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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated BP, Stiffness In Chest And Severe Ankle Pain?

my blood pressure is normal in the mornings, but as the evening approaches it elevates to 148/92 pulse rate 113 . some of the symptoms are stiffness in the chest and severe pain on the inner part of lest ankle. I am a 44 yr female. I currently take losinopril 1x daily. what would you advise
posted on Fri, 14 Mar 2014
Twitter Tue, 26 Aug 2014 Answered on
Twitter Tue, 26 Aug 2014 Last reviewed on
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Psychiatrist,  's  Response
Hi,welcome to HCM.
Diurnal blood pressure fluctuations with chest discomfort largely point to early features of congestive cardiac failure.I strongly suggest you to undergo an early 2Dimensional echocardiography to document heart failure.A baseline EKG can give clue to elevated heart rate.Exercise testing in the form of tread mill testing can give vital clues to associated coronary ischemia which can precipitate heart failure.Treatment includes antihypertensives and diuretics.Consult your cardiologist for further queries.
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What Causes Elevated BP, Stiffness In Chest And Severe Ankle Pain?

Hi,welcome to HCM. Diurnal blood pressure fluctuations with chest discomfort largely point to early features of congestive cardiac failure.I strongly suggest you to undergo an early 2Dimensional echocardiography to document heart failure.A baseline EKG can give clue to elevated heart rate.Exercise testing in the form of tread mill testing can give vital clues to associated coronary ischemia which can precipitate heart failure.Treatment includes antihypertensives and diuretics.Consult your cardiologist for further queries. Thank you