Doctor insights on:
Are hypertension and idiopathic intracranial hypertension related? Bp elevates suddenly (i'm sitting quietly reading). Ct-partially empty sella?
A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more
Many things: If HTN is mild it is likely primary htn, but in anyone that age with marked elevation ( stage 2) i would consider secondary causes of HTN to include renovascular causes, coarctation of the aorta, catecholamine or glucocorticoid excess. Careful review of meds and otc / illicits and ocp. ...Read moreSee 1 more doctor answer
PH: High blood pressure in the lungs is called pulmonary hypertension (ph) or pulmonary arterial hypertension (pah). Pah is quite different from systemic hypertension which is assessed by cuff pressure in your arm. You should check with your physician to determine which you have. ...Read moreSee 2 more doctor answers
No: Hypertension is elevated systemic blood pressure, but portal hypertension is when the pressure of the portal vein is elevated. The portal vein is a big vessel that goes from the gastrointestinal tract to the liver, the pressure in this vein can become elevated in cirrhosis( hardening of the liver), in alcoholic liver disease, in hepatitis or from other causes of cirrhosis. ...Read moreSee 1 more doctor answer
On labetelol tambocor (flecainide) diathazide severe PVC hypertension recent angiogram show ascending thoracic aorta prominent with 3.7 CM dilation. Concerned?
Close observation: It sounds like you have a couple different issues that require regular observation. While your aortic root diameter does not suggest that surgery is needed at this time, your blood pressure needs strict control and regular imaging studies can detect enlargement. And if your pvcs are not well controlled on tambocor (flecainide) or if you have more than 10-15, 000 per day, catheter ablation can be a good option. ...Read more
Mom's echo,diastolic dysfunction grade1 with good systolic function,RVSP<30,ER72%, hypertensive heart disease,trivial &tricuspidMR.Treatment?SoScared!
36yo WM, 27 BMI, hx of HBP, hyperlipidemia, anxiety, MVP; all controlled w/ beta blocker, statin, clonazepam. Sedentary. Fear of MI; real risk?
Real risk: It is good that your blood pressure and lipids are controlled but you do have three risks for MI. Being male, hypertension and hyperlipidemia all put you at risk for MI. It is unlikely that you would have an MI at your age but there is still some risk. It is very important that you start an exercise program as advised by your doctor and get your weight to an optimal level. ...Read moreSee 1 more doctor answer
Chiari, Sjogrens, occipital neuralgia, central apnea, hypertension, tachycardia before ablation, urin. Retention, now vestibular disease. All related?
Tough question: It's unusual to have several separate uncommon conditions, as a coincidence, but it does happen. There's always a way to tie conditions together, into one condition or it's treatment. Nothing particular comes to mind, that catches all conditions separately, but a thorough history, physical examination, and review of all testing results, by your doctor can help answer the question. Take care. ...Read more
Basilar artery fenestration found (small) no aneurysm. F, age 53. Scared to death. Overweight, no other health problems. Is HRT ok?
Basilar artery: "fenestrations" are found in normal people and by themselves is not harmful. As long as you are healthy you should stop the WORRY which is a lot more harmful to you as that uncommon but normal "variation" in your arterial brain circulation!!!!! I can think of no reason why HRT would be contra-indicated due to that finding Aneurysms are the only possible "complications" of this anatomic "variation" ...Read moreSee 1 more doctor answer
Diplopia, squeezing band of pressure in head, absent L posterior inferior cerebral artery. chol/hdl calc 6.7. FH mutation. could this cause stroke/tia?
No: Minor anatomic variants of the arteries in the back part of the brain are no big deal. Most of us pathologists think the "MTHF" mutation testing is subscience at best -- it's being pushed by one lab to lawyer-shy physicians and a majority of folks are told they "have a mutation" and need vitamins from the company. TIA / stroke come on suddenly and dramatically. I suspect this is migraine variant. ...Read more
30% heart functioning, severe LV dysfuntion, diabetic, hypertension, 54yrs old, highrisk CABG suggested, wht can be the success rate?
Surgery: There is no clear cut answer. Only the cardiovascular surgeon that is involved in your care might give an estimate based on his/her experience. If you had a cath that suggested triple vessel disease, or anatomy not otherwise amenable to stenting, and CABG is offered, would suggest that you take it, since that can add many years of better quality life. ...Read more
Your opinion about lercanidipine vs amlodipine in htn control in 72 htn male with renal impairment and LVH ,paroxysmal a fib?
Hi BP drugs: They are both in the same class of drugs called calcium channel blockers for treatment of high BP. If that does not lower it enough there are many additional classes of meds that can be added such as angiotensin blockers, angiotensin converting enzyme inhibitors, diuretics, life style changes. See a good internist! ...Read more
Mri: sm. Amt of subcortical/periventricular signal. Meaning? Mild encephalomalacia. Meaning? history sle, ra, meningioma sx. Age 59. Mri due to dizzyness.
Non-specific changes: I do not see anything serious in this report. Slight changes of this or that are commonly reported by radiologists. But it is your treating doctors job to put these in proper perspective. All i can see it is that these changes do not point me in any direction except that it can serve as a base line for future comparisons to see if there is any progressive changes in future. ...Read more
Sll diagnosed in 2010. 66 y/o fe in good health. Enlgd nodes submandibular+axillary+1.5cm lt iliac vessels+9mm at main portal vein. Stage?Prognosis?
Good: It can be many years, in general, provided that no poor molecular-fish abnormalities. Stage is most likely ii, but iii if illiac nodes are abnormal 9 mm is close to normal , somebtimes pet scan help to make a better staging, but not usefull clinically at this time since treatment will nkt change. ...Read more
Is there any new recommendations regarding hypertension and pre hypertension in people with definite coronary artery disease?
For younger: men <60, the recommendation is stricter blood pressure control <= 120/80 with beta blocker, thiazide diuretic and/or ACE inhibitor or ARB. For older folks the current recommended pressure threshold is <= 130/85 but that recommendation could change within the next 2 years. Salt restriction to less than 2000 mg daily is also recommended along with cardiovascular exercises daily. ...Read moreSee 1 more doctor answer
Bilateral carotid stenosis-left greater 70 percent--right greater 50 percent no Hz of other medical condition-type treatment???????
Surgery: High grade carotid lesions are best treated by surgery. Not angioplasy, stunting or drugs. The main problem is there are few surgeons that are skilled enough to do the procedure at a low risk. Centers that do lots of this kind of work are in every major city. It's not a small hospital deal. ...Read more
Does a right atrium dilated, RV pressure of 25-30 mHg, IVC dynamics 5-10 mmHg subjective possibly of pulmonary hypertension or heart failure?
If accurate, only: mildly ?ed. RA ~10 mmHg, RV systolic ~25 mmg Hg generally ~optimally healthy; similar to the values stated. Thus RA enlargement likely: mismeasurement (common, not rare; study image data yourself), marked tricuspid regurgitation, congenital variant, atrial muscle problem [eg advanced arterial disease in RA arteries; (lumens too small to see by angiography) producing RA ischemia/fibrosis], etc. ...Read more