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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Eclampsia, Having Medication As Below, Blood Pressure Problem. What Shall I Take?

I am neetha,i was having eclampsia and was consuming nifedipine20mg bd and aten 100mg od.now im 44th post operative day aftr delvery.2weeks before when my bp got reduced to 100/70 i stopped nifedipine as per doctors order.now my bp is110/70.nw do i want take aten?i reduced my dose to 50mg.I'm
hvng albumin trace.do i want to continue any drt
Fri, 19 Apr 2013
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Cardiologist 's  Response
Ideally, you should see if atenolol can be tapered down further and see if you need it for BP control; after eclampsia or preeclampsia, a proportion of patients continue to have sustained high blood pressure (less than 30%). Therefore, it will be important in your case to find out after giving you a chance of tapering down and finally being off. The best method for evaluation once off medications would be an ambulatory blood pressure monitoring. Nevertheless, even if you don't end up now with a diagnosis of high blood pressure, you need regular medical follow up, since some patients do develop earlier hypertension if they had these obstetric disorders, which are now recognized by us cardiologists as an additional risk factor for heart disease for women later on in their lives.

Hope it helps.

Dr Brenes-Salazar
Mayo Clinic Rochester
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Eclampsia, Having Medication As Below, Blood Pressure Problem. What Shall I Take?

Ideally, you should see if atenolol can be tapered down further and see if you need it for BP control; after eclampsia or preeclampsia, a proportion of patients continue to have sustained high blood pressure (less than 30%). Therefore, it will be important in your case to find out after giving you a chance of tapering down and finally being off. The best method for evaluation once off medications would be an ambulatory blood pressure monitoring. Nevertheless, even if you don t end up now with a diagnosis of high blood pressure, you need regular medical follow up, since some patients do develop earlier hypertension if they had these obstetric disorders, which are now recognized by us cardiologists as an additional risk factor for heart disease for women later on in their lives. Hope it helps. Dr Brenes-Salazar Mayo Clinic Rochester