Heart & Cardiology/elevated blood pressure

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Question
Good morning Doctor Richardson

My blood pressure has been high the past month or so.  Though I think it's anxiety related I'd like to know if medication would help even though I am going through an anxious period in my life.

Yesteday my reading wa 170 over 100 with a pulse of 88.  I have been using propranolol for anxiety purposes as needed but I've been taking more of it when I get this type of reading.  It brought me down to 158 over 86 with 75 pulse.

Would you suggest I take a different class of medication (I have diabetes and 62 y/o female?

If anxiety is the root of my high readings, would a medication actually help or would you think when the anxiety is gone my numbers will be down.

Also, I wake up during the night and feel my heart is beating fast when I put my fingers to my wrist to test.  The beat isn't irregular, but just fast like in the 90's.  Is this dangerous?  Can anything be done about this.

I'd appreciate your wisdom on this topic.  Thank u Dr.

Answer
Hello Helen,

I would add spironolactone or an Angiotensin receptor blocker.  You BP should be below 14/90 all the time.

Your fast heart is quite normal, not dangerous.  No need to do anything.

Please write back if this note doesn’t answer all your questions.

David Richardson

Heart & Cardiology

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David Richardson

Expertise

Adult heart function and disease. Not very good about children lesss than 12. Hypertension is o.k. Heart rhythm a special interest.

Experience

Certified in cardiology by the American Board of Internal Medicine. Was chairman of division of cardiology at the Medical College of Virginia. Am now mostly retired.

Organizations
Fellow of American Heart Association and American College of Cardiology and member of American Physiological Society..

Publications
Circulation, American Heart Journal, Hypertension.

Education/Credentials
M.D. from Harvard Medical School. Residency training at Yale Uhniversity School of Medicine and Medical College of Virginia.

Awards and Honors
Gold Heartt Award from American Heart Association in 1995.

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