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High Blood Pressure
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ISWIM posted:
I recently broke a bone in my hand. Everytime I have gone into the doctor since then my blood pressure has been high for me. It was 154/92 the last time I went. I asked the doctor about it and he said it's because of the pain I am having from the broken bone. I will admit I have had a lot of pain with it. My blood pressure is normally 115/68. They take my blood pressure from the arm that has the broken hand. Can pain really cause your blood pressure to increase?
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James Beckerman, MD, FACC responded:
It's true that pain can increase blood pressure.
But if this happened a while ago and it is getting better - and your blood pressure continues to be elevated - there may be another cause.
 
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CardiostarUSA1 responded:
Hi:

"Can pain really cause your blood pressure to increase?"

Yes, and so can other factors and conditions such as fear, anxiety, anger, etc.

"They take my blood pressure from the arm that has the broken hand."

Just for comparison, why not the other arm too?

About blood pressure (BP)

The Basics

Compensatory mechanisms that control BP involves changing the diameter of veins and small arteries (arterioles), the amount of blood pumped out from the heart per minute (cardiac output), and the volume of blood in the vessels.

High BP may/can be related to various heart disorders (even failing or failed repair of a congenital heart defect), kidney problems, and sometimes liver, or adrenal gland problems. One's susceptibility to develop it can even be caused by an imbalance somewhere within the body's precise regulating systems.

Normal resting BP in adults is under 120/80 with 115/75 or 110/70 considered as being optimal/ideal. Prehypertension is defined as systolic of 120-139 mmHg and diastolic of 80-89 mmHg. Stage 1 is systolic of 140-159 and diastolic of 90-99.

Health dangers from BP vary among different age groups and depending on whether systolic or diastolic pressure (or both) is elevated and for how long.

Elevated BP, isolated diastolic hypertension, isolated systolic hypertension and diastolic/systolic hypertension, increases the risk of cardiovascular disease, cerebrovascular disease, and renovascular disease.

High systolic BP appears as a significant indicator for heart complications, including death, in all ages, but especially in middle-aged and older adults.

High diastolic BP is a strong predictor of heart attack and brain attack in young adults
and in those of any age with essential hypertension, high blood pressure from unknown causes, which occurs in the great majority of cases.

Additionally, pulse pressure is important, the difference between systolic and diastolic. Usually, the resting (in sitting position) pulse pressure in healthy individuals is 40 mmHg, give or take a bit. A consistently narrow (say 20-25 or less) or consistently wide (say 60-65 or more) pulse pressure is not good.

Best of luck down the road of life.

Take care,

CardioStar*

WebMD community member (since 8/99)



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Be well-informed

Mayo Clinic

Get the most out of home blood pressure monitoring


http://www.mayoclinic.com/health/high-blood-pressure/HI00016

Family Doctor

Blood Pressure Monitoring at Home

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American Heart Association

What Causes High Blood Pressure?

In 90%-95% of high blood pressure cases, the cause......

How does high blood pressure develop?

http://www.americanheart.org/presenter.jhtml?identifier=2152


WebMD

Heart Disease TYPES

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Acquired in life or congenital (born with it)

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Heart Disease SYMPTOMS


http://www.webmd.com/heart-disease/guide/heart-disease-symptoms


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HeartSite

Heart info, cardiac tests (commonly performed, mainstream types) info, diagnostic images

http://www.heartsite.com

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Quote!

"Be a questioning patient. Talk to your doctor and ask questions. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"

- Charles Inlander, People's Medical Society

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It's your future......be there.

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WebMD/WebMD Health Exchanges DOES NOT provide medical advice, diagnosis or treatment.

 
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ISWIM replied to James Beckerman, MD, FACC's response:
The break happened in March and was not diagnosed properly until April. I was at my Dad's last night and I used his blood pressure machine to take it. The pain has subsided to a tolerable level now. My blood pressure last night was 110/68. I am going to keep an eye it though.


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For more information, visit the Duke Health General and Consultative Heart Care Center