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Board: High & Low Blood Pressure 08-14-2013, 04:16 PM
Replies: 4
Views: 1,680
Posted By atengnr
Re: BP during sex?

I wouldnt be worried about a BP of 175 during "exertion". I would be surprised if your BP is 115 systolic when you are running on a treadmill....It should be much higher than that.
Board: High & Low Blood Pressure 08-06-2013, 10:42 AM
Replies: 1
Views: 611
Posted By atengnr
Re: High Blood Pressure and Pulse Rate

If all the basic causes (low hemoglobin, hyperthyroidism, lung problems, pain, medications that cause elevated pulse) of increased pulse have been ruled out, then it is quite possible that this is...
Board: High & Low Blood Pressure 08-06-2013, 10:22 AM
Replies: 2
Views: 618
Posted By atengnr
Re: BP down, but could the reason be so simple

Given that you were eating processed meats and cheeses, you were consuming a high sodium diet, so one would expect a significant reduction in BP with cutting this out. Processed meats are some of...
Board: High & Low Blood Pressure 08-03-2013, 07:30 PM
Replies: 1
Views: 917
Posted By atengnr
Re: Short PR Interval and Fainting

a short PR interval with a QRS abnormality suggestive of pre-excitation could be a tip off for Wolf-Parkinson-White Syndrome. This syndrome can produce a re-entrant tachycardia. Can also be other...
Board: High & Low Blood Pressure 08-03-2013, 07:26 PM
Replies: 1
Views: 476
Posted By atengnr
Re: athlete's heart hypertrophy and hypertension

I think that telltales would be diastolic function for one. hypertensive LVH can cause diastolic abnormalities, while exercise-induced does not. Additionally, chamber volume is preserved in...
Board: High & Low Blood Pressure 07-26-2013, 02:21 PM
Replies: 1
Views: 558
Posted By atengnr
Re: Bp both arms 80/45 legs 119/75 help

While your leg BP should be a bit higher than your arms, a difference of the magnitude you mention is not normal. Are you sure that the arm pressures are correct (correct cuff size, accurate gauge)?...
Board: High & Low Blood Pressure 07-26-2013, 02:16 PM
Replies: 3
Views: 583
Posted By atengnr
Re: bystolic

take tylenol
Board: High & Low Blood Pressure 07-24-2013, 03:55 PM
Replies: 1
Views: 578
Posted By atengnr
Re: LISS Cardio vs weight lifting

I think that while there is some data that suggests that aerobic exercise may be better than weight-lifting for reducing BP, if you are doing a physical activity 2that elevates her HR to something...
Board: High & Low Blood Pressure 06-29-2013, 08:39 AM
Replies: 5
Views: 2,752
Posted By atengnr
Re: Lowering high BP within a few days - my experience

This is great however, I would suggest that if you had taken several readings per day, after resting for 15 minutes prior to taking your BP reading, you would have found that you didn't actually have...
Board: High & Low Blood Pressure 06-18-2013, 03:50 PM
Replies: 8
Views: 712
Posted By atengnr
Re: 41 year, genetic cause of HBP, help...

The best you can do is lose weight (to your ideal body weight) and lower your sodium (ideally less than 2500 mg per day, but unless you are very carefully reading labels, making your own breads, etc....
Board: High & Low Blood Pressure 06-18-2013, 03:46 PM
Replies: 14
Views: 2,511
Posted By atengnr
Re: renin , high bp, high cholestrol teenager low aldosterone

He is a high renin hypertensive (assuming the blood was collected properly), and thus should be started on agents that inhibit the renin-angiotensin-aldosterone axis; namely ace inhibitors or...
Board: High & Low Blood Pressure 06-16-2013, 07:53 PM
Replies: 2
Views: 1,492
Posted By atengnr
Re: 26 yr old male 144/91 bp

Well, I bp in the 140s is not something you should ignore in the long-term....It raises your risk for stroke, heart attack and heart failure to name a few.

If you are overweight, you should...
Board: High & Low Blood Pressure 06-13-2013, 04:10 PM
Replies: 3
Views: 617
Posted By atengnr
Re: exercise and weaning off of metoprolol

There is no reason you cant exercise as much as you want on the basis of your beta blocker or the fact that you are weaning off of it.
Board: High & Low Blood Pressure 06-13-2013, 04:00 PM
Replies: 11
Views: 1,172
Posted By atengnr
Re: can 139/80 back to 120/80 for 41 years old?

Your belief appears to make you feel better, but I thought you should be aware of what decades of data has very consistently shown.
Board: High & Low Blood Pressure 06-13-2013, 03:50 PM
Replies: 16
Views: 7,623
Posted By atengnr
Re: Bystolic to Metoprolol

Harmful is the incorrect term and is not what I suggested in my posts in this thread.... Beta blockers do not prevent the long-term effects of having hypertension as effectively as the other classes...
Board: High & Low Blood Pressure 06-12-2013, 10:02 AM
Replies: 11
Views: 1,172
Posted By atengnr
Re: can 139/80 back to 120/80 for 41 years old?

That is patently false. Every mmHg above 115/75 raises your cardiovascular risk. It does not matter if you are 20 or 100 years of age. Your doc needs to do some reading.

BP does increase with...
Board: High & Low Blood Pressure 06-12-2013, 09:55 AM
Replies: 16
Views: 7,623
Posted By atengnr
Re: Bystolic to Metoprolol

What you state does not make sense....you will have hypertension for a lifetime going forward, and so you should to take a drug that offers the best health outcomes. Nevertheless, I encourage you to...
Board: High & Low Blood Pressure 06-12-2013, 09:49 AM
Replies: 7
Views: 842
Posted By atengnr
Re: Hypercalciuria, Hyperparathyroidism and Meds

MENS= multi-endocrine neoplasia. In the case of MEN 2, one of the common diseases seen is pheo, which you state you were screened for.
Board: High & Low Blood Pressure 06-11-2013, 02:52 PM
Replies: 11
Views: 1,172
Posted By atengnr
Re: can 139/80 back to 120/80 for 41 years old?

If youre a salt-sensitive hypertensive, then improve in diet and exercise will lower your bp rather effectively. This does not prove to be true in everyones case however.

Really the only drug...
Board: High & Low Blood Pressure 06-11-2013, 02:43 PM
Replies: 3
Views: 878
Posted By atengnr
Re: 31 and Scared. Need help.

If youre BP without meds in is <160/100 on average (taken as resting bp after relaxing at least 10 min prior to taking a reading) then you do not need to start medications. You can attempt to lose...
Board: High & Low Blood Pressure 06-11-2013, 09:10 AM
Replies: 7
Views: 842
Posted By atengnr
Re: Hypercalciuria, Hyperparathyroidism and Meds

I ask because if you did have this in the family I would be concerned that you may have MEN 2A syndrome, which would strongly raise the suspicion that you have pheochromocytoma as the cause of your...
Board: High & Low Blood Pressure 06-10-2013, 12:37 PM
Replies: 7
Views: 842
Posted By atengnr
Re: Hypercalciuria, Hyperparathyroidism and Meds

Have you or someone in the family had thyroid cancer??
Board: High & Low Blood Pressure 06-09-2013, 05:50 AM
Replies: 1
Views: 790
Posted By atengnr
Re: Scared - Accidentally doubled up on BP meds

I think that you would likely have experienced an issue already if you were going to have an issue.
Board: High & Low Blood Pressure 06-09-2013, 05:44 AM
Replies: 4
Views: 906
Posted By atengnr
Re: Concerned about blood pressure.

You need either your resting bp or a 24 hr ambulatory bp to determine if you pressure is elevated. The reality is that your blood pressure is not supposed to remain the same all day. If you go up a...
Board: High & Low Blood Pressure 06-09-2013, 05:32 AM
Replies: 16
Views: 7,623
Posted By atengnr
Re: Bystolic to Metoprolol

While metoprolol and all beta blockers lower cuff-measured blood pressure quite effectively, they are alarmingly INEFFECTIVE at preventing the adverse effects of high blood pressure over time. I...
Board: High & Low Blood Pressure 06-08-2013, 06:56 AM
Replies: 4
Views: 906
Posted By atengnr
Re: Concerned about blood pressure.

You need to relax in a sitting position for at least 10 minutes before taking your bp. Non-resting bps cannot be compared to the current standards defining high blood pressure (other than a 24 hr...
Board: High & Low Blood Pressure 06-07-2013, 09:00 AM
Replies: 10
Views: 946
Posted By atengnr
Re: need some advice

beta blockers are not appropriate therapy for panic attacks. You should see an internist.
Board: High & Low Blood Pressure 06-07-2013, 07:34 AM
Replies: 16
Views: 7,623
Posted By atengnr
Re: Bystolic to Metoprolol

I strongly advise against going to metoprolol! It is a pure beta blocker without any vasodilation, which leads to impaired exercise tolerance, cold extremities. If you want a relatively good...
Board: High & Low Blood Pressure 05-19-2013, 12:39 PM
Replies: 3
Views: 1,099
Posted By atengnr
Re: Recent High Blood Pressure

Are you resting for 10-15 minutes before taking a reading? This is important in order to get your true resting bp.
Board: High & Low Blood Pressure 05-19-2013, 12:37 PM
Replies: 5
Views: 769
Posted By atengnr
Re: Where do I go from here?

I urge you to avoid beta blockers unless it is your last resort. They are lousy drugs, with negative effects on energy, exercise capacity, lipids, and sometimes mood. Calcium channel blockers are...
Board: High & Low Blood Pressure 05-14-2013, 04:27 AM
Replies: 14
Views: 2,511
Posted By atengnr
Re: renin , high bp, high cholestrol teenager low aldosterone

Is he African American? if not, he should be on an ace inhibitor or an ARB first.

Is he overweight? His BP and lipids are suggestive of some impaired glucose metabolism. If he is overweight...
Board: High & Low Blood Pressure 05-01-2013, 11:55 AM
Replies: 12
Views: 1,517
Posted By atengnr
Re: atenolol withdrawal help

Your next best drug would be verapamil for tachycardia. Cardizem could also be tried.
Board: High & Low Blood Pressure 04-28-2013, 08:26 AM
Replies: 3
Views: 2,336
Posted By atengnr
Re: "Well-worried" female seeking info on how to correctly stop taking aspirin...

You don't have any reason to be taking aspirin. You can safely stop it without doing anything else.
Board: High & Low Blood Pressure 04-28-2013, 08:22 AM
Replies: 12
Views: 1,517
Posted By atengnr
Re: atenolol withdrawal help

Sure sounds like withdrawal. It took me about 2 months to get back to normal after quitting betaxolol (similar to Atenolol) in November, after taking for nearly a decade. Do your best to wait it...
Board: High & Low Blood Pressure 04-28-2013, 08:19 AM
Replies: 1
Views: 439
Posted By atengnr
Re: Wide intracranial arteries caused by chronic hypertension?

If you don't have aneurysms, I wouldn't worry about it. You should be concerned about getting your bp under control if it is high. Do you often run in the 190s??

By definition, a TIA does not...
Board: High & Low Blood Pressure 04-28-2013, 08:11 AM
Replies: 3
Views: 909
Posted By atengnr
Re: did my high bp cause a mini stroke

This is very likely not a TIA (ministroke). Migraine is a good possibility, but as far as hypertension causing these symptoms, it is possible, and would be called hypertensive emergency, due to...
Board: High & Low Blood Pressure 04-24-2013, 04:14 PM
Replies: 8
Views: 927
Posted By atengnr
Re: High top line

With pressures in the 170s, you really should be on medication as well. I would recommend lisinopril, losartan, or Norvasc.
Board: High & Low Blood Pressure 04-24-2013, 11:18 AM
Replies: 1
Views: 464
Posted By atengnr
Re: Altitude, oxygen and blood pressure

Your body adjusts to changes in O2 content in the air indeed. Initially, one may breath faster, but over time, you will produce more red blood cells as needed to maintain adequate delivery of...
Board: Cancer: Breast 04-23-2013, 07:17 PM
Replies: 3
Views: 1,104
Posted By atengnr
Re: confused about diagnosis and suggested treatment

One consideration the dr may want to rule out cancer cells in the region near where the biopsy was taken, that was not sampled by the biopsy needle.
Board: High & Low Blood Pressure 04-19-2013, 07:32 PM
Replies: 7
Views: 922
Posted By atengnr
Re: Beta Blockers

I quit in November after a decade on beta blockers. Things have long been back to normal, since perhaps January. Youll get there, just wait it out.
Board: High & Low Blood Pressure 04-19-2013, 11:07 AM
Replies: 9
Views: 2,532
Posted By atengnr
Re: Blood pressure obsession

Many folks (including you) seem to worry that you are going to die from high blood pressure. I can assure you that with a BP of 150/100 you will live for decades without a problem. BPs in the range...
Board: High & Low Blood Pressure 04-19-2013, 11:04 AM
Replies: 2
Views: 552
Posted By atengnr
Re: low blood pressure

NSAIDs (ASA, ibuprofen, naproxyn, etc) should not be used in an attempt to raise BP. Not only is it unlikely to be effective, it causes many side effects including GI bleed, gastritis, and can harm...
Board: High & Low Blood Pressure 04-18-2013, 11:02 AM
Replies: 8
Views: 927
Posted By atengnr
Re: High top line

You have systolic hypertension because of age related changes to your blood vessels. They are stiffer than a younger persons, producing systolic hypertension. You might try to get your systolic to...
Board: High & Low Blood Pressure 04-18-2013, 10:57 AM
Replies: 3
Views: 673
Posted By atengnr
Re: prevent high blood pressure

Preventing hypertension is generally known to involve - maintaining a healthy weight, following the "DASH" diet, minimizing sodium intake, exercise, smoking cessation.
Board: High & Low Blood Pressure 04-17-2013, 08:24 PM
Replies: 8
Views: 927
Posted By atengnr
Re: High top line

How old are you?
Board: High & Low Blood Pressure 04-16-2013, 04:05 AM
Replies: 3
Views: 895
Posted By atengnr
Re: normal blood pressure, low pulse

What beta blockers have you tried?? They all cause fatigue, but its worth experimenting to see which is most tolerable. Your options are metoprolol succinate, carvedilol, and bisoprolol. If your BP...
Board: High & Low Blood Pressure 04-14-2013, 04:46 PM
Replies: 3
Views: 639
Posted By atengnr
Board: High & Low Blood Pressure 04-14-2013, 09:19 AM
Replies: 3
Views: 639
Posted By atengnr
Re: MVP and blood pressure question

Lopressor does lower blood pressure and is commonly used to treat hypertension. If you blood pressure is running wow less than 140/90, it is reasonable to stop the cozaar and monitor your bp to see...
Board: High & Low Blood Pressure 04-12-2013, 03:50 AM
Replies: 10
Views: 25,808
Posted By atengnr
Re: High blood pressure at night

I do suggest that you see a doctor who offers ambulatory blood pressure monitoring. Get a 24 hr monitor and you will no longer have anything to wonder about.
Board: High & Low Blood Pressure 04-11-2013, 02:09 AM
Replies: 2
Views: 457
Posted By atengnr
Re: I want to stop Zestril

Stop it, just in case its the Zestril causing these symptoms. I would recommend that you do not taper it or anything, because of the risk that your symptoms are that of developing angioedema.
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