Have Hypertension, Taken Amtas. ECG Showed Slower Heart Beat. Blood Test Showed SGPT And SGOT. High Uric Acid. What Could Be The Reason?

Posted on Thu, 5 Apr 2012

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

Thu, 5 Apr 2012 Answered on

Fri, 6 Jul 2012 Last reviewed on

Question : Hello. I am 24 this year and went to the doc a few weeks back because I needed him to write out my medical history as I was required to submit it together with my cadet pilot application. Found out that my BP at that time was 168/98. I was shocked to see such a number. The second time he measured within 5 mins dropped down to 155/90. He then used the his manual mercury gauge and his stethoscope and said was 140/85 after another 5 mins. I was 190cm tall and 112kg but because applying for the cadet pilot, I started to exercise and lost about 5 kg in a month. In the doc's office I was about 107kg. He gave me some AMTAS-5 to consume every morning.

After this shocking episode, I did a full blood test and ECG. Doc said ECG was fine but I had a slower heart beat (55bpm) and I don't look athletic. Blood test result came back with acceptable HDL and LDL levels, some minor problems he highlighted to me were higher than normal SGPT (64H mu/ml) and SGOT (37H mu/ml) which indicated that I had fatty liver. I also had high uric acid level (8.8H mg/dl). Kidney tests and all others came out fine but said I had slight anemia. MCV was 68 L fl and MCH 21.6 L pg. My red blood cell count was slightly higher 6.43 H x10^12/L.

What could be the reason for my hypertension? I went and bought myself a simple automatic blood pressure arm monitor and measured daily every day and night, readings were jumping from as low as 120/79 (when I had a 30min run on the previous day) to a maximum of 161/100 (averaging at about 150/88). I also changed my diet to a low-salt, low-fat and low-carb diet which only consists of veg and fish and morning POST cereals. I was on AMTAS-5 (amlodipine) for 10 days while on this diet now and still don't see much difference in my BP. Just before posting this my BP was 161/84 and weight is 105kg. Please help. Very depressed when you get this at a young age of 24.

Follow up: Dr. Prabhakar C Koregol (7 minutes later)

I forgot to mention that I don't drink or smoke. Thanks.

Answered by Dr. Prabhakar C Koregol (1 minute later)

You seem to suffering from hypertension and looks like its "Brittle" Now white coat hypertension also need to ruled out. Please have abulatory 24 Hr BP monitoring and base on the reading we can think what could be possible etiology if you have realhypertension.

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

Follow up: Dr. Prabhakar C Koregol (14 minutes later)

How do I have abulatory 24Hr BP monitoring?

Answered by Dr. Prabhakar C Koregol (10 hours later)

There is small equipment that will be tied around your arm and it will recording BP at pre specified interval like once in 15-30min. Go to clinic or hospital and ask for Ambulatory BP monitoring. After wearing it you can go about your work normally and after 24hrs you need to go back to hospital where they will analyse data and give you report.

Note: For further queries related to coronary artery disease and prevention, click here.

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