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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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High Blood Pressure In The Hospital. Normal When Relaxed. Cause?

hello doc, my question is this , whenever i go to the hospital and have a medical checkup,my blood pressure is very high(180/104) i know that iam very nervous and have an anxiety whenever the nurse or the doctor is taking my B.P..but when i check it outside it decreases significantly(134/85).. I regularly monitor my bp and i only got high bp readings during exercise 150-160/110-105.My b.p is low before i sleep 118-125/69-77..Why is it that only in the hospital that i get high b.p readings..
Mon, 6 May 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

There is an entity - White Coat Hypertension...BP is high as seen my the doctor / normal elsewhere. It is generally due to Anxiety - out pouring adrenal hormones raising the pressure...
It is wiser to confirm this - by Ambulatory Blood Pressure Monitoring...discuss with your doctor..
[There are some less common causes of episodic hypertension like Pheochromocytoma... may have to be ruled out, if BP is high at other situations too...]

Take care
Wishing speedy recovery
God bless
Good luck
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High Blood Pressure In The Hospital. Normal When Relaxed. Cause?

Hi friend, Welcome to Health Care Magic There is an entity - White Coat Hypertension...BP is high as seen my the doctor / normal elsewhere. It is generally due to Anxiety - out pouring adrenal hormones raising the pressure... It is wiser to confirm this - by Ambulatory Blood Pressure Monitoring...discuss with your doctor.. [There are some less common causes of episodic hypertension like Pheochromocytoma... may have to be ruled out, if BP is high at other situations too...] Take care Wishing speedy recovery God bless Good luck