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About Charles Cusumano, FMP, PA-C
(Top Expert on this page)

Expertise
I will answer questions about the different causes of Hypertension; the complications; the treatments and the drugs used.Hypertension is a silent, potentially deadly disease that`s completely treatable. Knowledge is power.

Experience
Nationally Certified Physician Assistant/Family Medicine Practitioner.
I've been in practice since 1975.

Organizations
I am currently serving as an expert in the Family, General and Internal Medicine site right here at AllExperts.com. You can visit my profile there.
I was also honored as a Distinguished Fellow in the AAPA.
   

You are here:  Experts > Health/Fitness > Diabetes > Hypertension

SubjectDate AskedExpert

Mother's BP is all over the place,8/31/2008Charles Cusumano, FMP, PA-C
  Q: I am a caregiver for my mother.(68yr) She has emphysema and is on oxygen. Wed. She felt strange, ...
  A: Fluctuating blood pressure is dangerous. She needs to have her blod pressure checked regularly and ...
difficulty controlling hypertension8/27/2008Charles Cusumano, FMP, PA-C
  Q: I asked you a question a few months ago and am following up. I am relatively young (33), I work out ...
  A: The medicines won’t lower BP on their own but by reducing your anxiety, the BP will come down. By ...
Hypertension8/26/2008Charles Cusumano, FMP, PA-C
  Q: Cusumano, I am 39 & have had hypertension now for over 15 years. My biological father died from an ...
  A: This worries me VER MUCH. You are doing damage to your heart, brain and kidneys with blood pressure ...
sudden high blood pressure8/26/2008Charles Cusumano, FMP, PA-C
  Q: my husband normally has a very low heart rate of between 45 and 50 bpm. he has had 2 heart attacks ...
  A: A sudden rise in blood pressure might mean a failure of the drug. Has he changed from a proprietary ...
Lisinopril dosage8/21/2008Charles Cusumano, FMP, PA-C
  Q: I noted in a response to a question re: hypertension here ...
  A: Often we prescribe medicines at higher doses than is suggested on packaging. These limits arebased ...
Please help8/21/2008Charles Cusumano, FMP, PA-C
  Q: Sir, Iam 28 years male.I suffered from shooting pain in left arm and shoulder since Feb-08 and then ...
  A: If the heart scan showed blockages then a heart catheterization is the next step. If the symptoms ...
Blood Pressure8/19/2008Charles Cusumano, FMP, PA-C
  Q: Yes, I am taking Propranolol 10mg. 2 times a day for a recent bout with Hyperthyroid in February of ...
  A: It isn't uncommon for BP to be up first thing in the AM. Propranolol is not the BEST drug for blood ...
give a mainstream medicine please8/15/2008Charles Cusumano, FMP, PA-C
  Q: What possible recommedation can you give persons who suffer these ailment.Red mushroom and venonia ...
  A: There are many medicines that are used for control of blood pressure. Each has its own purpose and ...
Pain Below Left Pectoral8/14/2008Charles Cusumano, FMP, PA-C
  Q: Dr. Cusumano, First of all Thank you for taking the time to read my question. I am not sure if you ...
  A: Given what you have said, this doesn't sound like heart. If the pain doesn't come on with breathing ...
Shortness of breath and chronic daily headache8/11/2008Charles Cusumano, FMP, PA-C
  Q: I'm not sure if you're the right expert, but I am running out of places to turn. I'm 27 years old ...
  A: You may have either tension headaches or atypical migraines. The abscence of pathology on your CT ...
heart rate low8/8/2008Charles Cusumano, FMP, PA-C
  Q: I am female, 28yrs. old and weigh 104lbs. I am also 5'3. So I am small framed. I have high blood ...
  A: With any drug in the class of Labetolol, pulse can slow significantly while blood pressure can still ...
young with hypertension8/4/2008Charles Cusumano, FMP, PA-C
  Q: I'm 23, male, smoker, and have a high BMI. I was diagnosed with hypertension about five months ago, ...
  A: I would seriously look for help with your anxiety and cardiophobia before anything else. Until that ...
Blood Pressure/Headache Mystery7/31/2008Charles Cusumano, FMP, PA-C
  Q: A little over a week ago, I got a pounding headache that didn’t go away. The only temporary relief I ...
  A: It is not uncommon to have blood pressure spkies on occasion. There are diease states that can do ...
normal bp range7/23/2008Charles Cusumano, FMP, PA-C
  Q: I know that bp should be below 120/80 at rest. But will healthy people have higher readings during ...
  A: A pressure of 145/90 is a bit high but not completely unheard of in severe stress or exercise. That ...
white coat syndrom7/22/2008Charles Cusumano, FMP, PA-C
  Q: i am not sure if this is what my husband has but i am worried. if he even thinks about any kind of ...
  A: He is having a vasovagal reaction which causes the blood to leave the head. This triggers seizures. ...
Blood pressure medications7/21/2008Charles Cusumano, FMP, PA-C
  Q: I am a 235lb 5'9 25 yr old female....I recently put on 65 pounds during my pregnancy mostly in part ...
  A: You are on the right track with exercise, weight loss and diet. Success here may obviate the need ...
thin and high blood pressure?7/18/2008William B. Jeffries, Ph.D.
  Q: My grandmother is 80 lbs. But, her blood pressure was 236 over xx(don't remember?)!! She has no ...
  A: There are many causes of high blood pressure in an elderly thin person. I suspect that her doctors ...
Thin and has high blood pressure?7/18/2008Dr. Shabbir Baldiwala
  Q: My grandmother is 80 lbs. But, her blood pressure was 236 over xx(don't remember?)!! She has no ...
  A: Your grandmother has hypertension - most likely essential. Such a high pressure is a medical ...
HBP7/16/2008William B. Jeffries, Ph.D.
  Q: I am a 35yr old white female weighs about 119pds. and 5"1' and would say that I am overall pretty ...
  A: The condition you describe is called "white coat hypertension." Recent thinking about this condition ...
HBP7/16/2008Charles Cusumano, FMP, PA-C
  Q: I am a 35yr old white female weighs about 119pds. and 5"1' and would say that I am overall pretty ...
  A: From the sounds of it you may have what is called inherited essental hypertension. If this is truly ...
HBP7/16/2008Dr. Shabbir Baldiwala
  Q: I am a 35yr old white female weighs about 119pds. and 5"1' and would say that I am overall pretty ...
  A: I personally think that you should continue with just Toprol. A pressure of 120/80 is very much ...
frustrated by hbp7/14/2008William B. Jeffries, Ph.D.
  Q: I was diagnosed with hbp in my early 20's. I've been on beta blockers and ace inhibitors since (I'm ...
  A: Your hypertension is mild at this point, so my conjecture about a renovascular component would ...
Should I be worried?7/12/2008Charles Cusumano, FMP, PA-C
  Q: I tend to really worry when my blood pressure is taken - either at home or even when I take it ...
  A: A single blood pressure elevation is nothing to worry about. Although the upper number is a bit ...
Lowering High Blood Pressure7/12/2008William B. Jeffries, Ph.D.
  Q: I hope I'm asking the right person about this. About a few years ago, I was told that I have high ...
  A: Your relative is misinformed. The protrusions are veins, and hypertension is a disease of the ...
Lowering High Blood Pressure7/12/2008Charles Cusumano, FMP, PA-C
  Q: I hope I'm asking the right person about this. About a few years ago, I was told that I have high ...
  A: Veins that bulge are NOT a sign of high blood pressure. During the summer months, the body tries to ...
frustrated by hbp7/12/2008William B. Jeffries, Ph.D.
  Q: I was diagnosed with hbp in my early 20's. I've been on beta blockers and ace inhibitors since (I'm ...
  A: Hypertension is not normal, and statistically people with hypertension have a higher risk of ...
hypertension and fatigue7/3/2008William B. Jeffries, Ph.D.
  Q: I recently went to my doctor because of extreme fatigue episodes. I also told him I was concerned ...
  A: Sorry to hear you are feeling poorly. Hypertension does not cause fatigue, but your physician can ...
Prescription drugs7/3/2008William B. Jeffries, Ph.D.
  Q: I am a 67-year-old man dealing with hypertenion, diabetes type 2 and high cholestrol. I am currently ...
  A: Caduet is a combination of amlodipine and atorvostatin (which is in the same class as simvastatin) ...
Blood pressure spike at night7/1/2008William B. Jeffries, Ph.D.
  Q: Jeffries, thanks for your web-site. Please help: x-ray of lung, heart normal, ultrasound of carotid ...
  A: This is outside of my area of expertise, since I specialize in antihypertensive drugs. That said, I ...
Labetalol and HCTZ6/19/2008Dr. Shabbir Baldiwala
  Q: I'm a 27 year old female and have had borderline hypertension for the past 6 years (was detected in ...
  A: 1. HCTZ is not recommended in pregnancy. 2. An ARB like Telmisartan, Olmesartan or calcium blocker ...
hypertension6/15/2008Charles Cusumano, FMP, PA-C
  Q: I'm a 57 yr. old female who tried so many BP meds, with side effects, and/or no results. Currently ...
  A: An internist is fine for handling high blood pressure. Hypertension can be very difficlu to treat in ...
High blood pressure6/7/2008Dr. Shabbir Baldiwala
  Q: I recently took up weight lifting and I have gained 30 pounds in the past 6 months. I also took ...
  A: Your increase in pressure should be attributed to your weight gain. Additionally, you have been ...
vitamins for high blood pressure6/6/2008Charles Cusumano, FMP, PA-C
  Q: RE: a generic question about vitamins If one has high cholestorol (no medication taken), and ...
  A: If you'll allow me, I would see to the high cholesterol and hypertension before concern yourself ...
HIGH BP AND SEX6/6/2008Charles Cusumano, FMP, PA-C
  Q: I have hypertention which was dificult to control but just begining to respond to medication. My ...
  A: Sounds to me like someone who is really full of himself and wants to prove it to you. That is a ...
Post-accident BP rise.6/3/2008Charles Cusumano, FMP, PA-C
  Q: I am a 31-year-old non-smoker, and just yesterday, I had a car accident with my company vehicle. ...
  A: You very well may have elevated blood pressure from the physical and emotional trauma. I would just ...
Hypertension5/23/2008Charles Cusumano, FMP, PA-C
  Q: I am a 38 year old female with a history of pregnancy induced hypertension that got worse AFTER I ...
  A: Any side effect you feel is less likely a result of stopping Hydralazine and more likely the ...
hypertension meds5/22/2008Charles Cusumano, FMP, PA-C
  Q: I have tried at least eight meds for hypertension. My BP hovers around 140/90 sometimes less, ...
  A: Any medication can cause tolerance issues. Sometimes you need to be on up to 3 or 4 medicines at the ...
Pulse Pressure5/18/2008Charles Cusumano, FMP, PA-C
  Q: I am a 29 year old female, with fairly low blood pressure, readings around 90/50 - 105/65 depending ...
  A: From what you have said, I'd say you are VERY healthy. Your low blood pressure is probably because ...
bp5/16/2008Charles Cusumano, FMP, PA-C
  Q: my husband has had borderline htn (approx. 140/96) for about 3 yrs. Each time he went to his Dr. he ...
  A: You are not over reacting. your husband needs to be on blood pressure medicines. The JNC7 recommends ...
BP - Blood Donation5/8/2008Newell R. Falkinburg, M.D. FACP
  Q: Sir, I am on amlodipine 5mg 1-0-1, for last 9 months. I have diagnosed to have BP of 150/100 for 7 ...
  A: You should be able to donate blood safely with your BP in the 130's. Even with a blood pressure,in ...

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Questions by
Active Experts:
Dr. Shabbir BaldiwalaWilliam B. Jeffries, Ph.D.Charles Cusumano, FMP, PA-C
Newell R. Falkinburg, M.D. FACP  

     
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