Family, Internal Medicine, General Medical Questions/Blood pressure in older athletes

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Question
I'm 67 and considered in excellent health. I've been an avid runner for over 18 years and have run 15 marathons. My resting heart rate is about 44bpm. I have an annual cardio checkup, EKG, echo, etc and all is fine. Cholesterol numbers good. I do however take Avapro 300mg for blood pressure. My systolic fluctuates a lot. I tend to obsess about it although my Primary care physician doesn't seem concerned. ... Says systolic fluctuates in all people. My systolic at first reading without rest might be in the 150s and three minutes later it drops into the 130s and often lower. My diastolic is almost always in the 60s and sometimes might be 58. I have read a lot about pulse pressure and with a reading for example of 130/60 sometimes concerns me. However I have also read that in endurance athletes it is not uncommon to see that and it's not uncommon to have a low diastolic.....mainly due
To running and low resting HR. Hard to know what to believe when so much info is available. My pcp says to keep running and not to worry. He says the Avapro is doing its job. What do you think? I appreciate your time

Answer
Dear Don,

Thank you for writing in. There are several different classes of blood pressure medications that work differently in the body in order to lower the blood pressure. Because your heart rate is already well within the normal limits, Avapro is a good choice for you. Blood pressure readings change moment to moment. Provided you feel well, your blood pressure is fine.  

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Dr. Pamela M. Cipriano, DNP, APRN

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My name is Dr. Cipriano. I have a private practice specializing in adult health and wellness. I can answer questions associated with thyroid disease, cardiac disease, pulmonary disease, high blood pressure, muscular aches and pains, cholesterol levels, male/female sexual questions or questions on the sexual organs, gastrointestinal problems, healthy ways to lose weight and maintain a healthy lifestyle, and nearly anything else that pertains to medicine.

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I am on the Medical Staff at a local hospital where I work as a medical/surgical hospitalist as well as in the emergency department. I am certified in critical care and advanced cardiac life support. Prior to becoming a Nurse Practitioner, I was a certified critical care nurse (CCRN).

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Society of Hospital Medicine American Association of Critical Care Nurses American Association of Nurse Practitioners Connecticut Advance Nurse Practitioner Society

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Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Critical Care Certified 2014 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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