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Suggest Treatment To Control Blood Pressure
My father-in-law is 92 and has blood pressure of 184/83. His primary care doctor is aware of his elevated blood pressure but has not prescribed any medication. His urolgist wants to do a Cather bypass op of some sort, but last week his primary said no, blood pressure is to high to do the op. So what should we do, my wife and her sisters bought a blood pressure cuff (doctor did not order or ask the sisters to get a cuff or take blood pressure readings) and are worried that need to take him to the ER. Is that the proper course or should they wait to Monday and go see the primary?
Fri, 19 Jun 2015
Hello!
Thank you for asking on HCM!
Regarding you concern, I would recommend to continue monitoring frequently his blood pressure (it is a good idea getting a blood pressure cuff for this reason).
If blood pressure keeps going on such an abnormally high values, an antihypertensive therapy should be started.
If persistently high blood pressure values are associated with disturbing complains (headache, dizziness, extreme fatigue, vision disturbances, etc) you need to take him to the nearest ER service to have a complete evaluation health status (especially his cardiovascular and neurological conditions) and to decide on antihypertensive therapy initiation.
If his overall clinical conditions are satisfactory, though BP values are abnormally high (but not exceeding his usual BP measurement results), then you can wait and discuss next week with his primary physician.
Hope to have been helpful! Greetings! Dr. Iliri
Thank you for asking on HCM!
Regarding you concern, I would recommend to continue monitoring frequently his blood pressure (it is a good idea getting a blood pressure cuff for this reason).
If blood pressure keeps going on such an abnormally high values, an antihypertensive therapy should be started.
If persistently high blood pressure values are associated with disturbing complains (headache, dizziness, extreme fatigue, vision disturbances, etc) you need to take him to the nearest ER service to have a complete evaluation health status (especially his cardiovascular and neurological conditions) and to decide on antihypertensive therapy initiation.
If his overall clinical conditions are satisfactory, though BP values are abnormally high (but not exceeding his usual BP measurement results), then you can wait and discuss next week with his primary physician.
Hope to have been helpful! Greetings! Dr. Iliri
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