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Medical Forum / General / Cardiology / February 2008

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Am vs PM Pressure Readings Question ?

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Robert11 - 10 Feb 2008 12:51 GMT
Hello,

Am in  my early 70's.

I monitor my p every day, and have found the following:

In the mornings, it always seems to be around 125-135 / 65.

This is usually before I take any blood p medications of -
IC Amlodipine 10 mg
IC Lisinopril-HCTZ  two tablets of 20/12.5 each

In the evenings, it is usually in the 160 / 65 range.

Both taken after "relaxing" for 1/2 hour or so.

Is this large disparity in the systolic normal ?
Why ?

Any real significance ?
etc.

Thanks,
Bob
Andrew B. Chung, MD/PhD - 10 Feb 2008 13:13 GMT
> Hello,
>
[quoted text clipped - 17 lines]
> Any real significance ?
> etc.

Would suggest you inform your doctor about your unusual blood pressure
pattern, which may be a consequence of the medications.

It is possible that you no longer need medications if you have been
eating less, down to the right amount:

http://heartMDPhD.com/BeSmart

> Thanks,
> Bob

Laus Deo ! ! !

http://HeartMDPhD.com/LausDeo

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Bondservant to the KING of kings and LORD of lords.
J666 - 10 Feb 2008 16:53 GMT
On Feb 10, 7:13 am, "Andrew B. Chung

> It is possible that you no longer need medications if you have been
> eating less, down to the right amount:

Getting down to your ideal weight is always best.  Standard medical
way is through decreased quantity by smaller portions and therefore
decreased calories and as much physical activity which burns up
calories. By under eating the number of calories you need for your
size and activity, you lose weight.

What you want to ignore is all the fad diets and all the diets with
claims that do not "pass the smell test"  Look for legitimate medical/
scientific evidence of the claims and always check with your doctor.
Andrew B. Chung, MD/PhD - 10 Feb 2008 20:35 GMT
satan via a sockpuppet (corporeal demon) hissed:
> Andrew, in the Holy Spirit, boldly wrote
> >
[quoted text clipped - 4 lines]
>
> Getting down to your ideal weight is always best.

Only GOD knows "a priori" a person's true ideal weight so that what
you have written is clinically meaningless.

Bottom line:

You are an idiot...

http://HeartMDPhD.com/Convicts/Idiotsatan

May we, who are Jesus' brethren, continue to rebuke you at each GOD-
given opportunity as GOD desires:

http://HeartMDPhD.com/Convicts/Rebukesatan

<><

May dear neighbors, friends, and brethren have a blessedly wonderful
2008th year since the birth of our LORD Jesus Christ as the Son of
Man ...

... by being hungrier:

http://TruthRUS.org/KnowingGOD

Hunger is wonderful :-)

It's how we know what GOD wants, which is what is good.

Yes, hunger is our knowledge of good versus evil that Adam and Eve
paid for with their and our immortal lives.

Those who suffer from the powerful delusion predicted by the prophecy
of 2 Thessalonians 2:9-11 would deny this and perish ( gone !!! )
forever ...

http://HeartMDPhD.com/Convicts/CrazyOne

http://HeartMDPhD.com/Convicts/CrazyTwo

http://HeartMDPhD.com/Convicts/CrazyThree

http://HeartMDPhD.com/Convicts/CrazyFour

http://HeartMDPhD.com/Convicts/Bob

... gone:

http://YouTube.com/watch?v=Qb6d_z5C35E

Such will be the demise of all those who refuse to know **and** love
the truth, Who is LORD Jesus Christ:

http://HeartMDPhD.com/Love/TheTruth

Be hungry... be healthy... be hungrier... be blessed:

http://HeartMDPhD.com/HolySpirit/BeBlessed

"Blessed are you who hunger NOW...

... for you will be satisfied." -- LORD Jesus Christ (Luke 6:21)

Amen.

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Bondservant to the KING of kings and LORD of lords.
J666 - 10 Feb 2008 22:41 GMT
On Feb 10, 2:35 pm, "Andrew B. Chung,

> Only GOD knows "a priori" a person's true ideal weight so that what
> you have written is clinically meaningless.
>
> Bottom line:
>
> You are an idiot...

So someone who is 5 foot 2 inches tall ideal weight could be,
according to God, 450 pounds and so at that weight will have no
diabetes, hypertension or other diseases.

Chung -- you are the one who is an IDIOT and that is the plain truth
Pramesh Rutaji - 10 Feb 2008 21:06 GMT
> Hello,
>
[quoted text clipped - 20 lines]
> Thanks,
> Bob

The difference between the high and low is called "Pulse Pressure".
Google that.

Signature

Pramesh Rutaji

p297tongue6221@newsguy.com - remove tongue to reply

Andrew B. Chung, MD/PhD - 10 Feb 2008 21:14 GMT
> > Hello,
> >
[quoted text clipped - 23 lines]
> The difference between the high and low is called "Pulse Pressure".
> Google that.

His question is not about the disparity betiwen the systolic and
diastolic but about the difference between the AM and PM systolic
pressures.

Be hungry... be healthy... be hungrier... be blessed:

http://TheWellnessFoundation.com/BeHealthy

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Bondservant to the KING of kings and LORD of lords.
Shearwater - 13 Feb 2008 23:59 GMT
>> Hello,
>>
[quoted text clipped - 23 lines]
> The difference between the high and low is called "Pulse Pressure". Google
> that.

---------------------------------------------------------------------------------
I think you misunderstood his question.  Pulse pressure is the difference
between his systolic and diastolic pressures.

His BP in the morning (systolic) ranges from  125 to 135.

His BP in the evening (systolic) is around 160.

His diastolic pressure is consistently around 65

He's wondering about the differences between his morning
systolic BP and his evening systolic BP (remember: his diastolic
is consistently around 65).

This is a question he should refer to his physician; but one wonders what
time of day does he take his antihypertensives.  If he takes them once a
day his doctor may consider retiming the current dose or dividing the dose
and having him take it more often.

Again, he should ask his doctor.

Regards,
 
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