How to manage high blood pressure?

Question

Hello,

I am a 26-year-old unmarried woman who has been dealing with hypertension. There are no underlying causes identified for my condition. I have undergone all the basic tests like ECG, Eco, and Doppler, and all the tests are normal. However, my BP used to be high all the time, and I came to know when I was put on ABPM that I believed it was stress-induced. I consulted many doctors like psychiatrists, physicians, and cardiologists, and now I have been taking medicine for almost a year. However, my BP is not stable now. Even if I take the medicines, my BP goes down, and I feel palpitations and fatigue; what should I do?

I believe the stressors in my previous environment, which I have since left by moving to a different country, may have contributed to my hypertension. Unfortunately, I am currently unable to reach my cardiologist, who has mentioned that he can only see me in person. Please advise me on what steps I should take.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern.

If the BP (blood pressure) medications were started after the ABPM (ambulatory blood pressure monitoring) readings, there is a reason to believe that the physicians were justified in that. If the BP is now consistently low, there may be a change in your heart rhythm, heart pumping function, or hormonal status. If the systolic BP is consistently below or equal to 100 mm Hg, and you get dizzy while taking the BP medication, then the medicines can be stopped, and BP should be observed over the next three days. But if the BP (systolic) is in the 130 /140 mm Hg range, I would advise you to continue your medications.

I hope this helps you.

Thank you.

Regards.