I am new to the board. I am looking for information for my husband. He is 32 and now beeing evaluated for HTN. since his early 20's he has had a bp average of 140's / 80's - 90's(that is far back as our records go - he did have a bp of 150/86 at 18) It never really dawned on us to be concerned. Recently my husband has had bp's of 183/96, 170's/90's and back to his normal w/ an occasional 150's / 90's. He had been monitered for the past month w/ 3 readings a week.
At this time no medication has been started (my husband wants to find cause first), but labs have been ran (no results yet).
We are wondering if there is an underlying condition we need to look for, or further testing to run besides blood work? Can this be a "normal" for someone to have bp of 140's / 90's and not have to take bp meds?
He also has a low pulse rate - generally in the low 60's, w/ occasional mid 40's - high 50's. (I have just recently went through his medical records the last 15 years and compiled a spreed sheet discovering this information.)
I also find it very interesting that is tempeture is on average 97.6 and was low as 96.4. On the few occasions when he went to the doctor for stomach flu, vomiting his temp was never higher than 97.4
My husband has never done drugs or smoked, drank alocohol maybe 4 times in whole life. He is 5'11, Medium frame, wt. 210lbs (not fat all muscle) He is altheletic, exercises regulary with weights & mild arobics.
We are just puzzled as to why his bp is high - since his does not have any risk factors. The only risk factor we can think of is a high sodium diet.
He is wondering if he should consider loosing some weight - less weight lifting, more arobic. Doctors tell him "per the charts he is obese" LOL but his is fit. We are wondering if the added muscle weight could contribute.
He used to take creatine & high protein shakes/suppliments but hasn't the last 5-6 years.
If any one can shed some light on this situation, or lead us to other avenues of health concerns please let me know.
Causes, I think are seldom found. Most of the time there are no known causes. Personally, he should cut his sodium and some weight reduction might help. But sometimes HBP just happens with no apparent cause. It's genetic, I guess.
He probably shoould be on some type of HBP med especially if he gets up into the 170'-180's.
Hey, alot of times some get on one and never have a problem and BP comes down really nice.
It is easy for a bodybuilder to look "good" at 5'11" and 210# but unless he's of competition quality, he's probably overweight...doctor was trying to overstate his case with the word obese...doctors DO that!
With a 20 pound weight loss, your husband will probably lower his BP by 10 points or better and if he can mange to lose mostly FAT, at 190# he'll probably look ASTOUNDING.
I'm 3 inches taller with a very large frame and a good deal of muscle and I consider my ideal weight below 200 pounds. I am still dieting gently as I bang against the topside of 200. I exercise 5 times a week...3 with weights.
Can he still fit into a pair of 34 inch pants (or 32's?)
I have a friend with a normal body temperature of 96.8 and if he runs a 98.6 he is sick as a dog but if checked by a strange doctor, his fever will get pooh-poohed. But that's as close as the analogy gets because he has BP's that runs like 105/65.
My husband is not of "competition quality" (well to me he is to me lol) He does fit into 34's as long as he can find wide legs; relaxed fit.(why do you ask?) Thinking back he did look good at 190lbs but anything less he looks skinny (if my memory serves correct) - too skinny for his liking. His b/p was also in the 140's/90's at that time.
Wow - over 6ft & 200lbs?! muscular? What kind of exerise do you do when you are not doing weights? How much arobics & how long?
He was wondering about increasing the arobics, and doing a less weights; maybe he should increase the arobics and maintain the current program he is doing for weights and see where that takes him.
He has been trying to decrease the sodium; but his choices are limitted.
I too think it might be a good thing to start HTN meds, but he is hesitant because of the long term use of them - I am concerned of his diastolic being in the 90's & the long term affect of that.
He did have labs done years ago when he was 194lbs and his cholestorol was beautiful as a total, but his HDL was low.
If you find a solution, I'd like to hear about it. Your husband's characteristics are similar to mine except for I used to drink and smoke. I'm a 28 year old male, athletic, and have had spouts of high blood pressure (150/90 +/- 10) with a low pulse rate (50-65) for at least the past 5 years. Like your husband, my HDL level is low ~37 but my other lab results are normal.
I'm pressuring my doctor to find the root cause because I haven't had much success with drugs -- only modest success with diuretics. I currently take a low dose of hydrochlorothiazide, which is a diuretic, and my bp is now 140/85 +/- 5.
You may want to ask the dr if he has ruled out hypothyroidism. It could be the cause of your husband's low heart rate and his low body temp. Your husband's blood tests should have data for TSH (thyroid stimulating hormone) levels too. If the TSH levels are abnormal, then he could have a thyroid issue.
Sleep apnea can also cause high blood pressure. Sleep apnea is a condition where a person stops breathing when they are asleep or their breathing is obstructed. If your husband snores a lot, then this could be an issue.
I too wondered about hypothyroid because of some signs. He has often mentioned that he has always felt tired, and has intollerant to cold, and other things.
But when you look up any disease or illness there seems to always be something that "could" fit your symptoms.
How long have you been taking HTN meds? Is your provider more focused on the dyastolic, or concerned about the systolic as well? What is the goal measure your provider would like to keep you at?
How old were you when you were first diagnosed w/ HTN? 23 or soo?
I personally am the one w/ sleep apnea, but haven't ever thought about him; he does mention he is often tired, and dosen't sleep well. I will have to question him further about that; unfortently he is out of town for an extended period of time, so I do not know if he is snoring, or having any problems.
I was diagnosed with HTN last September and have been taking meds since then. However, my BP has been borderline for the last 3-4 years. My dr's were always unsure whether to give me meds or not because my BP would be high and then normal a while. Now, I have a dr. who wants to treat HTN agressively and her goal is lower my BP to 120/80. So far, I'm taking a diuretic and it's the only drug that has lowered my BP, but not enough.
I don't have hypothyrodism. My dr. looked at my blood TSH (thyroid stimulating hormone) level and determined that my THS level is normal.
At this point, I want my dr. to rule out secondary causes. I had an appointment today and requested to see a HTN specialist. She referred me to kidney specialist. I'll see if they find anything. I am also concerned about sleep apnea because I snore and always usually don't feel rested when I wake up.
Can you let me know how your sleep apnea was diagnosed? What are you doing to treat it? I would appreciate it.
If he can still get into a pair of 34" pants at 5'11" and 210# his weight is not his problem. No need for him to bother wioth weight loss unless he wants to get more "cut."
If the doctor says "obesity" again have you husband offer to trade pants with him. He really IS all muscle.
Test at home every day, relaxed and in a comfy chair. Take 3 readings and average them or choose the middle value of each (systolic mean and diastolic mean) and record them for a month. Compare the monthly average with 140/90. If a teeny bit over, he can try salt restriction (not easy)...if more than a teeny bit over he needs to confront the choice of a lifetime of drugs. MANY of us are on that road. It's not TOO bad, but it's no bed of roses either...the drugs ALL have consequences.
Thanks Lenin - I will pass this info on to my husband.
I do wonder, even though majority of his weight is muscle, it probally couldn't hurt if he dropped 10/20 lbs or so to see if it would ease up, but honestly I doubt it.
He has already cut back the salt as much as he can, some readings were his usual, some "normal" and a few spiked. I think he will have to try medication. I know him and if he has any funky side affects he'll want to discontinue it. He is so "anti drugs" even regular rx's, and will ony consider something if it is an ABSOLUTE necessity. - of course this is one of those situations. We are waiting for labs to come back, and will make the decision from there.