I Have A Up And Down Blood Pressure And Heart

Posted on Sat, 20 Apr 2019

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

Sat, 20 Apr 2019 Answered on

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Question : I have a up and down blood pressure and heart rate for the past 24 hours inconsistently...example ..142/108/127, to 115/86/73 to most recently 115/94/107. Have been under extreme stress taking care of an adult daughter who had serious back surgery a month ago. Sleep deprivation and anxiety persist along with shortness of breath and some global chest tightness. Irritability.

Answered by Dr. Ilir Sharka (29 minutes later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I understand your concern and would explain that these blood pressure fluctuations are quite normal due to the stresful situation that you are going through.

But if your diastolic blood pressure values are persistently high ( above 100mm Hg), I would recommend increasing the doses of your anti hypertensive drugs.

Regarding your shortness of breath, I would recommend consulting with your attending physician for a physical exam and some tests:

- complete blood count for anemia
- a resting ECG and cardiac ultrasound in order to examine your heart function and structure
- a chest X ray study and pulmonary function tests
- fasting glucose
- blood electrolytes.

An exercise cardiac stress test may be necessary to exclude possible coronary artery disease.

Hope you will find this answer helpful!

Kind regards,

Dr.Ilir Sharka, Cardiologist

Above answer was peer-reviewed by : Dr. Kampana