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    Sudden High BP but low pulse
    007MRbond posted:
    Age 42 / taking cardizem 120mg for tachycardia & arrhythmia / hyperlipodemia / mild mitral regurgitation & ventricular hypertrophy / weight 93 kilos / healthy apart from heart.
    Woke up from a 1 hr nap, felt very weak with fluttering and took my BP and was 185-196/142/61, then was normal range for me at 138/92/54 in a couple of minutes. This has happened from time to time...thought it was a fault with my BP UPPER ARM CUFF Medisana machine so took it three times with the same result.
    With my symptoms would this be normal from time to time...cardio doc is not sure what type of arrhythmia but it is not a dangerous one.

    Any answers would be great and appreciated thanks
    cardiostarusa1 responded:

    "Cardio doc is not sure what type of arrhythmia"

    Why is that, especially with the diagnostics that are available in a clinical setting and at home and during daily activities.

    "With my symptoms would this be normal from time to time"

    With your medical history, one would tend to think it's not surprising.

    The complex human body is usually able to keep blood pressure (BP) within safe/acceptable limits, but sometimes changes in lifestyle, health, side effects from prescription drugs, or changes in metabolism, make this difficult. This can cause the BP to become consistently higher or lower than normal, or spike up and then drop down.

    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, temporary or chronic, may/can be related to various heart disorders, 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. Stage II is systolic of 160-179 and diastolic of 100-109. Stage III is systolic greater than 180 and diastolic greater than 110. Stage IV systolic of 210 and greater, and diastolic of 120 and greater.

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

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

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

    High diastolic pressure 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.

    Also, 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.

    Additionally, if/when the heart rate (same as the pulse rate, unless there is certain arrhythmia present) gets too low, under 60 BPM (bradycardia, slow heartbeat), this may/can cause concerning symptoms, such as lightheadedness or dizziness, weakness, confusion or syncope (temporary loss of consciousness, includes passing out and fainting).

    Best of luck down the road of life.

    Take care,


    WebMD member (since 8/99)



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    billh99 responded:
    If you are not seeing one get a referral to an electrophysiologist.

    That is a cardiologist with a sub-specialty in the electrical activity and arrhythmia of the heart.
    007MRbond replied to billh99's response:
    Many was the electro-physiologist that determined after looking at my read out from a 12 hour special machine I wore designed only to record arrhythmia...that it was not atrial fib and not dangerous. I am going back in 9 months for my check-up and will bring that up but my Cardiologist said I would not need a electrophysio study and procedure as this was the next way to go, so I am in limbo whether to start with a new cardio guy and start again...all that expense.

    Thanks for your comments

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