Good morning Dr. While checking BP at any of the hospital or clinical institutions, it shoots to 166/98 with pulse higher than 100bpm. But in normal position, like at my home it shows as 124/78 with pulse rate less than 80. I can feel the sudden increase in heart rate while entering a hospital for myself / dear ones. Four years back one doctor prescribed telmisartan 40 mg OD for the same. I have taken the same for almost 6 months. Then discontinued because the BP reading was same during my hospital visits. During the month of March 17, gone for Ambulatory BP apparatus test. In that test average was 122/74. The higher limit (186/96) occurred once during the test (when my ECG done ). Is there any requirement to take any medicine Dr?

Dr. Paramjeet SinghCardiologist9yrs exp

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Hi Your problem is well explained by the last answer so I'll add some patient education points Normal range of blood pressure is between 90/60 to 140/90, anything above or below is is abnormal. Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. DASH stands for Dietary Approaches to Stop Hypertension. It is an eating plan that is based on research studies sponsored by the National Heart, Lung, and Blood Institute (NHLBI). These studies showed that DASH lowers high blood pressure and improves levels of cholesterol. This reduces your risk of getting heart disease. The DASH Diet Emphasizes vegetables, fruits, and fat-free or low-fat dairy products. Includes whole grains, fish, poultry, beans, seeds, nuts, and vegetable oils. Limits sodium, sweets, sugary beverages, and red meats. Along with DASH, other lifestyle changes can help lower your blood pressure. They include staying at a healthy weight, exercising, and not smoking. I read your query, by the information I have in hand my advice to you would be 1) Keep a BP daily record for at least one week 2) Basic tests should be one to rule out cardiac / kidney issues 3) unless any recent evaluation has been done I would advice these test ECG ECHO Lipid Profile TSH KFT� Renal doppler�  

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