Hi,
When you talk about blood pressure 160/101, we talk about a high diastolic blood pressure (regardless of your age), and a high systolic blood pressure (depending on your age). As you probably already know,
hypertension is a disease that favors the appearance of others, or better said, is a risk factor for others. To answer your first question '' what causes fatigue,
shortness of breath and dizziness? Taking into account the background you mention (although it would be very useful to obtain more data), it makes me think that you are not really having good control of your blood pressure.
Blood pressure varies, depending a lot during the day depending on physical activity, when you eat, when you sleep, as well as your
heart rate. You also mention having a heart rate of 122, which translates into medical terms such as
tachycardia. The causes of this and more common are the following: infectious processes,
dehydration, fever, cardiac arrhythmias, as well as an increase in your blood pressure that causes your heart to increase its frequency to maintain an adequate blood perfusion to your organs. To answer the second question '' when to attend the emergency for evaluation? '' I think it is the right time to attend an emergency, since many digital tensiometers do not show true blood pressure figures. It would be very important that you get a proper physical examination, and that a cardiologist sees you.
The cardiologist will probably request studies such as blood pressure monitoring in 24 hours, 24-hour cardiac monitoring, urine test,
echocardiogram, blood tests, and perhaps a brain
tomography, mainly to assess whether there is damage to white organs (kidney, heart , brain) and depending on his criteria, you will be given the appropriate treatment. He will decide if the medication you currently use should continue, increase dose, suspend, add another or change it, just as if you present an arrhythmia he would place an adequate treatment, but for that the doctor will need to see you.
Hope I have answered your query.
Let me know if I can assist you further.
Regards,
Dr. Luis Alberto Urdaneta Arenas,
General & Family Physician