Patient's Query
Hello doctor,
My husband is 45 years old. He is very active like an athlete and runs daily. His heart rate is low when resting, but his blood pressure is always high, around 140/90 mm Hg. Is it okay?
He is not taking any medication.
Is this called hypertension?
Should he take medicine?
What should he do while running?
Kindly help.
Hello,
Welcome to icliniq.com.
I read your query and understood your concern.
It is really good that you are keeping an eye on your husband’s health like this. A lot of people who exercise regularly assume everything must be fine, so it is good that you noticed this and decided to ask.
To answer your question, yes, a reading of 140/90 mm Hg does count as hypertension. According to general guidelines, this falls under stage 1 hypertension and needs attention, along with some changes in diet, such as reducing salt intake and avoiding fried and baked foods.
He may need to start a medication like an angiotensin receptor blocker or a calcium channel blocker, based on a doctor’s evaluation. Please do not let that worry you too much. Starting treatment at this stage is a sensible step that helps protect his heart and kidneys in the long term.
The good news is that his running habit is a big advantage. He can continue running and doing aerobic exercise, as it helps bring blood pressure down. He should stay well hydrated, and if he feels chest discomfort, dizziness, or unusual breathlessness while running, he should slow down and get it checked.
If he is carrying extra weight, losing even a small amount can help improve blood pressure. The low resting heart rate is usually normal for someone who runs regularly and often indicates good cardiovascular fitness.
However, given the blood pressure readings, it is important for him to get a proper evaluation by a doctor soon. Encouraging him to get this checked is a good step forward.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
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Answered byDr. Vivek S Narayan Pillai
Medically reviewed byiCliniq medical review team
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