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Suggest Treatment For High Blood Pressure In An Elderly Person

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Posted on Thu, 10 Nov 2016
Twitter Thu, 10 Nov 2016 Answered on
Twitter Wed, 30 Nov 2016 Last reviewed on
Question : Iam a 63 year old man just took my blood pressure Walgreens Cystic -157 Diastolic -97 pluse70. Is it a big concern?
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Answered by Dr. Ilir Sharka (48 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Your actual blood pressure values are a little elevated (above the normal ranges), but it is not really concerning.

From the other hand, a single value of high blood pressure does not indicate chronic arterial hypertension.

It could also happen in healthy individuals during physical or emotional stress.

For this reason, I would recommend you to closely monitor your blood pressure values frequently during the day (in sitting position after 10 minutes of total relax) for a week. You should write those values down.

If your blood pressure values is most of the time above 135/85 mmHg, you should consult with your attending physician, refer him these blood pressure values. In such case besides a careful physical exam, some other tests will be needed to exclude possible secondary causes of high blood pressure:

- a resting ECG
- a chest X ray study
- complete blood count for anemia
- blood electrolytes
- kidney and liver function tests for possible dysfunction
- thyroid hormone levels for possible dysfunction
- fasting glucose for diabetes
- blood lipid profile for dyslipidemia.

If your blood pressure values remain elevated above the normal ranges most of the time, you may need to start anti-hypertensive therapy.

Some lifestyle modifications will also help maintain normal blood pressure values:

- reduce salt and caffeine intake
- perform a lot of physical activity (walking, aerobics, etc.)
- try to lose some pounds if you are overweight.

Hope to have been helpful!

Kind regards,

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

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

Cardiologist

Practicing since :2001

Answered : 9511 Questions

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Suggest Treatment For High Blood Pressure In An Elderly Person

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Your actual blood pressure values are a little elevated (above the normal ranges), but it is not really concerning. From the other hand, a single value of high blood pressure does not indicate chronic arterial hypertension. It could also happen in healthy individuals during physical or emotional stress. For this reason, I would recommend you to closely monitor your blood pressure values frequently during the day (in sitting position after 10 minutes of total relax) for a week. You should write those values down. If your blood pressure values is most of the time above 135/85 mmHg, you should consult with your attending physician, refer him these blood pressure values. In such case besides a careful physical exam, some other tests will be needed to exclude possible secondary causes of high blood pressure: - a resting ECG - a chest X ray study - complete blood count for anemia - blood electrolytes - kidney and liver function tests for possible dysfunction - thyroid hormone levels for possible dysfunction - fasting glucose for diabetes - blood lipid profile for dyslipidemia. If your blood pressure values remain elevated above the normal ranges most of the time, you may need to start anti-hypertensive therapy. Some lifestyle modifications will also help maintain normal blood pressure values: - reduce salt and caffeine intake - perform a lot of physical activity (walking, aerobics, etc.) - try to lose some pounds if you are overweight. Hope to have been helpful! Kind regards, Dr. Iliri