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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should Be The BP Levels Before Surgery?

Hello, I just left from having a pre op phy, Dr. said ekg showed possible enlarged heart and my bp (wo/meds) was 140/100, I will have to see a cardio dr before surgery. what should BP be before surgery ? Can a enlarged heart be made normal thru diet and exersice ? if yes, how long could it take? Thanks
Fri, 5 May 2017
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Pulmonologist,  's  Response
Hello.
Thanks for posting at HCM.
Enlarged hart on ECG may be due to left ventricular hypertrophy due to high blood pressure. But there are other causes and types of enlarged heart which should be ascertained. I recommend you a 2 D echo of the heart to see what chambers of the heart are enlarged and if there is any leak between the valves.
Treatment depends on the findings of 2 D echo.
If it can be reversed by diet and exercise, again depends on the 2 D echo findings.
Menawhile since your pressures are found to be high, monitor them regularly for three weeks and if the readings are persistently high, then you should be started on BP medications.
Wishing you good health.
Regards
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What Should Be The BP Levels Before Surgery?

Hello. Thanks for posting at HCM. Enlarged hart on ECG may be due to left ventricular hypertrophy due to high blood pressure. But there are other causes and types of enlarged heart which should be ascertained. I recommend you a 2 D echo of the heart to see what chambers of the heart are enlarged and if there is any leak between the valves. Treatment depends on the findings of 2 D echo. If it can be reversed by diet and exercise, again depends on the 2 D echo findings. Menawhile since your pressures are found to be high, monitor them regularly for three weeks and if the readings are persistently high, then you should be started on BP medications. Wishing you good health. Regards