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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For High BP, Pain In Left Arm And Shoulder

i have high blood pressure 177/117 then went down to 145/113 they have changed my tblets from methadopa 250mg 2 tabs 3 times a day to lisnopril 5mg a day is this to low of a drop in meds all of a sudden and they still have not increased it having niggly pains in my left arm and shoulder i am 41 years old my dad died at 56 heart attack my weight is 13st im 5ft 4
Wed, 26 Jul 2017
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Cardiologist 's  Response
Hi
according to jnc hypertension is classified as      
Normal     Prehypertension     120-139     Or 80-89
Stage 1 hypertension     140-159     Or 90-99
Stage 2 hypertension     ≥160     Or ≥100
You are in stage 3 hypertension that is severe high blood pressure
injectible anti hypertensive would be administered to you to lower your blood pressure, you should contact the nearest ER.A hypertensive emergency (Systolic over 180 or diastolic over 120. In most cases, the administration of an intravenous sodium nitroprusside injection, which has an almost immediate antihypertensive effect, is suitable.once controlled you would be shifted to oral medicines.

hypertensive urgency will be treated by parentral anti hypertensive along with that stress test and 2d echo would be done to rule out the effect so grade 3 hypertension on you heart, pain in the shoulder can be angina also hence the above mentioned tests should be done as soon as posssible thank you
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Suggest Remedy For High BP, Pain In Left Arm And Shoulder

Hi according to jnc hypertension is classified as Normal Prehypertension 120-139 Or 80-89 Stage 1 hypertension 140-159 Or 90-99 Stage 2 hypertension ≥160 Or ≥100 You are in stage 3 hypertension that is severe high blood pressure injectible anti hypertensive would be administered to you to lower your blood pressure, you should contact the nearest ER.A hypertensive emergency (Systolic over 180 or diastolic over 120. In most cases, the administration of an intravenous sodium nitroprusside injection, which has an almost immediate antihypertensive effect, is suitable.once controlled you would be shifted to oral medicines. hypertensive urgency will be treated by parentral anti hypertensive along with that stress test and 2d echo would be done to rule out the effect so grade 3 hypertension on you heart, pain in the shoulder can be angina also hence the above mentioned tests should be done as soon as posssible thank you