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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes An Elevation In The BP Level Despite Taking Medication?

Hi my dad had a mild stroke last week Thursday. His blood pressure soared to 224 after his doctor prescribed him sleeping pills and high blood pressure pills. He has been in the hospital since Thursday he is 65 and the doctors don t seem to understand why after the medication his blood pressure isn t normal and why it s still high at 159. I m just praying and hoping he gets better. His name is Enoch Robin and his is at the Toronto Western hospital. Can any suggestions be given. One of my friends suggested he has high blood pressure pills that he should try water pills
posted on Sat, 22 Jul 2017
Twitter Tue, 8 Aug 2017 Answered on
Twitter Tue, 8 Aug 2017 Last reviewed on
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Cardiologist,  's  Response
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that these spikes in blood pressure values could be related to the stroke.

You should know that stroke imposes a high stress to the organism, leading to increased high blood pressure values.

Other possible causes to consider would be : physical or emotional stress, thyroid dysfunction, adrenal gland dysfunction, electrolyte imbalance, kidney or liver dysfunction, etc..

For this reason, I would recommend performing further tests to investigate for the possible causes underlying his blood pressure spikes:

- a chest X ray study
- complete blood count for anemia
- kidney and liver function tests
- blood electrolytes
- thyroid hormone levels
- fasting glucose
- cortisol and aldosterone plasma levels
- PCR and ESR for inflammation.

Adding new drugs to his actual therapy may be needed in order to have a better control of high blood pressure.

You should discuss with his doctor on these issues.

Kind regards,

Dr. Iliri
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What Causes An Elevation In The BP Level Despite Taking Medication?

Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that these spikes in blood pressure values could be related to the stroke. You should know that stroke imposes a high stress to the organism, leading to increased high blood pressure values. Other possible causes to consider would be : physical or emotional stress, thyroid dysfunction, adrenal gland dysfunction, electrolyte imbalance, kidney or liver dysfunction, etc.. For this reason, I would recommend performing further tests to investigate for the possible causes underlying his blood pressure spikes: - a chest X ray study - complete blood count for anemia - kidney and liver function tests - blood electrolytes - thyroid hormone levels - fasting glucose - cortisol and aldosterone plasma levels - PCR and ESR for inflammation. Adding new drugs to his actual therapy may be needed in order to have a better control of high blood pressure. You should discuss with his doctor on these issues. Kind regards, Dr. Iliri