking most days and have now enrolled in a gym together with my wife who needs to exercise her painful back.
My averages are 9am 115/79 midday 125/82 5pm 134/88 Late 139/89
My pulse is always between 60-68 unless I have exercised which is about 80bpm.
I am really pleased.
My head still gets hot in the evenings especially and if I am a bit stressed. Its like a band around my forehead plus a mild headache. How my head feels is always an indicator of a higher BP. I strongly suspect that I am susceptible to caffeine and am changing to decaffeinated types in the hope that this will help. I have just read a report that caffeine has a strong negative effect on over 70 year olds.
I am not on any medication whatsoever. I do take a half of Mirtazapine if I am feeling that I need a solid nights sleep. This works for me but even that small amount causes constipation for two days. I am an extremely nervous type but with a driven personality which has brought business success. i don't relax easily. However I do try breathing exercises. I play guitar and write songs in my studio www.mickburch.com and occasionally perform which leaves me nervously exhausted. Why? Its addictive.
Thank you for your comments. I really appreciate being able to turn to Healthcaremagic. Doctors in the UK do not have the time and simply issue drugs.
Regards
xxxxxxxxxxxxxx
I have just completed 2 weeks of monitoring. Perhaps I did it the wrong way but it has produced some interesting results. I have had a marked improvement in the averages. My method was to take BP at four times during the day at roughly the same time. I recorded the lowest of 3 takes which resulted in the third always being the lowest. As I already said the drop from first take to third was in the late evening as much as 155/92 down to 135/87. I have exercised with walking most days and have now enrolled in a gym together with my wife who needs to exercise her painful back.
My averages are 9am 115/79 midday 125/82 5pm 134/88 Late 139/89
My pulse is always between 60-68 unless I have exercised which is about 80bpm.
I am really pleased.
My head still gets hot in the evenings especially and if I am a bit stressed. Its like a band around my forehead plus a mild headache. How my head feels is always an indicator of a higher BP. I strongly suspect that I am susceptible to caffeine and am changing to decaffeinated types in the hope that this will help. I have just read a report that caffeine has a strong negative effect on over 70 year olds.
I am not on any medication whatsoever. I do take a half of Mirtazapine if I am feeling that I need a solid nights sleep. This works for me but even that small amount causes constipation for two days. I am an extremely nervous type but with a driven personality which has brought business success. i don't relax easily. However I do try breathing exercises. I play guitar and write songs in my studio www.mickburch.com and occasionally perform which leaves me nervously exhausted. Why? Its addictive.
Thank you for your comments. I really appreciate being able to turn to Healthcaremagic. Doctors in the UK do not have the time and simply issue drugs.
Regards
xxxxxxxxxxxxxx
Brief Answer:
Good luck!
Detailed Answer:
Hi Great to hear that you are doing well.
Just keep following the things as adviced and you will be much more better very soon.
Mirtazapine is not the drug of choice to relieve your anxiety or to get a tight sleep,It has a number of side effects.Ask you primary physician to advice you either Etizolam or Clonazepam for that,Its much safer then Mirtazapine and you can take it as and when required to cope up with your anxiety levels.
Thank you!
Stay healthy.
Good luck!
Detailed Answer:
Hi Great to hear that you are doing well.
Just keep following the things as adviced and you will be much more better very soon.
Mirtazapine is not the drug of choice to relieve your anxiety or to get a tight sleep,It has a number of side effects.Ask you primary physician to advice you either Etizolam or Clonazepam for that,Its much safer then Mirtazapine and you can take it as and when required to cope up with your anxiety levels.
Thank you!
Stay healthy.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Kampana
Answered by
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