How can chronic high blood pressure be managed effectively?

Question

Hi doctor,

I am a 55-year-old male. I am a chronic patient suffering from BP. I have been under medication for the past three years. I am following a specific diet and exercise. I have attached my reports. What should I do to manage blood pressure variations?

Please help me.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

It appears that your diet and weight loss are working very well for you, and it is helping you a lot in controlling your blood pressure.

Each kilogram of weight loss can result in a 1 to 3 mm Hg drop in blood pressure, and these effects are further enhanced by a balanced, low-sodium diet. I suggest staying on a low-sodium diet and continuing with exercise to stay healthy.

I have gone through your blood pressure record (attachment removed to protect the patient's identity), and it is in range most of the time except for the few blood pressure spikes that you had. Under normal circumstances, your blood pressure should consistently be below 130/80 mm of Hg.

Blood pressure should be recorded in a calm, quiet place when you are relaxed, in a sitting position with your feet resting on the floor and your back resting on a chair, with an empty bladder, and when you have not had caffeine or nicotine half an hour before the measurements. Blood pressure readings taken in this manner are considered accurate and aid in clinical decision-making. Blood pressure taken during working hours and with improper technique under anxiety or stress would not reflect your actual blood pressure and would interfere with clinical decision-making. A 24-hour blood pressure monitoring is also a good way to diagnose actual blood pressure and a 24-hour average can be measured as well.

Since you are not currently on any medication, if your blood pressure remains above normal

after monitoring, you could start a low dose of blood pressure medication. Instead of Triplixam, you could consider Amlodipine 5 or 10 mg or Losartan 25 mg, with the option to increase the dose if needed.

I have reviewed your electrocardiogram (ECG), and it is within normal limits. Thank you for sharing your details with us. Please do not hesitate to ask any further queries you may have, and we would be happy to answer.

Feel free to follow up with any further questions or concerns.

Thank you.