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Is BP Of 132/80 And Pulse Of 50 A Cause For Concern?

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Posted on Tue, 25 Aug 2015
Question: hi i have blood pressure of
132/80 pulse 50
doctor
Answered by Dr. Ilir Sharka (39 minutes later)
Brief Answer:
An alternative anti-hypertensive treatment would be advisable.

Detailed Answer:

Hello XXXX!

Thank you for asking on HCM!

Regarding your concern, I would like to explain that your blood pressure value is within the target range. So nothing to worry about!

Your heart rate of 50 bpm, is rather low, considering the fact you are taking Atenolol 50 mg.

it is very important to closely monitor your blood pressure and heart rate values frequently for a couple of days (several times daily and write them down), to better understand the real trend of these vital parameters and decide the optimal anti-hypertensive management strategy.

Despite you are having actually clinical symptomatology or not (dizziness, fatigue, etc), I would recommend you (after controlling your BP and HR values for a couple of days) to discuss with your prescribing (attending) doctor to possibly avid Atenolol form your therapy, as beta-blockers may affect cardiac performance (are negative inotropic agents), as well as overall physical performance, facing your young and physically active age.

If I were your doctor, I would choose other more safe alternatives, like ACEIs (ramipril, lisinopril, etc), ARBs (valsartan, telmisartan, irbesartan, etc), or a calcium channel blocker (Amlodipine, Lercanidipine, etc).

Meanwhile, controlling possible high body weight, engaging on regular physical activity, avoiding close smoking contact, following a healthy life style and diet, may even obviate the need for a medication mediated strategy of high BP control.

Hope to have been helpful to you!

If you have any further uncertainties, feel free to ask me whenever you need! Greetings! Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (26 minutes later)
Thankyou
i just like taking the atenol because it helps with anxiety and does lower the blood pressure
but im worried do you think pulse to low when i dont take ateneol puse ok but bp high feel i cant win but atenol stops me panicking

it slow pulse dangerous
XXXX
doctor
Answered by Dr. Ilir Sharka (19 minutes later)
Brief Answer:
Atenolol isn't the best strategy for anxiety.

Detailed Answer:

Dear XXXX!

Atenolol is a well known agent in decreasing some aspects associated with anxiety (even boxers sometimes use it before fighting, to decrease potential tremor), but as I said you above, when used on a regular basis, it may decrease you overall physical performance (physical strain capacity, sexual performance, etc).

I recommend you to discuss with a specialist on the field (a psychiatrist) for better managing your panic attacks and anxiety.

If after controlling anxiety (which usually may require several weeks of treatment to resolve), high blood pressure values persist again, I recommend to talk to your doctor for possibly considering any of the above mentioned anti-hypertensive alternatives.

Best regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (3 minutes later)
ok thankyou
so if i continued to use atenol though it be ok for my heart rate to be slow as atenol works for me
XXXX
doctor
Answered by Dr. Ilir Sharka (8 minutes later)
Brief Answer:
It depends on you which strategy to follow.

Detailed Answer:

Dear XXXX!

You may keep taking Atenolol, as far as it is not causing you any obvious symptomatology of decreased physical performance.

But, I am telling you that other efficacious anxiolytics agents may show effective to definitely cure your anxiety disorders, and obviate the need to take further drugs (even Atenolol).

Nevertheless, it depends completely on you to decide which strategy to follow.
You need to discuss with your GP or internist first.

Greetings!

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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Is BP Of 132/80 And Pulse Of 50 A Cause For Concern?

Brief Answer: An alternative anti-hypertensive treatment would be advisable. Detailed Answer: Hello XXXX! Thank you for asking on HCM! Regarding your concern, I would like to explain that your blood pressure value is within the target range. So nothing to worry about! Your heart rate of 50 bpm, is rather low, considering the fact you are taking Atenolol 50 mg. it is very important to closely monitor your blood pressure and heart rate values frequently for a couple of days (several times daily and write them down), to better understand the real trend of these vital parameters and decide the optimal anti-hypertensive management strategy. Despite you are having actually clinical symptomatology or not (dizziness, fatigue, etc), I would recommend you (after controlling your BP and HR values for a couple of days) to discuss with your prescribing (attending) doctor to possibly avid Atenolol form your therapy, as beta-blockers may affect cardiac performance (are negative inotropic agents), as well as overall physical performance, facing your young and physically active age. If I were your doctor, I would choose other more safe alternatives, like ACEIs (ramipril, lisinopril, etc), ARBs (valsartan, telmisartan, irbesartan, etc), or a calcium channel blocker (Amlodipine, Lercanidipine, etc). Meanwhile, controlling possible high body weight, engaging on regular physical activity, avoiding close smoking contact, following a healthy life style and diet, may even obviate the need for a medication mediated strategy of high BP control. Hope to have been helpful to you! If you have any further uncertainties, feel free to ask me whenever you need! Greetings! Dr. Iliri