Medical

Have Medical Questions? Ask a Doctor Online!

Ask a Doctor,
Get an Answer ASAP!

Medical
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: 7,849
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 1 month 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 1 month 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 1 month 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 1 month 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 1 month 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 1 month 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 1 month 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: 7,849
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
Ask Dr. Muneeb Ali Your Own Question
Dr. Muneeb Ali
Dr. Muneeb Ali
Dr. Muneeb Ali, Doctor
Category: Medical
Satisfied Customers: 7,849
7,849 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

51,160 satisfied customers

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

Dr Basu

Dr Basu

Experienced Specialist

20,734 satisfied customers

MD

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

17,064 satisfied customers

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

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

13,486 satisfied customers

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

< Previous | Next >

Related Medical Questions
Can cortisone injections cause your blood pressure to spike?
Can cortisone injections cause your blood pressure to spike? … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
13,486 satisfied customers
My brother-in-law has high blood pressure and is on
My brother-in-law has high blood pressure and is on medication. However, he has periods of dizziness and he can't think clearly. He was admitted to the hospital and all tests came back normal except f… read more
DrRussMD
DrRussMD
Board Certified Physician
51,160 satisfied customers
I take and Tylenol for high blood pressure as well as
I take and Tylenol for high blood pressure as well as Lisinopril at night I am currently out of the Lisinopril but I have the antenol I take it in the morning and the lisinopril before I go to bed my … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
13,486 satisfied customers
Wife is in the hospital. [email protected] building in the lungs. How can
Wife is in the hospital. [email protected] building in the lungs. How can we clear it? … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Doctor
7,849 satisfied customers
Is it normal for blood pressure to dip right before you fall
Is it normal for blood pressure to dip right before you fall asleep? My blood pressure is 115/65 (average) during the day. Right before I went to sleep last night it was 96/55. I was feeling a bit lig… read more
Dr. Sohaib
Dr. Sohaib
Consultant Internal Medicine
Post-Doctoral Fellowship in Medicine
3,288 satisfied customers
My mom was taking Clonodine for blood pressure and was
My mom was taking Clonodine for blood pressure and was starting to get confused, anxious, realistic nightmare, blood pressure rose to 224. She was admitted to the hospital was only treated for the blo… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,064 satisfied customers
Blood pressure today priour to, blood pressure today prior
Blood pressure today priour to JA: Is this consistent, or is there some fluctuation in blood pressure? Customer: blood pressure today prior to ectocardiagram was JA: Anything else in your medical hist… read more
DrRussMD
DrRussMD
Board Certified Physician
51,160 satisfied customers
What is the cause of low blood pressure? Checked by
checked by cardiologist last month not dizzy but a little lightheaded … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Doctor
7,849 satisfied customers
Сan I drink alcohol if I have a high blood pressure? I'm
Сan I drink alcohol if I have a high blood pressure? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,425 satisfied customers
For the past couple of weeks my blood pressure seems a
For the past couple of weeks my blood pressure seems a little high. It has ranged from 160/106 to 157/83. It usually goes up in the evening.I get headaches then. I am 65 … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Doctor
7,849 satisfied customers
Allergies to Zanidip blood pressure. Hot itching neck and
Allergies to Zanidip blood pressure . Hot itching neck and face, increasing every dose. … read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,661 satisfied customers
My father's blood pressure fluctuates greatly. In the early
My father's blood pressure fluctuates greatly. In the early morning it goes as high as 170/100 and at night it goes as low as 80/40. He is on Diovan 360 mg taken at 7 am, and Carvedilol 25 mg taken 7 … read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,661 satisfied customers
Overly High blood pressure for a few hours with medication..
second opinion] Overly High blood pressure for a few hours with medication.. cold sweats fatigue rapid heart beat!!! I am concerned his liver is failing and he is refusing to go to the er right now he… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,425 satisfied customers
Overly High blood pressure for a few hours with medication..
Overly High blood pressure for a few hours with medication.. cold sweats fatigue rapid heart beat!!! Can u please tell me what could cause this… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Doctor
7,849 satisfied customers
What Blood Pressure medicine can replace Telmisartan and
What Blood Pressure medicine can replace Telmisartan and Hydrochlorothiazide and not cause ED … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,622 satisfied customers
I have greatly fluctuating blood pressure. Yesterday it was
I have greatly fluctuating blood pressure. Yesterday it was 118 over 78 and the day before it was 158 over 90. Its been even higher 180 over 100, before my heart doctor gave me a low dose of metoprolo… read more
Doctor John MD
Doctor John MD
Urgent Care and Sports Medicine Doctor
Doctoral Degree
535 satisfied customers
No problem with my heart and lungs, have high blood pressure
No problem with my heart and lungs, have high blood pressure and diabetes, so the problem is i have a problem breathing with a tight chest when I take about ten to 20 steps,and the doctors don't know.… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,622 satisfied customers
Is the correct way to take your blood pressure by sitting at
Is the correct way to take your blood pressure by sitting at a table with your arm level with your heart? I also sit relaxed. I got high blood pressure and I take Lisinopril. My reading comes out most… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,425 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