AboutDomenic Sica Expertise All aspects of hypertension as well as any consideration in drug therapy for the management
of hypertension.
Experience Heavily published in the area of drug therapy in hypertension and renal disease. Primary management physician for a large multi-state referral practice for diagnosis and management of complex hypertension
Organizations Multiple including the American Society of Hypertension, International Society of Hypertension, American Society of Nephrology, American Heart Association, American College of Clinical Pharmacology amongst others.
Publications Over 250 publications (see PubMed)
Education/Credentials Board certified in internal medicine, nephrology, clinical pharmacology, and hypertension
Awards and Honors Multiple awards as clinical and/or teacher of the year.
Question I'm a male in my late 50's, not overweight and don't smoke. When I take my blood pressure in the mid morning, it can be as high as 140/95, give or take. But in the early evening, a few hours after exercising (brisk walking for 45 minutes), it's as low as 110/65. I know blood pressure fluctuates throughout the day and is highest in the morning, but would I be a candidate for medication even though it goes as low as it does? Thanks
Answer This kind of pattern is a little unusual. I would think the best thing is to ask your doctor if he can get 1 24-hr blood pressure monitor placed on you. This device is small (basically a BP cuff) and obtains 30-40 readings over a 24-hr time span. This number of readings could more definitively answer whether or not you have high blood pressure.
