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Northbridge, MA
A 32-year-old female asked:

What could be the cause of high bp 197/117, & low hr 60? temp 99.9. person abuses opiates/cocaine. s/p mi w/ no other cardiac hx. very sleepy...

3 doctor answers4 doctors weighed in
Dr. Taimur Habib
Internal Medicine 25 years experience
Multiple Causes: It could be several things. If known hypertensive, then elevation of blood pressure can happen at times without any underlying cause. Cocaine abuse can elevate blood pressure. Having a heart attack can do so. Since you mention low grade fever, an underlying infection can elevate blood pressure. Stress can produce these findings. If on heart medications, not taking medications can elevate bp.
Dr. Orrin Ailloni-Charas
Anesthesiology 29 years experience
This bp is too high: You should stop using Cocaine and see your doctor asap for evaluation and treatment.
Dr. Karen Sibert
Anesthesiology 39 years experience
Dangerous situation: Opiates and Cocaine can be a deadly mix. Cocaine can cause BP that high and could bring on a stroke or another mi. If the person is that sleepy, he could stop breathing; you may need to call 911. Your friend needs serious help with his drug abuse. Encourage him to get treatment and enter a rehab program.

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Last updated Jun 24, 2014

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