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Archive for the ‘Hypertension’ Category

Question: Good time of day! I have high blood pressure 2-nd degree, 8 years old drink Enap. He was advised to drink more Courant – has become a headache. Please, suggest what to do? Courant began to drink one tablet twice a day.

Answer: Hello, Alexander! If there is a clear link between taking the Courant and headache, take it should not be. And how much pressure while taking Enap, why you decided to add the Courant? Now a lot of drugs from hypertension, but their absence can not be recommended. If possible, visit a cardiologist.

Question: I am 21 years old. I have hypertension from birth, and feel at Hurray! Harmed if I would be over time? Maybe now lies in seeking treatment?

Answer: Hello! Course, to treat hypertension should be. The main target organs for hypertension are: brain (stroke), heart (heart attacks, changes in the walls and cavities of the heart), eye (fundus vessels), kidney (ischemia, infarction).

Question: Age of 23, found hypertension and assigned to drink and pills noliprel nebilet. Now I am 25 stopped taking the pill a week ago, I feel a constant shortage of air. Went to the doctor allergist and she told me that the results of spirometry are normal. Measure my pressure, it turned out to be 200 to 100. What do I do? How to get rid of this disease? Why in this age of pressure as an elderly person?

Answer: Igor, so you have to examined to determine the cause of hypertension. To get rid of the disease, one must know its cause. At a young age are sometimes the cause of kidney disease and the endocrine system, so a cardiologist appointed urine, some blood hormones and instrumental study. As for the pressure 200/100, it is a classic withdrawal symptoms, so a sharp drop to drink tablets can not. Resume receiving at least nebileta and go to a consultation with a cardiologist at large or the Institute's cardiology clinic, you are probably in Donetsk is.

Question: The clinical diagnosis: coronary artery disease. Subendokardialny Acute anterolateral myocardial infarction of the left ventricle. Postinfarction angina. Hypertensive heart disease 2 degrees. Age 71 years. Can three and a half months after a heart attack to fly to a place of rest. Duration 3,5 hours. Thank you.

Answer: in absentia to allow or deny the flight, I can not. In the West, to fly after myocardial infarction are allowed after 4-6 weeks, but it is only when uncomplicated disease course. In each case the decision is made by a physician on the basis of examination of the patient, taking into account severity of heart failure, age and other factors. It should be borne in mind that the flight increases the risk of thromboembolic complications, and therefore requires the reception of special preparations. In addition, pressure overload in the air can cause abrupt changes in pressure and exacerbation of angina.

Question: I will start from afar. In 2005, suffered an acute renal-hepatic insufficiency (mushroom poisoning). From the pressure has Enalapril, and then Noliprel. Now pregnancy is 11 weeks. At 8 weeks to the hospital. Upon admission to hospital, blood pressure 180/100. Diagnosis: Hypertension II, grade 3, the risk III. Treatment: polarizing mixture riboksin, amlodipine, blood pressure control. We accept Dopigid 0.25 for 1×3 times a day and amlodipine 15 mg. Pressure returned to normal. Does not rise above 130/95. Today was even 110/70. Doctors scare that could be a stroke. Suggest an abortion. Advise how to be. I am 37 years old. No children.

Answer: Hello! As the pregnancy of you who wish to disrupt its not necessary. All pregnancies should take pills and be under the supervision of a therapist and a gynecologist. If you need to be hospitalized.

Question: Mother 54 years, she, as they say, "a bouquet of diseases: asthma, allergies, high blood pressure, swelling, low back pain, etc. But the question in another. For a long time, it is very good at helping drug nicotinic acid. But not so long ago it appeared severe allergy. Been able to find a replacement emoksipin on beta-blockers, nitrates drugs from her allergies. Could you tell vasodilators? (The doctor in the clinic, frankly, I do not know, and to health centers is extremely difficult to get – faints).

Answer: vasodilators very much, I do not understand the purpose of their use. If the pressure decreases, then for a long time there are lots of effective tools, which operate a little differently, including reducing the spasm of the arteries. Among these drugs – ACE inhibitors (enalapril, captopril), calcium channel blockers (diltiazem, amlodipine). Net as vasodilators cause strong reflex heart, which I do not advise you to apply. Try all the same advice my mother, at such a young age – and falls in obomoroki. While a neurologist and psychoneurologist show it as full-time cardiologist will pick up therapy, including edema.

Question: I am 25 years old. That's already 4 months, I have problems with pressure (possibly before this was also increased, but no symptoms were not). Remained stable in the region of 150-100, the evening raised to 190-150. Also present are chest pain (in the left and right parts), heart rhythm disturbance, panic attacks (apparently due to cardiac rhythm). We examined by cardiologists, nephrologists, vascular surgeons have even been, always say that there is no pathology and obvious reason for this pressure no. Now I drink Enap-H twice a day, it lowers the pressure (up to about 120/70), but the pulse with 100-120 and pain in the heart did not pass. Is this normal pulse (it is consistently above one hundred) or the body is so accustomed to a decrease in pressure? And I have heard from various doctors that high diastolic blood pressure indicate kidney problems (just as a child had a problem just with the kidneys).

Answer: And that says a nephrologist? What kind of have a kidney problem? If pyelonephritis, the urine in principle, can tell whether there is pathology. Such a pulse is abnormal, a cardiologist might well appoint other drugs, in addition to Enap, which reduce heart rate is. A thyroid hormones was studied? TSH and T4 – is necessary. And yet – to a cardiologist, I advise you to find a competent therapist, who will cure your panic attacks. There's a chance (small), that when polechat them, it will be easier with the pressure.

Question: I am 62 years old, hypertension (160-100), tachycardia and sclerosis of brain vessels. By prescription accept diroton 5 mg and Egilok of 12 mg daily for 3 years already. Pressure was kept 140-95. Recently, the doctor ordered additional Indap one ampoule daily. Pew month, the pressure was 110-80. How you can take a long Indap? Do we need a break? Can I take it like 2 times a week?

Answer: And how you feel at such a pressure? If normal, then so and take a while. Indap intended for daily administration, is a weak diuretic with a very good influence on the cardiovascular system. See how you do not have enough diuretics. In terms of prevention of heart attacks and strokes, the lower the pressure, the better (up to certain limits, of course, to zero, no need to shoot down). So the focus should be on their own experience.

Question: Treatment of hypertension: over 2 years old drink appointed cardiologist Concor 5mg tablets, 10mg norvask. The pressure is constantly maintained in the norm of 120/80 to 105/70. However, I noticed that the onset of summer often kept the pressure on 90/60 to 100/65. At this time, I reduce the dose to 5mg norvaska. Performance slightly increased but not significantly. Then I try 5mg norvask divided in half and then a week later I started "jumping" pressure from 98/60 to 150/90 episodes. I take off the pressure korinfarom 1tab and return to 5mg norvasku. By the way, at low pressure, I do not feel any discomfort, but with increasing concern to 140/90, and from this it has LARGE increases. Furthermore, addition to the winter period there is instability of pressure, and I have to increase the dose of 10mg norvaska and with this rule before the summer period, mostly stable. The real question: whether to strive to improve the performance of pressure, if it falls below the established norm in the above scheme of treatment?

Answer: It was so nice to read your question because you are very responsible attitude to treatment. Focus on your state of health at a low blood pressure – if the head strength and weakness in the body – to reduce the dosage, if all goes well, it does not tend to increase pressure, as will his race. Incidentally, Concor to 2.5 did not try to reduce (if not more than 75 pulse alone)? You can try to maintain 10 norvaska.

Question: Hypertension in man. Accepts monopril 20 mg and indapamide 2.5 mg. Recently, gout tortured. In the summary of monopril have information – side effect – the gout. Tell me please, what should monopril?

Answer: First of all – you are sure that it is gout? Diagnosis confirmed rheumatologist? A typical attack of pain in the metatarsophalangeal joint with redness and increased temperature, increased uric acid in the blood (though not necessarily, but still). Or is it a traumatic arthrosis?. If, indeed, gout, then yes, there are among the side effects of ACE inhibitors gout. There is a kinship of drugs – angiotensin receptor blockers such as valsartan, Irbesartan, they have no gout in side effects. It makes sense to try to replace monopril. The specific dose and name of the drug – a physician with full-time appointment. Incidentally, if we speak of gout, then indapamide, which belongs to thiazide derivatives, are more likely to cause increased levels of uric acid in the blood.