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BP? concern
71 yrs female, BP remains in 140 to 145 systolic and 85 to 90 diastolic.
(At times it is in 135/77 range and rarely reaches sys 150 and dia 90)
Sometime systolic is in 145 with normal diastolic. Sometime systolic is normal with diastolic of 90.
After taking BP medicine carvedilol (betablocker) 3.125 mg twice a day, BP comes to 120s to 130s/70s.
Echo ECG normal.
NTprobnp 418.
D-dimer 800.
Takes thyroid, diabetes, and nutritional meds.
Had covid in 2021 and now has early liver cirrhosis.
Asymptomatic.
*Is it okay to hv bp in this range before meds?
*Any underlying issue when only systolic is high or only diastolic high
*Dose adjustment or any other test or med required for BP?
Answers (18)
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In diabetes , lower bp target than in normal individual
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Blood pressure is in normal range of age. As we age our blood vessel walls become thickened and hence physiologically higher bp.
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Hello . The blood pressure seems okay for this age with ecg and echo being normal . The only thing is to look at the heart rate since the patient is on beta blockers . If it is below 70 or above 85 to consult for dose adjustment or combination of antihypertensives . . Also since patient is diabetic and age is also more than 65 and if the patient on sulphonyl urea drugs for diabetes then chance of hypoglycemia is bit high and also since patient on beta blockers it can at times mask one of the hypoglycemic symptoms . Hope this helped you.
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to look into heart rate and diabetic medications and contact.
Health Tips
to check heart rate and to do blood glucose monitoring.
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Hello,
Take low salt in diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399.
Thanks.
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Dear Practo User.
Thanks for sending across your query.
BP in this range before meds is acceptable at 71 if asymptomatic. Occasional isolated systolic/diastolic rise can happen with age, stiff vessels, or metabolic issues. Current Carvedilol dose seems fine. Monitor regularly; consider ABPM or renal/liver tests if variability continues.
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For further details you can consult with me in Dr. Monga medi clinic or consult me directly by taking a consultation on Practo."
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Need few more details
Kindly connect.
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Please share detail history..
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Contact me for further help nine two 5 zero 6 twenty nine three 8.
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I can definitely help you over this being a general physician
You can consult with me online on Practo or Contact on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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B.p. can fluctuate in 24 hours, but should not cross normal range.
Pl share detailed history, so that I can treat her better, because D dimer and bnp is high, indicating cardiac injury.
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You are safe at this beautiful age of 70s. No need of worries. Enjoy life🙏🙏
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This is mild to moderate hypertension, common in elderly adults.
According to guidelines:
Target BP in older adults: Ideally <130/80 mmHg if tolerated.
Mild elevations (up to 145/90) may be acceptable if asymptomatic and with no organ damage.
Conclusion:
This BP is not ideal, but not alarming either especially since she is asymptomatic and controlled well with carvedilol.
Next Steps
When to reassess or refer:
If BP >150/90 consistently despite carvedilol
Signs of heart failure, liver decompensation, or symptoms like fatigue, dizziness, swelling
D-dimer rising further or unexplained symptoms
Health Tips
🧭 Suggestions:
1. Continue current BP medication (carvedilol), as it is effective.
2. Monitor BP at home – twice daily, keep a log.
3. Add a low-dose ACE inhibitor or ARB only if BP remains >140/90 consistently or organ damage develops.
4. Repeat tests every 6–12 months:
LFTs, renal function (creatinine, electrolytes)
Echocardiogram if symptoms like breathlessness develop
5. Lifestyle: Low-salt diet, hydration, avoid alcohol, moderate walking.
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried food and spicy food and
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Dr. Amit Kendre
General Physician
4 yrs exp
Pune
Don’t need any treatment It is normal blood pressure but if u experience tingling sensation or pain in left hand ,jaw or chest
Please visit nearest hospital for better treatment
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Avoid salt intake and fatty food
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details
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kindly consult
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Dr. Gurteshwar Singh
General Physician
3 yrs exp
Patiala
Need few more details . If interested kindly consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take medications
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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