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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should The ER Be Visited For Elevated BP And Skipped Heart Beats?

My husband is 83 but a young 83. He has A fib and is on Warfrin. His heart is slow and skips a beat, irregular heart beat. His pressure is usually 140/65. Tonight he could not get a reading and so used the manual machine. The best we could get is 220/80. He is under a lot of stress, not bad stuff but a lot of business pressures, packing up to leave Florida, building new house and moving, etc etc. he has no symptoms of stroke or heart attack. He is sleeping after taking 2 Lorazapram to calm him down. Urgent cares are closed. Should I be taking him to ER? At doctors 2 days ago and his BP was good. Thanks for advise
posted on Thu, 26 Apr 2018
Twitter Sun, 15 Jul 2018 Answered on
Twitter Thu, 19 Jul 2018 Last reviewed on
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Cardiologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I passed carefully through your question and would explain that his blood pressure values are really high and considering the fact that he is on Warfarin therapy, you should know that he could be at increased risk for intracranial bleeding. For this reason, if his blood pressure does not drop or if he is experiencing nausea, headache, limb numbness, speech troubles, etc.. I would recommend going to the ER for a physical exam and a brain CT scan.

Hope I have answered your query. Let me know if I can assist you further.
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Should The ER Be Visited For Elevated BP And Skipped Heart Beats?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I passed carefully through your question and would explain that his blood pressure values are really high and considering the fact that he is on Warfarin therapy, you should know that he could be at increased risk for intracranial bleeding. For this reason, if his blood pressure does not drop or if he is experiencing nausea, headache, limb numbness, speech troubles, etc.. I would recommend going to the ER for a physical exam and a brain CT scan. Hope I have answered your query. Let me know if I can assist you further.