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High & Low Blood Pressure Message Board


High & Low Blood Pressure Board Index


I had a routine followup visit for my hypertension just this past Tuesday. I have "white coat", but my pressure was pretty good, 127/87. (The doctor had relocated to a new building, maybe my office pressure will be lower now, lol!) At home I average around 116/65, but sometimes a lot lower, and I told her that. She told me something that confused me, she said, "Just try to keep it below 130/85 for a resting rate most of the time." At home I am almost always much lower than that for a resting reading. This makes me wonder if I am over medicated.

I specifically asked what was current thinking, systolic or diastolic more important, and I asked about pulse pressure. She said pulse pressure was an old outdated concept and that neither systolic or diastolic were more important - if either one of them was too high then that was a problem.

I like my doctor and I think she is pretty sharp and current with the literature. I'm not putting her words out as gospel, but that is what I was told.

I guess I should add that she was probably talking about normal people like me without underlying medical conditions beyond hpertension.
[QUOTE=mgraylorn]) At home I average around 116/65, but sometimes a lot lower, and I told her that. She told me something that confused me, she said, "Just try to keep it below 130/85 for a resting rate most of the time." At home I am almost always much lower than that for a resting reading. This makes me wonder if I am over medicated.

[/QUOTE]

mgraylorn,

Two points:
A. CAN I HAVE YOUR DOCTOR...PLEASE PLEASE! How logical she is, saying that aiming for 130/85 is good control.
B. More seriously, if I were you, getting a consistent 116/65 at home, I would definitely cut my dosage starting with the meds that are most bothersome; if none are, then I'd cut the most expensive (usually the ARB or the Norvasc:D)





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