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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is A BP Reading Of 148/101 A Concern?

hi, I had a cva in my early 20s (pill related) side effect of epilepsy. My blood pressure has always been low. I am now mid 50s and overweight, and yesterday in a routine check my bp is 148/101. Is it dangerous? can I bring it down by changing my lifestyle or do I have to take medication?
Mon, 23 Jul 2018
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Cardiologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I would explain that a single spike in blood pressure values could be related to different causes : increased salt or caffeine intake, anxiety, etc.. Anyway, I would recommend you to closely monitor your blood pressure values frequently during the day for a week. If your blood pressure values are above the normal ranges (130/85mm Hg) most of the time, starting anti-hypertensive therapy may be needed. I would also recommend performing some tests (complete blood count, thyroid hormone levels, blood electrolytes, fasting glucose, kidney and liver function tests, etc.. ) to investigate for secondary causes of arterial hypertension. In the meantime, I would recommend reducing salt and caffeine intake in your diet and performing a lot of physical activity.

Hope I have answered your query. Let me know if I can assist you further.
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Is A BP Reading Of 148/101 A Concern?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would explain that a single spike in blood pressure values could be related to different causes : increased salt or caffeine intake, anxiety, etc.. Anyway, I would recommend you to closely monitor your blood pressure values frequently during the day for a week. If your blood pressure values are above the normal ranges (130/85mm Hg) most of the time, starting anti-hypertensive therapy may be needed. I would also recommend performing some tests (complete blood count, thyroid hormone levels, blood electrolytes, fasting glucose, kidney and liver function tests, etc.. ) to investigate for secondary causes of arterial hypertension. In the meantime, I would recommend reducing salt and caffeine intake in your diet and performing a lot of physical activity. Hope I have answered your query. Let me know if I can assist you further.