Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

This answer was rated:

I read an article that said systolic blood pressure is

dangerous when it's at 200...
I read an article that said systolic blood pressure is dangerous when it's at 200 or higher. Therefore, does this mean that one doesn't have to worry about their systolic blood pressure as long as it's less than 200? Thank you.
Show More
Show Less
Ask Your Own Medical Question
Answered in 4 minutes by:
10/2/2017
Dr. Muneeb Ali
Category: Medical
Satisfied Customers: 9,664
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine
Verified

Hi,
Welcome to JA and thanks for this question. Actually what read was true, systolic blood pressure when above 200 can result in IMMEDIATE dangers to your health because at these pressures you are much more likely to experience catastrophic and immediate effects such as a heart attacks, strokes, bleeding in the brain, hypertensive comas (encephalopathy), kidney failure, rupture of the aorta (aortic dissection), fluid in the lungs (pulmonary edema). HOWEVER this does NOT mean pressures above 140 and below 200 are NOT harmful to your health, they ARE harmful to you however the harm in that case is caused over a prolonged period of time rather than immediately. This means that if your pressure remains elevated above 140 for long periods of time, the heart will have to work harder to get the blood to the organs and also the organs would also get damaged because of the high pressures. In this situation you can develop slow kidney failure, damage to the heart, damage to the eyes, damage to the arteries in the limbs which leads to development of peripheral arterial disease.

So in short YES pressures above 200 are IMMEDIATELY dangerous for you however that does NOT mean anything below it is fine , it simply means anything below it would cause damage to your organs on a slower rate but it would nervetheless damage the organs.

Do you have any more questions?

Please leave a POSITIVE rating by clicking on the stars above, until you do i am not compensated for my time. You can continue to ask follow-up questions even after the POSITIVE rating. You can also ask questions from me directly by going on the link below,

http://www.justanswer.com/medical/expert-dr-muneeb-ali/

Ask Your Own Medical Question
Customer reply replied 8 months ago
if before my blood pressure was very often 117/69 or 128/70 with medication, but now can be 107/83, 114/83, 122/78, 136/79, 142/78, 151/83, 167/86, or 172/80 with the same medication, (Out of 40 blood pressure readings, 14 had a systolic of 150 some, 160 some, or 170 some; actually the 172/80 was the only one) I should be okay PROVIDED THAT I immediately start a diet and exercise program and stick with it as a regular part of my life? (Before I did a lot of sitting because I had a lot of thinking to do) Thank you.
Customer reply replied 8 months ago
172/80 was the only reading with a systolic in the 170s. The other 13 were either 150 some or 160 some. Thank you.
Customer reply replied 8 months ago
The other 26 readings were normal.

YES you should be okay as long as you start with the interventions that you have described, usually 14 readings out of forty is a percentage of than 50% which means that this can be controlled with a good exercise regimen, weight loss and diet management program. Infact the first step should be to cut back on salt in your diet and also increae the intake of fresh fruits and vegetables in your diet. And readings in the 150s or 160s is not very concerning and it can be controlled effectively.

Do you have any more questions?

Please leave a POSITIVE rating by clicking on the stars above, until you do i am not compensated for my time. You can continue to ask follow-up questions even after the POSITIVE rating. You can also ask questions from me directly by going on the link below,

http://www.justanswer.com/medical/expert-dr-muneeb-ali/

Ask Your Own Medical Question
Customer reply replied 8 months ago
But from time to time I get headaches, lightheadedness, and I feel like my heart is racing. My feet are a little swollen too. I have trouble putting boots on and some of my shoes. However, my doctor tells me to stick with 320 mg of Diovan and 12.5 mg of hydrochlorathazide. He doesn't want to put me back on 25 mg of hydrochlorathazide. Thank you.

Then you should get a EKG, echocardiogram and also a stress test done. In addition a pro BNP done as well. But i would have you started on the higher dose of HCTZ because of the swelling in the feet but if you have electrolyte imbalances with the hydrochlorothiazine such as low potassium etc then you should stick with the lower dose and instead get another drug added to the regimen. But DO get the heart tests done as well as a 24 hour holter monitor of the heart.

Do you have any more questions?

Please leave a POSITIVE rating by clicking on the stars above, until you do i am not compensated for my time. You can continue to ask follow-up questions even after the POSITIVE rating. You can also ask questions from me directly by going on the link below,

http://www.justanswer.com/medical/expert-dr-muneeb-ali/

Ask Your Own Medical Question
Customer reply replied 8 months ago
I did get an EKG done last night and it was OK. Before, my EKGs were always coming out abnormal due to low potassium. I suppose it was normal last night since I started taking potassium pills (KLOR KON) the day before that EKG. The echocardiogram and stress test I had was in March 2017. Is that recent enough. I'm a 47 year old male, 5 feet 9 inches tall, and 330 pounds. Thank you.
Customer reply replied 8 months ago
Last night, the ER doctor discharged me with the EKG alone.

Then that means that your symptoms are due to the low potassium and in this situation it is not necessary to get a stress test and EKG repeated again. But your Blood pressure should be better controlled. If HCTZ is not an option then a calcium channel blocker like amlodipine or a combination agent such as valsartan/amlodipine can be used as well which can be more effective.

Do you have any more questions?

Please leave a POSITIVE rating by clicking on the stars above, until you do i am not compensated for my time. You can continue to ask follow-up questions even after the POSITIVE rating. You can also ask questions from me directly by going on the link below,

http://www.justanswer.com/medical/expert-dr-muneeb-ali/

Ask Your Own Medical Question
Customer reply replied 8 months ago
In March 2017, my echocardiogram and stress test were good. I don't know if the ER doctor discharged me with the EKG alone because they have checked my blood work many times before and they are always normal. Is this blood work what you mean by a pro BNP test? Thank you.

Yes that is what i meant and as i said, since your recent tests were normal there is no need to get them done again, i advised them when i did not know that you had them done recently.

Would you like to know anything else? Any clarifications or additional questions that you might have, i would be happy to answer them for you. If done for now, please remember to leave a positive rating as that is the only way we are compensated for our time spent helping you. You can continue to ask follow-up questions even after the rating.

Dr. Muneeb Ali
Category: Medical
Satisfied Customers: 9,664
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine
Verified
Dr. Muneeb Ali and 87 other Medical Specialists are ready to help you
Ask your own question now
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a doctorLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Muneeb Ali Your Own Question
Dr. Muneeb Ali
Dr. Muneeb Ali
Dr. Muneeb Ali, Doctor
Category: Medical
Satisfied Customers: 9,664
9,664 Satisfied Customers
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine

Dr. Muneeb Ali is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,788 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

18,060 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

16,284 satisfied customers

20 yrs. in practice, including surgery, general medicine, addiction medicine and pain.

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor

14,060 satisfied customers

MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

< Previous | Next >

Related Medical Questions
I am on a calcium channel blocker for high blood pressure. I
I am on a calcium channel blocker for high blood pressure. I have high diastolic blood pressure and recently with medication systolic blood pressure. Last night my heart started racing and having palp… read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
2,062 satisfied customers
How can I lower my blood pressure naturally. No blood
I see my doctor and have refusal blood test everything was fine on Friday… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
Post-Doctoral Degree
14,060 satisfied customers
What is the difference between high blood pressure &
What is the difference between high blood pressure & anxiety … read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
18,060 satisfied customers
I am on a number of medications for high blood pressure and
Hi, I am on a number of medications for high blood pressure and recently added Metopolol, which slows down your pulse. Yesterday my GP told me to double my Metoprolol and also to start taking Sentrali… read more
Dr. Greg
Dr. Greg
Residency
502 satisfied customers
Need answer what is best medication for blood pressure in
Need answer what is best medication for blood pressure in case of high creatinine and potasium on border line … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
16,284 satisfied customers
High blood pressure, female 88 years old excellent health.
high blood pressure, female 88 years old excellent health … read more
Dr. Jon
Dr. Jon
Attending Physician
MD
255 satisfied customers
My blood pressure medicine was either mislaid or stolen, and
My blood pressure medicine was either mislaid or stolen, and just now I am between physicians (new job, health care plan has not taken effect) I currently take: Hydrachlorothyazide 25mg daily … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
16,284 satisfied customers
Is there a diet or guideline to lower blood pressure? I
Is there a diet or guideline to lower blood pressure ? I don't want to go back on pills ! … read more
Dr. Greg
Dr. Greg
Residency
502 satisfied customers
Will contrave interact with blood pressure meds and
Will contrave interact with blood pressure meds and antiinfkamatories? … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
16,284 satisfied customers
At what blood pressure sure one become considered.
Second opinion] at what blood pressure sure one become considered… read more
Dr. Nina Lim
Dr. Nina Lim
Doctor of Medicine
614 satisfied customers
Information on Hernia treatment. Blood pressure; blood
information on Hernia treatment JA: Have you seen a doctor about this yet? What medications are you taking? Customer: blood pressure; blood hinner JA: Is this consistent, or is there some fluctuation … read more
Dr. Greg
Dr. Greg
Residency
502 satisfied customers
What is the best blood pressure for an 80 year woman that is
What is the best blood pressure for an 80 year woman that is still very active and walks about two miles - three times a week? … read more
Dr. Nina Lim
Dr. Nina Lim
Doctor of Medicine
614 satisfied customers
Having an issue with my blood pressure. Not on any
had a full physical about a year ago all was fine around 140 went to dentist today 171 … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,470 satisfied customers
I believe my current mild to moderate pulmonary edema to be
Hello, I believe my current mild to moderate pulmonary edema to be associated with inhaled poison Ivy toxin years ago and the damage/scarring to the lungs as a result. Any chance a inhaled steroid suc… read more
Dr. Sohaib
Dr. Sohaib
Fellowship in Medicine
3,350 satisfied customers
My blood pressure is 80 over 41, My blood pressure is 80
My blood pressure is 80 over 41 JA: What are your symptoms? Have you used any medication for this? Customer: My blood pressure is 80 pic JA: Have you seen a doctor about this? Customer: My lasortin wa… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
Blood pressure Ned's only slightly lower my blood pressure
Blood pressure Ned's only slightly lower my blood pressure to 180/95.. What else can I do? … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
16,284 satisfied customers
I take blood pressure pills which controls my blood pressure
I take blood pressure pills which controls my blood pressure pretty well.. Today I feel light headed and pulse is up .. My blood pressure is 157.. Is there something I can eat or do that will bring it… read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
842 satisfied customers
Will a neurosurgeon conduct aneurysm intervention for three
Will a neurosurgeon conduct aneurysm intervention for three aneurysms, 3.5mm outpouching from left at A1 A2 junction of anterior cerebral artery projecting medial and inferior, 3mm outpouching from su… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,804 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x