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I agree that this blood pressure is very high. Heart attack and stroke are definitely possibilities. I think that you need to get additional medications or have the norvasc increased soon. Does this require an emergency room visit, that is up to you. They could get you blood pressure medications and then you could follow up with your PCP or cardiologist. On the flip side many people walk around everyday with blood pressure that high. What is your risk of having a stroke or heart attack in the next day, week, month, that is hard to say. But if the BP isnt lowered soon you will develop problems. How much norvasc are you on? You could possibly increase that med if you arent at the highest dose but that is not something I can recommend , you would absolutely need to talk with the prescribing doctor before doing that. Hope this helps.
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I did not immediately provide you with the additional info. But I am a little disappointed that the live chat is not a live chat. I would expect that as the directions said, I could ask as much as I needed to get my answer until I was satisfied. I will be happy to accept if you could please read my question again and provide an answer. Or maybe I am not aware of how this is supposed to work. Please contact me by email to let me know. Thank you.
hello... thank you for entering chat
please give me a second to read info
I'm sorry that I did not provide the rest of that info before... it was one of my main reasons for asking the question to begin with
did you spend a night in the hospital?
and if so did they do bloodwork mulitple times while you were there?
no.. just when I went to ER
no other EKG either
So for your doctor to diagnose a heart attack you should have 2 of 3 things. chest pain, EKG changes, and lab abnormalities.
no real chest pain.
and i would guess no EKG changes
that makes it pretty unlikely
I don't know what lab work they do, but I have had multiple lab test there over the last 6 monnths
i can say that if i was seeing you in the hospital i probably would have repeated one EKG and done 3 lab tests looking for troponin (something released from the hear) after a heart attack
the reason would be because of your blood pressure , that would have been my main concern.
if I go see my cardiologist in a few days, can I request he do those tests would it confirm anything?
by the time I left the hospital my BP was 148/64
its possible that with such a high BP your heart might have been struggling ( the pipes - i.e blood vessels, were so constricted that the heart has to pump against you can develop chest pain, and possibly a mild heart attack)
the blood tests at this point would likely be normal
EKG as well
so no way now to verify?
the heart attack could have been brought on (if you even had one) by the blood pressure, if that is controlled you should be fine at least for now.
so if it elevates again. I need to be more aggressive?
I would recommend getting a stress test, either with a treadmill or if you have trouble walking then can stimulate the heart with a medicine to see if you have EKG changes, chest pain, etc
yes, treating BP is very important
hopefully the norvasc will keep it under controll
and it may have been elevated greater than normal because you were sick (GI bug) or in pain
do you ever get chest pain, shortness of breath when walking or exercising?
Ah.. I had not thought of that. I am still a little bit light headed and slight nausea at times. but not bed, no vomiting anymore
no I don't.. I have had bilateral TKR that never healed properly, had in 2007 and still problems, so walking is hard to do
so no strenuous activity either to really push yourself to see if those things would develop
you would likely need a chemical stress test
when I walk or do any exercise I get shortness of breath.. but due to no conditioning... and overweight
why do you have a cardiologist in the first place?
that makes the picture harder to interpret
just got one after having the high blood pressure when I saw another doctor, he referred me
maybe just another reason to be looked at closely
i agree with your daughter, this is something to get checked out
you mean by getting the stress test?
oh no, the shortness of breath with exercise, because you think its from deconditioning but it might not be
i cant tell and i would argue that you cant know for sure either
that is true
it is likely deconditioning but a small percent of people like you who think thats the problem find out they have a heart problem
and when that gets fixed symptoms improe
well, thank you
I think you have answered all my questions and I appreciate that you were there to talk.
no problem, hopefully things work out well
we go in and out
but if you leave the question in the future
I will hit the accept bitton and I thank you again
someone will answer usually within an hour or definitely a day