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What Are Some Possible Causes My B/p Has A Spread Over 70 Points Between Systolic ?
Posted on
Mon, 19 Oct 2020
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 19 Oct 2020
Answered on
Wed, 4 Jun 2025
Last reviewed on
Question : My b/p has a spread over 70 points between systolic and diastolic pressures. What are some possible causes?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello,
Regarding your concern, let me explain that increased difference between systolic and diastolic pressure values (what is called widened pulse pressure) may be present in several clinical conditions:
- aortic valve regurgitation (when an important blood amount returns back in left ventricle during diastole),
- increased thyroid gland function (hyperthyroidism),
- anemia
- arteriovenous fistula,
- increased arterial stiffness as in the elderly people
When considering the clinical significance of a widened pulse pressure it is necessary to perform a comprehensive examination of the cardiovascular system and additional homeostatic parameters (hemoglobin, thyroid hormones, etc,)
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
cardiologist
I would explain as follows:
Detailed Answer:
Hello,
Regarding your concern, let me explain that increased difference between systolic and diastolic pressure values (what is called widened pulse pressure) may be present in several clinical conditions:
- aortic valve regurgitation (when an important blood amount returns back in left ventricle during diastole),
- increased thyroid gland function (hyperthyroidism),
- anemia
- arteriovenous fistula,
- increased arterial stiffness as in the elderly people
When considering the clinical significance of a widened pulse pressure it is necessary to perform a comprehensive examination of the cardiovascular system and additional homeostatic parameters (hemoglobin, thyroid hormones, etc,)
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
cardiologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
When I take Lisinopril I wake up choking on phlegm, that I have to spit out. Phlegm can happen from a couple of spits to 2 ounces in a cup. I am logging this and only taking the Lisinopril about 4 days apart. I'm on a 2.5 mg dose. I'm afraid of choking or at least losing sleep. Any suggestions for my doctor?
Brief Answer:
Opinion as follows:
Detailed Answer:
Hello again!
Let me explain that Lisinopril may exacerbate coughing in 4% up to 70% of patients. It is an important adverse effect that may lead to drug withdrawal.
This is true, especially in patients having any previous history of broncho-pulmonary disorder, previous smokers, etc.
Coming to this point, I would recommend discussing with your attending physician on the opportunity of performing a careful pulmonary function review and possibility changing the anti-hypertensive medication to another more safe alternative in this regard, such as a calcium channel blocker.
Hope to have been helpful!
Wishing you good health!
Regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hello again!
Let me explain that Lisinopril may exacerbate coughing in 4% up to 70% of patients. It is an important adverse effect that may lead to drug withdrawal.
This is true, especially in patients having any previous history of broncho-pulmonary disorder, previous smokers, etc.
Coming to this point, I would recommend discussing with your attending physician on the opportunity of performing a careful pulmonary function review and possibility changing the anti-hypertensive medication to another more safe alternative in this regard, such as a calcium channel blocker.
Hope to have been helpful!
Wishing you good health!
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Opinion as follows:
Detailed Answer:
Hello again!
Let me explain that Lisinopril may exacerbate coughing in 4% up to 70% of patients. It is an important adverse effect that may lead to drug withdrawal.
This is true, especially in patients having any previous history of broncho-pulmonary disorder, previous smokers, etc.
Coming to this point, I would recommend discussing with your attending physician on the opportunity of performing a careful pulmonary function review and possibility changing the anti-hypertensive medication to another more safe alternative in this regard, such as a calcium channel blocker.
Hope to have been helpful!
Wishing you good health!
Regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hello again!
Let me explain that Lisinopril may exacerbate coughing in 4% up to 70% of patients. It is an important adverse effect that may lead to drug withdrawal.
This is true, especially in patients having any previous history of broncho-pulmonary disorder, previous smokers, etc.
Coming to this point, I would recommend discussing with your attending physician on the opportunity of performing a careful pulmonary function review and possibility changing the anti-hypertensive medication to another more safe alternative in this regard, such as a calcium channel blocker.
Hope to have been helpful!
Wishing you good health!
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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