Suggest Ways To Control Hypertension In An Elderly Person

Posted on Sun, 30 Oct 2016

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

Sun, 30 Oct 2016 Answered on

Mon, 21 Nov 2016 Last reviewed on

Question : Hello! I am 51 years old and have newly diagnosed HTN. Oddly my BP ranges from the mid 120's to the high 180's Systolic and 60-low 100's Diastolic. I sweat at night in the sternal area. When the pressure rises I get a headache. With exertion, I get syncopal. I work as an RNFA and passed out scrubbed. I am out of work to sort this out and get things under control. We have a strong FHX of strokes at my age even in thin people.

Answered by Dr. Benard Shehu (4 hours later)

Brief Answer:
Following advice

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

Your symptoms especially chest discomfort, headache and exercise induced syncope may be related to:
- Cardiac issues ( aortic stenosis, ischemic disease etc.)
- Neurologic problems

If you were my patient I would recommend to do the following examinations to find out what is causing your symptoms:
- Blood work
- Ecg
- Cardiac echo
- Holter monitoring
- Stress test
- Head ct scan

Hope this will be of help!
Wish you health!
Dr. Shehu

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

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