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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Fluctuations In BP?

I am a female,age 66,weigh 149 lbs....for the last 2 months my BP has been flutating ,,sometimes as high as 195 over 90,then later mayby 175 over 80...is this dangerous..I am taking BP medicine,went to my Dr. last week,he put me on another BP med...now taking 2 BP medicines...only have taken it 1 itime ,this morning ..this afternoon I hd a headache and my reading was 195 over 90
posted on Fri, 14 Mar 2014
Twitter Thu, 29 Dec 2016 Answered on
Twitter Fri, 30 Dec 2016 Last reviewed on
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Cardiologist,  's  Response
Hi
your systolic blood pressure is very high , you are grade 3 systolic hypertension, this is termed as hypertensive emergency and injectible anti hypertensives will be administered in order to cause any end organ dmage once the blood pressure settles down to normal, you would be switched on to oral medicines.A hypertensive emergency (Systolic over 180 or diastolic over 120)(formerly called "malignant hypertension") is hypertension (high blood pressure) with acute impairment of one or more organ systems (especially the central nervous system, cardiovascular system and/or the renal system) that can result in irreversible . In most cases, the administration of an intravenous sodium nitroprusside injection, which has an almost immediate antihypertensive effect,once bp is controlled you would be switched over to oral medication.
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What Causes Severe Fluctuations In BP?

Hi your systolic blood pressure is very high , you are grade 3 systolic hypertension, this is termed as hypertensive emergency and injectible anti hypertensives will be administered in order to cause any end organ dmage once the blood pressure settles down to normal, you would be switched on to oral medicines.A hypertensive emergency (Systolic over 180 or diastolic over 120)(formerly called malignant hypertension ) is hypertension (high blood pressure) with acute impairment of one or more organ systems (especially the central nervous system, cardiovascular system and/or the renal system) that can result in irreversible . In most cases, the administration of an intravenous sodium nitroprusside injection, which has an almost immediate antihypertensive effect,once bp is controlled you would be switched over to oral medication.