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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Blood Pressure?

I am a 67 yr old female. I am 5 8 tall and weigh 59 kilos. I run 3 miles 3 times a week, have a healthy diet of fruit for breakfast, sandwich lunch and main meal in the evening. I had my blood pressure taken yesterday evening and it read 170. I don t get headaches and I am very fit with lots of energy - I don t understand it! I m interested in hearing your views! Thank you
Thu, 3 Dec 2015
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General & Family Physician 's  Response
I was very pleased to read your question. It sounds like you take very good care of your health. I hope I can help.

High blood pressure can be caused by genetics, by lifestyle issues such as overweight, excessive salt intake, and smoking, by stress or anxiety, and sometimes by measurement error. I did not see in your question if you smoke or not but it sounds like you are quite health conscious, so I would suspect not.

I wonder if you have had other high blood pressure readings, and if there is high blood pressure in your family.

I would also like to know more about how your blood pressure was measured. An accurate measurement should be taken with you comfortably seated, feet supported flat on the floor, your arm supported at the level of your chest, with a properly sized cuff, after you have sat quietly for 5 minutes.

Many times, even in doctors' offices, we do not get all of that right. In particular, we usually rush people in and check blood pressure right away, without a rest. It is normal to have a higher pressure with exercise, so we get falsely high readings.

In your case, particularly given your excellent health habits, I would like to see several blood pressure measurements, taken on different dates, and look at both the top number (systolic) and the bottom number (diastolic). Research is showing us that in people over 55, if the bottom number is healthy, it is safer not to treat for a moderately high top number because we can make people light-headed and cause other side effects.

Again, I would congratulate you on the excellent job you are doing taking care of your health, and encourage you to obtain at least 1 or 2 more blood pressure readings, while sitting quietly, to see if your blood pressure is consistently high. If it is, a primary care physician can help discuss risks and benefits of treatment with you, aiming for medicine that will not interfere with your lifestyle.

I hope I have answered your question. If you have any further questions, I will be happy to help.
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What Causes High Blood Pressure?

I was very pleased to read your question. It sounds like you take very good care of your health. I hope I can help. High blood pressure can be caused by genetics, by lifestyle issues such as overweight, excessive salt intake, and smoking, by stress or anxiety, and sometimes by measurement error. I did not see in your question if you smoke or not but it sounds like you are quite health conscious, so I would suspect not. I wonder if you have had other high blood pressure readings, and if there is high blood pressure in your family. I would also like to know more about how your blood pressure was measured. An accurate measurement should be taken with you comfortably seated, feet supported flat on the floor, your arm supported at the level of your chest, with a properly sized cuff, after you have sat quietly for 5 minutes. Many times, even in doctors offices, we do not get all of that right. In particular, we usually rush people in and check blood pressure right away, without a rest. It is normal to have a higher pressure with exercise, so we get falsely high readings. In your case, particularly given your excellent health habits, I would like to see several blood pressure measurements, taken on different dates, and look at both the top number (systolic) and the bottom number (diastolic). Research is showing us that in people over 55, if the bottom number is healthy, it is safer not to treat for a moderately high top number because we can make people light-headed and cause other side effects. Again, I would congratulate you on the excellent job you are doing taking care of your health, and encourage you to obtain at least 1 or 2 more blood pressure readings, while sitting quietly, to see if your blood pressure is consistently high. If it is, a primary care physician can help discuss risks and benefits of treatment with you, aiming for medicine that will not interfere with your lifestyle. I hope I have answered your question. If you have any further questions, I will be happy to help.