My Blood Pressure Regularly Measures Around 155 / 110. Earlier It Was 171/118.

Question

Asked by RONALD

My Blood Pressure Regularly Measures Around 155 / 110. Earlier It Was 171/118.

I'VE CONTACTED MY DOCTOR AND SHE JUST TOLD ME TO DOUBLE THE DOSE. MY PRESSURE AERAGES AROUND 160/110. IS THIS ENOUGH? GETTING REALLY WORRIED I COULD HAVE A STROKE.

Answer

Hi Ronald:

If you are concerned it may be best for you to seek a second opinion. Since you have increased your dose, you will want to continue to monitor your blood pressure. It is hard to say whether the medication adjustment will be enough or not, without monitoring it for a time period. I've listed below the AHA guidelines. Now, you are higher than the norm, to where I can see why you would be concerned. Are you having any other symptoms with your blood pressure being elevated, i.e. headaches, dizziness, vision changes, trouble focusing, etc...? If you are, I would advise you to be seen right away. I do feel you need to figure out with your doctor or a new doctor a better way to manage your blood pressure, unfortunately finding the right medications and dose can take time.

I do suggest you express your concerns with your doctor.

American Heart Association Recommendations are as follows:

Normal-Systolic: less than 120 and Diastolic: less than 80
Prehypertension-Systolic: 120-139 or Diastolic: 80-89 High Blood Pressure
Stage I-Systolic: 140-159 or Diastolic: 90-99 High Blood Pressure
Stage II-Systolic: 160 or higher or Diastolic: 100 or higher
Hypertensive Crisis (Emergency Care Needed)-Systolic: Higher than 180 or Diastolic: Higher than 110.

Take care,

Tara, RN

"If your blood pressure reading is higher than normal, your doctor may take several readings over time and/or have you monitor your blood pressure at home before diagnosing you with high blood pressure. A single high reading does not necessarily mean that you have high blood pressure. However, if readings stay at 140/90 mm Hg or above (systolic 140 or above OR diastolic 90 or above) over time, your doctor will likely want you to begin a treatment program. Such a program almost always includes lifestyle changes and often prescription medication for those with readings of 140/90 or higher." (AHA)