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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Precautions Needs To Be Taken For Fluctuating BP Levels?

I was on a airplane from Jamanca to St. Louis. after the take off I couldnt catch my breath. An on board doctpe doctor check me. My blood Pressure was 222. The next 3 hours I was on oxygen, but that was no help. ENT came on board and put me in an ambulance. My BP started coming down. after several test and 4 hours later I was released. My BP was back to normal. What cause this and how can I avoid ths in the future. I am a 72 year old female. Thank You, Pat
Tue, 7 Oct 2014
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Psychiatrist,  's  Response
Hi welcome to HCM.
You have high altitude sickness.This can occur in both acclamatized and unacclamatized individuals.This is due to sudden drop in oxygen levels in the inspired air leading to elevation of blood pressure and heart rate.Antihypertensives like enalaprilat is the main stay of treatment in this hypertensive urgency.Since your blood pressure now returned to baseline,i advice you to have a baseline EKG and 2 dimensional echo to assess the cardiac reserve of your heart.Avoid long overhaul travel in near future again.Consult your cardiologist for further queries.
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What Precautions Needs To Be Taken For Fluctuating BP Levels?

Hi welcome to HCM. You have high altitude sickness.This can occur in both acclamatized and unacclamatized individuals.This is due to sudden drop in oxygen levels in the inspired air leading to elevation of blood pressure and heart rate.Antihypertensives like enalaprilat is the main stay of treatment in this hypertensive urgency.Since your blood pressure now returned to baseline,i advice you to have a baseline EKG and 2 dimensional echo to assess the cardiac reserve of your heart.Avoid long overhaul travel in near future again.Consult your cardiologist for further queries. Thank you