Do Systolic Levels Of 228 Require Medical Attention?

Posted on Wed, 13 Dec 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 13 Dec 2017 Answered on

Mon, 14 May 2018 Last reviewed on

Question : My father is 91 and his systolic is 228. Don't know the other number. Should I worry?

Answered by Dr. Ilir Sharka (27 minutes later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that his blood pressure values are really high.

Considering also his age, he may be at risk for a cerebral hemorrhage or a heart attack.

For this reason, I recommend bringing him as soon as possible at the ER for a careful physical exam, a resting ECG, a brain CT scan and some blood lab tests.

Meanwhile, I would recommend putting a tablet Captopril under his tongue.

What is his actual therapy? If you do not have Captopril at home, then you should give him one tablet from his usual anti-hyperntensive therapy.

Hope you will find this answer helpful!

Let me know about everything!

Kind regards,

Dr. Iliri

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar