Mayo Clinic Connect
has anyone dealt with resistant hypertension?
Welcome to Connect, Kathy. Let me introduce you to a few members here dealing with hypertension. Please meet @predictable, @contender1 @mikefox909 @martishka @nadine66 and @teatime.
@llecrup how are currently managing your hypertension? We look forward to getting to know a bit more about you.
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Good morning, @llecrup. I’m probably one of your companions in this situation. Let’s see. Do you agree with these “definitions?”
Resistant hypertension is blood pressure that remains above goal despite concurrent use of three antihypertensive agents of different classes, one of which should be a diuretic.
The goal blood pressure is less than 140/90 mmHg in average-risk hypertensive patients. There is evidence supporting a lower goal blood pressure (ie, 130/80 mmHg) in patients with atherosclerotic cardiovascular disease and in patients with proteinuric chronic kidney disease.
I’m taking three hypertension medications, which haven’t succeeded yet in lowering my BP to 140/90, but I’m making progress. My medical team is led by a nephrologist and includes an endocrinologist looking for causes and a cardiologist keeping an eye out for circulatory problems.
Could you share with us some information on your current condition and the status of your treatments?
Is 105/65. Normal blood pressure ?
Hello again, @fabulous17. I just posted a reply to your son’s problem over in the Cholesterol discussion. I have been hypertensive and combatting high blood pressure for over 20 years, and I’d quit work and retire with BP readings of 105/65 — assuming there are no symptoms of weakness or dizziness or diagnosed other maladies. Is this your ordinary BP? Does it reflect any medication to bring it down? Are you athletic and exercise a lot? With this information, some of our other members will be better prepared to weigh in with their thoughts.
105/65 is considered a little on the low side but it is a good reading. 65is a little low ,. 120 over 80 is considered the normal average. At leastthat’s what you I’ve been told.
I do exercise regularly and am not on any medication . My doctor says this BP is normal but I keep reading about 120/80 . I do not have any dizziness or light headedness , just wanted to know if I should worry .
@fabulous17, the “average” of 120/80 is for the general healthy population. The range is from less than yours to 129/84. Athletes often have lower readings and slower heart beats. If your doctor is pleased, don’t worry. If you’d feel better about it, ask another doctor who knows your physical, emotional, and medical status. And wish me luck in dreaming about getting down to your level!
Thank you so much and wish you desirable numbers soon !
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@llecrup welcome. Is it safe to assume this is your diagnosis?
I was admitted to St Marys Mayo Clinic with blood pressures of 300/208. It has taken about 11 months to get my readings down. There are so many reasons for someone to have resistant hypertention. Are you actively looking for the cause?
It is one of my diagnosis.I also have carotid artery disease,peripheral artery disease, coronary artery disease carotid stenosis, cholesterol issues, and Reflex Sympathetic Dystrophy which led to bilateral AKA. I had coronary bypass in nov. , double stents in another artery, renal artery stenosis which was stented in Jan.My nephrologist and cardiologist are actively looking for a cause. Bp meds have included labetalol, metoprolol, isosorbide, Cartia XT, clonidine, chlorthalidone and spironolactone. I am currently off all those meds and on an old school drug my cardiologist has resurrected called reserpine. I was admitted to hosp. about a month ago with a pressure 260/140.Discharged about 10 days ago on the reserpine .25.initially there was some response however numbers are creeping back up again with a pressure today of 204/110 and yesterday 214/121.
You have certainly been busy. Stenosis is certainly one of the first diagnosis they look for as a cause.
I to am on spironoactone, a drug used to lower aldosterone and drive up potassium. My main diagnosis so far is hyper aldosteronism, and a tumer in my adrenal gland. What I have learned is the adrenal glads are your epicenter for almost everything. Your entire endoctrine system deponds on them. When anything is on or near them they malfunction. Kinda like dropping a drop of water on an electric panel.
Has your doctor mentioned genetic testing for the right medication. IT OFFERS THE RIGHT DRUG, at tbe right dose at the right time. It is call pharmacogenetic testing or also PGx. Here is a great link http://mayoresearch.mayo.edu/center-for-individualized-medicine/drug-gene-testing.asp
I pray they find the right drug combination very soon. Please take comfort that you are not alone.
Liked by Martin Jensen, Volunteer Mentor
thank you for that info I will certainly check out that link, and will share this with my Dr
Hypertension: Did we speak about Lisinopril and its use with Tenormin ….
Hi @jacko, I moved your message to this current discussion about hypertension so that you could put your questions about lisinopril and its use with atenolol (Tenormin) to the group. What specifically would you like to know about using these drugs together? Are you taking both?
Here is a great link to Mayo Clinics Drug & Supplement Checker.
This might help you with some questions you may have. Like Colleen asked, Do you have a specific concern?
Liked by Alyse Brunella
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