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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Tingling In The Arms, High Blood Pressure. Reason? History Of Breast Cancer

Hello. I'm a 44 year old female with history of breast cancer. Double mastectomy and several reconstructive surgeries. Blood pressure has been high at times, but generally normal. I had a massive headache yesterday, accomplanied by a constant tingling sensation in my left arm, and my blood pressure was 186 over 123. I went to the emergency room at the suggestion of my GP. All tests were normal (ekg, cardiac enzymes, chest xray). I received BP lowering meds and was sent home with BP hovering at 142 over 85. It's back to 157 over 112 today. Arm is still tingly, although not as much as yesterday. I have an appointment with my GP tomorrow afternoon (ER said wait two days then go to GP). Wondering if you have any initial on what could be causing this? The tingling has happened a few times in the last several months and I attributed it to perhaps the implant sitting on a nerve or something along those lines.
Fri, 3 May 2013
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Cardiologist 's  Response
Dear Ma'm,
Thanks for writing to us.
1. Definitely you have high blood pressure and it needs to be taken care for. It takes some time (typically 1-2 weeks) for different first line drugs to achieve their full effect. Hence it will take some more time for your BP to be optimally controlled. If you get more bothersome complaints or a BP more than 160/100 mm-Hg you should see your doctors earlier.
2. A tingling sensation, if it is present for last several months (with your BP being normal) should be seen as an isolated event (not related to High BP). However if you are unaware of your BP at those times, a correlation may exist. This requires an examination to look for other signs of neurological deficit/irritation/compression and if none is present it may be relatively benign. A sudden increase in BP may also be associated with such neurological phenomenons. Please discuss with your GP ans subsequently to a neurologist, if he suggests so.
Feel free to discuss further.
Sincerely
Sukhvinder Singh
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Tingling In The Arms, High Blood Pressure. Reason? History Of Breast Cancer

Dear Ma m, Thanks for writing to us. 1. Definitely you have high blood pressure and it needs to be taken care for. It takes some time (typically 1-2 weeks) for different first line drugs to achieve their full effect. Hence it will take some more time for your BP to be optimally controlled. If you get more bothersome complaints or a BP more than 160/100 mm-Hg you should see your doctors earlier. 2. A tingling sensation, if it is present for last several months (with your BP being normal) should be seen as an isolated event (not related to High BP). However if you are unaware of your BP at those times, a correlation may exist. This requires an examination to look for other signs of neurological deficit/irritation/compression and if none is present it may be relatively benign. A sudden increase in BP may also be associated with such neurological phenomenons. Please discuss with your GP ans subsequently to a neurologist, if he suggests so. Feel free to discuss further. Sincerely Sukhvinder Singh