Hi Doctor, My mother is around 70 years old, pacemaker was implanted 2 years back she is also a BP patient. She has been prescribed Eslo-5 mg once a day during winter season. The problem is even after taking Eslo 5 mg in the morning daily her BP remains still high In the summer she takes Eslo 2.5 mg twice (morning and in the evening) which works and control her BP, but during winter Now a days when temperature is quite low Eslo 5 Mg is not working even after taking it and with in 3 hrs her BP goes upto 161. Will be highly obliged if you could kindly suggest. Thanks and Regards.

Dr. Paramjeet SinghCardiologist10yrs exp

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You need to understand about high blood pressure.� 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 4) your lifestyle - smoking, drinking, exercise� 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. 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. 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� Get back to me with a detailed history and� old / new records for a better individualized advice.  

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