Suggest Remedy For High BP While Under Stress

Posted on Mon, 12 Oct 2015

Question: Hello doctor,
I was a smoker and drinker nearabout 3.5 yrs. On XXXXXXX 8th XXXXXXX 15, i have stopped smoking completely bcoz of shortness of breath. breathing problem is cure now.on 1st july 15 , have done stress test and 2d echo, it was normal. On 14th August 15, i have stopped drinking completely. In between 10 to 15 setp 15, my bp shoot to 150/90,might be , on that day in office,i was very stress and had a tension due to office work.so i went to hospital in evening , that time BP was 144/90 but ECG was abnormal, DR. Says no need to worry, you have taken lot of tension thats why its happen.On next day , i checked BP again, it was 140/90, so Dr. Says, its happening bcoz of stress and huge thinking. and i was feeling some mild pain in left side of chest and sometimes in both side of chest. Dr. Advise me betacap 40 mg capsule in morning for one month.

Please advise.

Answered by Dr. Anantharamakrishnan (34 minutes later)

Brief Answer:
Proper treatment / Keep following

Detailed Answer:
Hi friend
Welcome to Health Care Magic

The range for the upper figure (Systolic) is 90 to 140 mm Hg.
The range for the lower figure (Diastolic) is 60 to 90 mm Hg.
Your pressure is on the higher side.. whatever the cause, it needs treatment
Betacap is propranolol – a beta adrenergic blocker / it is useful both for anxiety and blood pressure
Continue to take it / keep following up / you are in good hands…
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Stress and anxiety also need to be addressed. Psychological assessment and assistance can help. Yoga, relaxation techniques are useful and may be taught by them…
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Your triglyceride level is not alarming – Normal = less than 150 / Borderline = 150 to 199.
Eat fewer calories / Limit natural sugars:
Eat small, frequent meals and do not skip meals
Avoid late-night snacking
Add omega-3 fats in your diet
Lose weight if you are overweight
Do regular physical activity – at least half an hour a day / 5 days in a week
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Your cholesterol is not alarming… LDL is bad cholesterol – lower, the better / 100 (in ischemia, 70) is the aim.
Need Life style changes - weight to normal / No tobacco or alcohol / Diet and exercise

Repeat the tests in 2 to 3 months
If still high, you need drugs (manufactured in the liver, determined by heredity.)
Statin is the first choice.
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Prognosis is generally excellent in such situations

Good luck
God bless you

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

Follow up: Dr. Anantharamakrishnan (32 minutes later)

thank you so much doctor! :)

i will follow your valuable advise.

Do i need to worry about mild pain and mild heaviness in chest? is it life threatening situation? my doctor also suggested me tryptomer 10 mg after having dinner. could you please suggest me on this also, ? waiting for your suggestion sir...

Answered by Dr. Anantharamakrishnan (1 hour later)

Brief Answer:
NO worry

Detailed Answer:
Hi

No need to worry
It is not life-threatening
Normal stress test is very reassuring and practically rules out heart as cause of your symptom
Great that you stopped tobacco and alcohol – that ensures good long term health
The drug is an ant-depressant and will help in your stress

Regards

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

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