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Medical Forum / General / Cardiology / September 2004

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BP drop after activity

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Precept - 24 Sep 2004 19:34 GMT
When I measure my BP at home, I typically get 160/100, which I
consider too high.  However, when my PCP takes my BP in the office, he
typically gets 145/85, which he considers "acceptable".  (My BP has
gone up in the last year due to NSAIDs taken for treatment of
rheumatoid arthritis.)  

I have been taking medication to lower my BP for about 20 years now
and my BP was regularly at 120/80 or even 110/70 until I started
taking NSAIDs (200 mg of Celebrex initially daily, now every other
day).  Currently I take 25 mg of atenolol and 25 mg. Cozaar to control
my BP.

I recently discovered the reason for the discrepancy in readings.  My
BP drops about 15 points after even modest activity, e.g., a short
walk.  So my PCP is always seeing me when my BP is lowest.

I have two questions:

1) Is a drop in BP after activity typical?

2) Should I press my PCP on my moderate hypertension when I see him in
  two weeks for my regular checkup?  I spend much of the day at a
  desk, without much activity, so my BP is likely to be constantly
  high.

P.

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Dr. Andrew B. Chung, MD/PhD - 24 Sep 2004 20:47 GMT
> When I measure my BP at home, I typically get 160/100, which I
> consider too high.  However, when my PCP takes my BP in the office, he
[quoted text clipped - 15 lines]
>
> 1) Is a drop in BP after activity typical?

For the deconditioned, the answer is "yes."  However, if the BP drops
*during* exercise, this would be abnormal.

> 2) Should I press my PCP on my moderate hypertension when I see him in
>    two weeks for my regular checkup?  I spend much of the day at a
>    desk, without much activity, so my BP is likely to be constantly
>    high.

You should inform him of your observations and concerns.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048

What is all this about?
http://makeashorterlink.com/?R20632B48

Is this spam?
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francispoon - 28 Sep 2004 19:05 GMT
You maY WANT to have your arm streched straght before having your bp
measured. It is lower that way.

FP
===========

> When I measure my BP at home, I typically get 160/100, which I
> consider too high.  However, when my PCP takes my BP in the office, he
[quoted text clipped - 22 lines]
>
> P.
 
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