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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why My BP Goes Down As Pulse Increases?

I went to the ER a week ago & was told I have hypertension. I have no family Dr & the ER Doc gave me a Rx for Norvasc 5mg. My BP was running about 165/98 & after a week on the meds, it s averaging around 142-160/92-100. I walked 3 1/2 miles today & when I returned home, my BP was 122/72 but my pulse was 122.. After my pulse slowed, I checked my BP again & it was 150/86. Why would my BP go down as my pulse increased?
Tue, 24 Mar 2015
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Cardiologist,  's  Response
Hello! Thank you for asking on HCM! Generally speaking, BP and heart rate may have several patterns of relationships with each other: they may change in the same direction (for example increase in a hyperdynamic state) direction, change in the opposite direction (for example in different cardiomyopathies). As BP is e production of cardiac output and peripheral vascular resistance I would recommend you first to perform a cardiac ultrasound to investigate cardiac performance and any possible structure disorders. I recommend you to frequently monitor your BP and discuss with your doctor about therapy modification if feasible.
Hope to have been helpful to you. Greetings! Dr. Iliri
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Why My BP Goes Down As Pulse Increases?

Hello! Thank you for asking on HCM! Generally speaking, BP and heart rate may have several patterns of relationships with each other: they may change in the same direction (for example increase in a hyperdynamic state) direction, change in the opposite direction (for example in different cardiomyopathies). As BP is e production of cardiac output and peripheral vascular resistance I would recommend you first to perform a cardiac ultrasound to investigate cardiac performance and any possible structure disorders. I recommend you to frequently monitor your BP and discuss with your doctor about therapy modification if feasible. Hope to have been helpful to you. Greetings! Dr. Iliri