Should A Diastolic Blood Pressure That Is Usually Over 100 Be A Concern?

Question

Asked by sunshine36

Should A Diastolic Blood Pressure That Is Usually Over 100 Be A Concern?

I am only 28 years old. I was sent to see a doctor, because I almost passed out at my job. I had my blood pressure taken and it was 150/120. It has not been that high since, but I have tried three different types of blood pressure medication. My diastolic number has stayed between 90 something and 110 ever since this first episode, except for when I first wake up. I have been told by my cardiologist that I do not have high blood pressure. Up until this started a couple of months ago my normal blood pressure was between 90-115/60-80. I was found to have a bicuspid aortic valve, but they say this would not cause my blood pressure problems. I have had a blood workup and everything came back normal, EKG came back normal, echo showed possibility of bicuspid aortic valve, and I have a heart murmur. My pulse has been a little on the high side as well, with it being in the 90's.

I do not know how much I should keep going to the doctor. No one has diagnosed me with hypertension, but no one has yet to figure out what is causing it. Any ideas on what could be causing this would be much appreciated.

Answer

sunshine36,

Thanks for your question.

It does seem unusual. But something is going on. It sounds like it's time to go further in searching for a cause for these new pressure readings. Though the doctors will not label you as hypertensive, they have gone ahead and started treatment, which is the right thing to do. I suggest they evaluate your renal (kidney) status and check the blood flow to each kidney. If your primary care physician and your cardiologist are hesitant to go any further, I suggest you seen a nephrologist, who, in addition to specializing in kidney disorders, also specializes in the evaluation and treatment of high blood pressure.

You are a very young person, and the approach here should be very aggressive.

Best wishes.

Martin Cane, M.D.