What Causes Persistent Elevated Systolic Pressure?

Posted on Sun, 3 May 2015

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

Sun, 3 May 2015 Answered on

Mon, 25 May 2015 Last reviewed on

Question : Recently I have been experiencing very high Systolic pressure however my Diastolic pressure is in normal to low range - I know this is not normal Latest BP this morning 188/74?? I was recently prescribed Celebrex for Knee injury and have been on it for March and April at 200 mg/day. I stopped taking it 3 days ago as I was having abnormal side effects of sore throat, fainting followed by vo9moting. Also experiencing hot and cold , clammy smytoms - these aren't normal for me howver my BP is of concern. I am having full R knee re-construction and AI a keeping a record by 3 per day of Bp. All the Systolic levels are well over 140.
Your advise would be appreciated - I mentioned to my Gp last week however he seemed unconcerned.
Regards XXXX

Answered by Dr. Anantharamakrishnan (37 minutes later)

Brief Answer:
Need drug and follow up

Detailed Answer:
Hi friend
Welcome to Health Care Magic

A persistently elevated systolic pressure is usually due to stiffness of large blood vessels, generally with ageing. It is to be addressed just like the diastolic

Have basic investigations – like ECG, ECHOcardiography, electrolytes and kidney function

A diuretic – usually Hydrochlorothiazide(HCTZ) at low dose ( 12.5mg or less ) – is the most common drug in such a situation and has excellent outcome.
Your primary Care provider will giveappropriate prescription and follow up

Good luck
God bless you

Above answer was peer-reviewed by : Dr. Yogesh D