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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hypertension

Hello doctor, My fiance is 31 years old, he has recently been diagnosed with hypertension. his BP was 230/100. He has a family history of hypertension from both maternal and paternal realtions. He regularly excercises, mantains a healthy diet. HAs recently quit smoking.we have been monitoring his BP regularly and it fluctuates every day. For Example- yesterday was 180/100, today it is 190/90. Please suggest which doctor in bangalore we should refer.
Thu, 9 Jun 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
In my opinion, we should start antihypertensive drug in his case.
His blood pressure readings are suggestive of hypertension and he is also having strong family history of hypertension, so no need for wait to start antihypertensive drug.
In young age, angiotensin receptor blocker (ARB) are the treatment of choice.
ARB includes telmisartan, losartan etc.
Better to consult cardiologist for this.
Because in hypertension, we should rule out systemic involvement like kidney, heart, retina etc.
So he will need kidney function test, ecg, 2d echo and retinal examination.
So consult cardiologist and discuss all these.
In bangalore, Columbia Asia hospital is having good cardiology department. So consult there.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your fiance. Thanks.
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Suggest Treatment For Hypertension

Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should start antihypertensive drug in his case. His blood pressure readings are suggestive of hypertension and he is also having strong family history of hypertension, so no need for wait to start antihypertensive drug. In young age, angiotensin receptor blocker (ARB) are the treatment of choice. ARB includes telmisartan, losartan etc. Better to consult cardiologist for this. Because in hypertension, we should rule out systemic involvement like kidney, heart, retina etc. So he will need kidney function test, ecg, 2d echo and retinal examination. So consult cardiologist and discuss all these. In bangalore, Columbia Asia hospital is having good cardiology department. So consult there. Hope I have solved your query. I will be happy to help you further. Wishing good health to your fiance. Thanks.