How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask 911Doctor Your Own Question

911Doctor
911Doctor, Doctor
Category: Health
Satisfied Customers: 5092
Experience:  Board Certified Emergency Physician
19155615
Type Your Health Question Here...
911Doctor is online now
A new question is answered every 9 seconds

Ive been monitoring myself (and reporting to dr) bp for 6

Resolved Question:

I've been monitoring myself (and reporting to dr) bp for 6 weeks. Best 117/80,worst 168/103. Recently felt palpitations. EKG showed "extra" (in-between) beats, 4 days ago. Referred to Cardio for stress and 24 halter. Stress= no blockage, and halter revealed I was "all over the place". Given Bystolic (5mg 1xday) 2 days ago. At time of 1st dose bp . 140/94 P=87. 24 hrs later bp 117/70, P=70. Great says I till this am. bp = 157/102, then 132/108, P=51. took 3rd dose Bystolic. So far best today 128/78 P 47. I have just stayed i n bed today. I'm to call fam dr Tues am and report. Any comments, suggestions, Great Cardio Guy name in Burbank, CA. 69 yr old fem, 180 lbs, 5'6". Good, active, health? :} PS - just read Bystolic not for patients with palpitations.....??
Submitted: 2 years ago.
Category: Health
Expert:  911Doctor replied 2 years ago.

911Doctor :

Hello and welcome to JustAnswer,

911Doctor :

yes,

911Doctor :

stop measuring your blood pressure so much

911Doctor :

you are getting, at best, XXXXX XXXXX from a your home bp cuff

911Doctor :

and normal blood pressure fluctuates throughout the day

911Doctor :

and depending on if you have just caffeine

911Doctor :

or tobacco

911Doctor :

but the numbers themselves....

911Doctor :

each individual measurement

911Doctor :

is of much less importance

911Doctor :

than the trend of blood pressure measurements

911Doctor :

done manually

911Doctor :

with a large cuff

911Doctor :

on a regular basis

911Doctor :

it is in these trends that we can get a good idea of your 'real' blood pressure

911Doctor :

there is absolutely no utility or evidence to suggest that chasing your blood pressure numbers and treating high numbers will do anything GOOD and a some pretty convincing evidence that you could to harm

911Doctor :

because while having a slightly high blood pressure over time..... over years.... can lead to heart attacks and strokes

911Doctor :

over treating and dropping your blood pressure to low can produce fainting episodes or worse

911Doctor :

so it sounds like you are getting great care from your doctors and that your heart is in fine shape

911Doctor :

it also sounds like your blood pressure is responding well to the medicine

911Doctor :

and that the best thing you could do is to relax and give it a bit of time and get some good in office measurements done

911Doctor :

you can actually make your blood pressure rise by watching it too closely as this produces anxiety , and anxiety can definitely raise your pressure.

911Doctor :

I am standing by for questions

Customer:

Thank you very much. Just the question re the appro of Bysstolic with palpitations? I feel better already. also have this dang cough thats going around here. XO to you.

911Doctor :

okay

911Doctor :

one second

911Doctor :

and the palpitations sound like premature ventricular beats

911Doctor :

which are of no concern at all

911Doctor :

PVC Is another name for them

911Doctor :

they are benign...

911Doctor :

as to the medicine

911Doctor :

stand by

911Doctor :

byastolic is a beta blocker and should not produce a cough

911Doctor :

though there are some blood pressure medicines that do... it is not one of them

911Doctor :

and there is no problem taking it with your palpitations

911Doctor :

do you have any further questions?

Customer:

No, i didn't mean the med was causing the cough, just that I had it already... Thanks so

911Doctor :

no worries....

Customer:

much, just needed a little hand holding I guess. XO Happy

911Doctor :

great

911Doctor :

any thing alse for me?

Customer:

New Year. No thank you. XXXXX glad you

Customer:

're there.

911Doctor :

happy to help

911Doctor :

if you have no further questions for me then please do click 'accept' so that JA will forward my fee to me......

911Doctor :

and have a blessed New Year.

911Doctor, Doctor
Category: Health
Satisfied Customers: 5092
Experience: Board Certified Emergency Physician
911Doctor and 5 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery