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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hypertension

Hi I have been experiencing hypertension for yrs and as of recent I can't get it under control. I 'm a female 56yrs of age. I am concerned because I'm also having discomfort in my back and my chest and arm. I recently went to my usual MD and was put on more meds, norvasc, lisinopril,, atenenol and zanax. My discomfort is worse in the evening, I don't go back to my primary until 3wks. In the mean time Im going to schedule a stress test. I want make sure I'm on the right track
Wed, 13 May 2015
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General & Family Physician,  's  Response
Hello, and welcome to HCM,

It is very normal for blood pressure to fluctuate, even in a matter of minutes and stress definitely can make blood pressure go up temporarily. Blood pressure can be elevated when patients come in to see their doctor for an appointment and then decrease by the end of the visit. This is quite common. Hormones that are produced when we are stressed make the heart beat faster and the blood vessels narrow which results in higher blood pressure.

But a blood pressure of more than 140/90 is high, particularly the diastolic number (more than 90).
If there is a stressor in your life that you anticipate will be ongoing, and you have tried behavioral things to bring it down such as various relaxation techniques without benefit, then it would be appropriate to start a low dose antihypertensive (blood pressure lowering) medication. Your blood pressure without stress is already on the borderline for high blood pressure. You may also want to consider a medication for managing ongoing stress such as an "SSRI".

I wish you well, and hope that this information helps.
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Suggest Treatment For Hypertension

Hello, and welcome to HCM, It is very normal for blood pressure to fluctuate, even in a matter of minutes and stress definitely can make blood pressure go up temporarily. Blood pressure can be elevated when patients come in to see their doctor for an appointment and then decrease by the end of the visit. This is quite common. Hormones that are produced when we are stressed make the heart beat faster and the blood vessels narrow which results in higher blood pressure. But a blood pressure of more than 140/90 is high, particularly the diastolic number (more than 90). If there is a stressor in your life that you anticipate will be ongoing, and you have tried behavioral things to bring it down such as various relaxation techniques without benefit, then it would be appropriate to start a low dose antihypertensive (blood pressure lowering) medication. Your blood pressure without stress is already on the borderline for high blood pressure. You may also want to consider a medication for managing ongoing stress such as an SSRI . I wish you well, and hope that this information helps.