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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fluctuating Blood Pressure Levels?

Hi, my blood pressure is 170/110. I started taking Lisinopril 10 mg two weeks ago but my blood pressure is fluctuating. Sometimes goes up to 180/110 and then it would drop to 160/90. Should I go to see a cardiologist? I don t have medical insurance but I will have Medicare August 1st Thanks Beata
posted on Fri, 21 Apr 2017
Twitter Sun, 14 May 2017 Answered on
Twitter Tue, 16 May 2017 Last reviewed on
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General & Family Physician,  's  Response
Hi welcome to the health care magic

You are diagnosed as hypertension case

Continue prescribed antihypertensive medication and improvement will take some time

But in my opinion before labelling it as essential hypertension rule out secondary hypertension causes like.....
-kidney affection
-psychological causes
-endocrine disorder like acromegaly, Cushing disease etc
-cardiovascular causes

Investigation that are beneficial are....
-Serum sodium, potassium to rule out aldesteronism
-Serum urea, creatinine
-EKG
-urinary metanephrine (24 hour level) did pheochromocytoma
-MRI renal angiography
-Serum TSH, T4

You can Consult cardiologist and discuss my answer to investigate for above causes as per need to rule out secondary hypertension

If no secondary cause found then your case labelled as essential hypertension....

Hope your concern solved

Take care
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What Causes Fluctuating Blood Pressure Levels?

Hi welcome to the health care magic You are diagnosed as hypertension case Continue prescribed antihypertensive medication and improvement will take some time But in my opinion before labelling it as essential hypertension rule out secondary hypertension causes like..... -kidney affection -psychological causes -endocrine disorder like acromegaly, Cushing disease etc -cardiovascular causes Investigation that are beneficial are.... -Serum sodium, potassium to rule out aldesteronism -Serum urea, creatinine -EKG -urinary metanephrine (24 hour level) did pheochromocytoma -MRI renal angiography -Serum TSH, T4 You can Consult cardiologist and discuss my answer to investigate for above causes as per need to rule out secondary hypertension If no secondary cause found then your case labelled as essential hypertension.... Hope your concern solved Take care