Unusual blood pressure
Discussion
Dr Jekyll said:
Question for medics
How high does BP have to be at normal check up to count as unusually high? Not just higher than ideal or higher than healthy, but high enough to remark on it to colleagues, say the 95th percentile.
Anything in here answer your question?How high does BP have to be at normal check up to count as unusually high? Not just higher than ideal or higher than healthy, but high enough to remark on it to colleagues, say the 95th percentile.
http://content.digital.nhs.uk/catalogue/PUB09300/H...
CAPP0 said:
I think about 140/90 is the point where they start looking at it?
Sure. But I'm morbidly curious as to the level where it's no longer."Yet another patient with high BP, take more exercise eat more veg have a prescription, next patient please'
But
"Yikes! Is my machine broken? How come this guy isn't getting headaches and nosebleeds?"
Dr Jekyll said:
Sure. But I'm morbidly curious as to the level where it's no longer.
"Yet another patient with high BP, take more exercise eat more veg have a prescription, next patient please'
But
"Yikes! Is my machine broken? How come this guy isn't getting headaches and nosebleeds?"
Seem to half-remember from somewhere that the 'ohs"Yet another patient with high BP, take more exercise eat more veg have a prescription, next patient please'
But
"Yikes! Is my machine broken? How come this guy isn't getting headaches and nosebleeds?"
t' threshold is properly high - I might have imagined it but 220 systolic? Guess that's the kind of thing to fervently hope is always discovered in the chronic kidneys clinic at the hospital, not halfway through the morning's appointments at a GP surgery… I'm used to things getting 'interesting' at the other end of the scale, got my post-op PCA confiscated when I was sitting at 65/32 some years back.
Dr Jekyll said:
FlyingMeeces said:
, got my post-op PCA confiscated when I was sitting at 65/32 some years back.
BP is also age dependant. 140/90 may be considered quite high for an 18 year old, but someone who is 80, it's absolutely fine.
E65Ross said:
Dr Jekyll said:
FlyingMeeces said:
, got my post-op PCA confiscated when I was sitting at 65/32 some years back.
BP is also age dependant. 140/90 may be considered quite high for an 18 year old, but someone who is 80, it's absolutely fine.
. But more relevantly I have a condition that makes blood vessel walls stretchier than they ought to be, which was both what made that very very low BP possible and also I imagine what let me be awake and relatively lucid during it - my body's used to it! I think they were almost more weirded out by my being awake and talking than by the actual numbers. Recently been diagnosed with seriously high blood pressure (197/136 was my highest reading) and I've been on ramipril for the past three weeks or so. BP has come down quite a bit to around 150/95-ish but the side effects of the medication have been a bit grim: haven't had a solid dump for over two weeks and it's made my already dodgy joints even more painful (which has finally, after over 30 years of specialists shrugging their shoulders, been diagnosed as fibromyalgia - yay!).
On top of all this I've had a radical change in diet, more exercise than I've had in years - but I'm losing weight, getting fitter and the amitripyline I'm on for the fibromyalgia seems to be working!
There's a strong history of stroke in my family, and without treatment I'm a ticking time bomb, so I can't moan too much
On top of all this I've had a radical change in diet, more exercise than I've had in years - but I'm losing weight, getting fitter and the amitripyline I'm on for the fibromyalgia seems to be working!
There's a strong history of stroke in my family, and without treatment I'm a ticking time bomb, so I can't moan too much
A few years ago I had a reading of 205/176. The Doctor was so concerned that she called at my house on a Friday night after her GP surgery closed. She said it was the highest she had measured and wanted me to go to hospital there and then. Unfortunately, the next day Wales were playing in the Six Nations and I had arranged to watch the match with some mates in the pub so I had to decline her offer of a referral. Now I'm on five tablets a day for the foreseeable future. Wales won though so it was worth it. 
working in acute medicine, the people I deal with a generally poorly and a bit anxious. I work on 100 plus age as perfect figure, with adjustments for illness. Systolic, anything below 100 and over 200 i start to worry. Diastolic over 100 is a red flag, but normally this is slightly more than 50% of Systolic.
BP as a stand alone figure is worthless. IF it matters to you (for actual health reasons) get a cheap monitor and test it every morning, lunch and bedtime, then draw an average off that.
BP as a stand alone figure is worthless. IF it matters to you (for actual health reasons) get a cheap monitor and test it every morning, lunch and bedtime, then draw an average off that.
meehaja said:
working in acute medicine, the people I deal with a generally poorly and a bit anxious. I work on 100 plus age as perfect figure, with adjustments for illness. Systolic, anything below 100 and over 200 i start to worry. Diastolic over 100 is a red flag, but normally this is slightly more than 50% of Systolic.
BP as a stand alone figure is worthless. IF it matters to you (for actual health reasons) get a cheap monitor and test it every morning, lunch and bedtime, then draw an average off that.
I have a neat bluetooth monitor that works with a phone app to record all the measurements I take. These are then transferred to an Excel spreadsheet for analysis and trend tracking. Happily the trend is downwards, but is levelling out after my ramipril dosage was reduced due to the side-effects.BP as a stand alone figure is worthless. IF it matters to you (for actual health reasons) get a cheap monitor and test it every morning, lunch and bedtime, then draw an average off that.
Mine is a bit strange, Systolic is between 120 and 135 when I take it, usually late 120's into early 130's, however the Diastolic is always in the sixties, seems to be quite a big difference between the two, 60 to 70 mm/hg, when ideal is said to be 120/80, i.e. 40 difference, pulse rate is usually 50 something.
Not on any drugs for BP.
Not on any drugs for BP.
J4CKO said:
Mine is a bit strange, Systolic is between 120 and 135 when I take it, usually late 120's into early 130's, however the Diastolic is always in the sixties ...
I'd occasionally checked mine with a cheap Braun wrist monitor, getting systolic around 95 which seemed perfect. But while at the doc's a few weeks ago she measured 188/65.Hoping it was "white coat syndrome" she suggested I got an upper arm monitor as the wrist ones are notoriously inaccurate. Got an Omron M3 and was getting systolics over 170. Then read up about relaxing, sitting posture, arm position etc and get systolic anywhere between 130 sitting properly to 175 if not in any way. (Diastolic always mid-60's). So still higher than ideal (I'm 64, very active, not overweight, but do like my wine).
Conclusion - a single reading at the doc's is meaningless so don't panic.
She's put me down for a 24-hour monitor next month which should be fun ...
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