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Medical Forum / General / Cardiology / January 2007Hypertensive crisis question
Hi. I'm taking an MAOI for depression and earlier on around 11:00AM EST today had a hypertensive reaction after eating a large pasta meal that contained lot of white cheese that I was told was mozarella by the cook, but turned out not to be. Mozarella is safe, but some other cheeses are not. I was away from home but we had a blood pressure monitor that I used after I started to feel a slight throbbing feeling in my head. My blood pressure spiked for up to 45 minutes or so. I kept checking my bp. It peaked for up to 10 minutes at around 205/125 or so, and was at about 180 over 115 or so for at least twenty minutes. Someone was taking me to the hospital over an hour away when my blood pressure suddenly began to fall back down to my typical 110/65 or so, and we turned around. I know I should have continued to the hospital anyway, but didn't. I'm just wondering now if the short-lived hypertension might have damaged blood vessels, etc. Is there some medical tests or anything I need to have done now? Thanks. Hi. I'm taking an MAOI for depression and earlier on around 11:00AM EST today had a hypertensive reaction after eating a large pasta meal that contained lot of white cheese that I was told was mozarella by the cook, but turned out not to be. Mozarella is safe, but some other cheeses are not. I was away from home but we had a blood pressure monitor that I used after I started to feel a slight throbbing feeling in my head. My blood pressure spiked for up to 45 minutes or so. I kept checking my bp. It peaked for up to 10 minutes at around 205/125 or so, and was at about 180 over 115 or so for at least twenty minutes. Someone was taking me to the hospital over an hour away when my blood pressure suddenly began to fall back down to my typical 110/65 or so, and we turned around. I know I should have continued to the hospital anyway, but didn't. I'm just wondering now if the short-lived hypertension might have damaged blood vessels, etc. Is there some medical tests or anything I need to have done now? Thanks. ~~~~~~~~~~~~~~~~~~~~~~~~ Hello, I suggest that you visit your doctor and request a stress test. I had a stress test last year. The stress test is usually done by a cardiologist with special computer controlled testing equipment. The entire test takes about one hour. After the test is concluded, the cardiologist will tell you whether or not you have heart problems. I suggest that you consider not eating any high fat meals on you may have the same problem that you mentioned in your post. Jason ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Hi. > [quoted text clipped - 31 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Okay, you need to understand that Jason is not a doctor, and did not understand your question at all, which is why his answer makes no sense. It's unlikely that there was any particular damage caused by the brief hypertension, however there's no particular test that could answer the question definitively, and probably no particular testing that is indicated at this point. You should, however, let your doctors know about this, since aspects of your medical history might alter that general answer.  SignatureDavid Rind drind@caregroup.harvard.edu > > Hi. > > [quoted text clipped - 41 lines] > about this, since aspects of your medical history might alter that > general answer. Would add that perhaps consideration should be given to change the MAO inhibitor to a more forgiving class of antidepressants in light of the AE that has happened. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://HeartMDPhD.com/Love > Would add that perhaps consideration should be given to change the MAO > inhibitor to a more forgiving class of antidepressants in light of the > AE that has happened. I debated saying that as well, but decided that if someone is on an MAOI these days, it's probably because all safer medications have failed to work. Dr. Chung is clearly correct, though, that if there are other options it might make sense to explore them.... SignatureDavid Rind drind@caregroup.harvard.edu > Andrew, in the Holy Spirit, wrote: > [quoted text clipped - 5 lines] > these days, it's probably because all safer medications have failed to > work. Sometimes it is a holdover from the philosophy: "If it is not broke, don't try to fix it." > Dr. Chung is clearly correct, though, that if there are other > options it might make sense to explore them.... Many thanks, much praise, and all the glory to GOD for your kind words and continued participation here in SMC, Dr. Rind. Andrew <>< -- Andrew B. Chung, MD/PhD http://EmoryCardiology.com Jason Johnson wrote: > In article <1169335875.330485.288280@51g2000cwl.googlegroups.com>, > kevinr0461@yahoo.com wrote: [quoted text clipped - 34 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Okay, you need to understand that Jason is not a doctor, and did not understand your question at all, which is why his answer makes no sense. It's unlikely that there was any particular damage caused by the brief hypertension, however there's no particular test that could answer the question definitively, and probably no particular testing that is indicated at this point. You should, however, let your doctors know about this, since aspects of your medical history might alter that general answer. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ David is correct--I am not a doctor. David is correct in regard to everything else that he wrote. The main reason that I suggested the stress test was because it's a great method of finding out whether or not your heart is working normally. If you don't want to know whether or not your heart is working normally, you should not request a stress test. The decision is up to you. Jason ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > [quoted text clipped - 6 lines] > Jason > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A stress test is not a great method of finding out if your heart is working normally. It is primarily a test for ischemic heart disease, and has relatively poor sensitivity and specificity. If people who are very unlikely to have CHD (like most people) have a "positive" stress test, they are still more likely than not to not have CHD. SignatureDavid Rind drind@caregroup.harvard.edu >> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >> [quoted text clipped - 13 lines] > unlikely to have CHD (like most people) have a "positive" stress test, > they are still more likely than not to not have CHD. After having some chest pain in 1993 I had a stress test and was told that I had angina and ischemic heart disease. I did.not believe it nor did my GP. In 2000 I was diagnosed with hypertension. Another episode of chest pain in 2002 followed by another positive stress test. I then had an angiogram that was clear. Why, I asked the cardiologist. False positive he replied. And 1993 ? I asked. Double false positive he replied. Derek. As a registered mental health nurse, of 30 years experience, I would advise you to seek a second opinion about taking a different class of antidepressant to the MAOI's. The MAOI's are very rarely ever used for some time now, especially because of the potential severe side effects. God bless. Ron > Hi. > [quoted text clipped - 18 lines] > > Thanks. |
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