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Doctor insights on: Labile Hypertension Treatment

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Cure for orthostatic hypertension?

Cure for orthostatic hypertension?

Cure for Orthostasis: Volume repletion. Rise from supine to standing slowly. Compression stockings. High sodium intake. Drugs such as midodrine or fludrocortisone. ...Read more

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Dr. Shari Jackson
325 doctors shared insights

Hypertension (Definition)

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


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How are secondary hypertension and essential hypertension different?

How are secondary hypertension and essential hypertension different?

2nd HTN Vs Essential: Secondary hypertension is secondary to a know cause. There are hundreds. The cause of essential hypertension is unknown.There are hundreds of hypothesis as to what it is due to tho. Some facts: runs in families, tends to be sensititive to diet salt intake, the higher the BP the shorter time you live and the greater the % of life you spend with heart disease, stroke, renal failure etc. ...Read more

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What hypertensive treatment works for a patient with coexisting chf, high cholesterol and iddm?

What hypertensive treatment works for a patient with coexisting chf, high cholesterol and iddm?

ACE inhibitor: An ACE inhibitor would be anti hypertensive of 1st choice in a pt with said profile bc of its cardio and Reno-protective benefits. If a dry cough, side-effect develops, an angiotensin receptor blocker ought to be tried next. ...Read more

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What hypertensive treatment works for a patient with coexisting chf, high cholesterol and iddm?

What hypertensive treatment works for a patient with coexisting chf, high cholesterol and iddm?

ACE or ARB: Any of them would work but ace or arb would also treat the chf and protect the kidneys so they would be a first choice. ( one or the other, not both). Most patients need more than one drug. ...Read more

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What treatment option integrates treatment for high blood pressure, arteriosclerosis, atherosclerosis, and coronary heart?

What treatment option integrates treatment for high blood pressure, arteriosclerosis, atherosclerosis, and coronary heart?

Best to Address All: The LDL & HDL lipoproteins (protein particles which carry all fats in the water outside cells, see NMR particle test) are the primary issue, along with blood glucose (optimal hba1c ?5.0%), blood pressure (sbp ?120 mmhg), no smoking & several other issues, known & not. Thus best to address all issues in unisyn, do not aim for normal. Instead aim for excellence: absence of drivers of the disease. ...Read more

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Opinion of Beta Blockers (Tenormin) for regression of anxiety induced hypertension mild LVH?

Opinion of Beta Blockers (Tenormin) for regression of anxiety induced hypertension mild LVH?

It sounds like: a good choice, as your doctor evidently did also. Give it a try for a few months, I think it is a good idea. ...Read more

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How is cerebral hypertension different from hypertension?

How is cerebral hypertension different from hypertension?

Local vs systemic: Cerebral hypertension refers to increased pressure in your brain. Hypertension refers to increased systemic blood pressure, generally without increased pressure in your brain. ...Read more

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Which medications treat CHF (congestive heart failure) and diabetes?

Which medications treat CHF (congestive heart failure) and diabetes?

CHF and diabetes: Regrettably this is not an uncommon combination. On the very positive side you doctors - Endocrinologist and Cardiologist - will take good care of you. Of course you have a role in keeping your diabetes under control. ...Read more

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Bp constantly 160/80 despite micardis (telmisartan) 80, norvasc 5, labetolol 50. Pulmonary htn with ckd, lupus.. imdur, diuretics not advised by md. Other choices?

Bp constantly 160/80 despite micardis (telmisartan) 80, norvasc 5, labetolol 50. Pulmonary htn with ckd, lupus.. imdur, diuretics not advised by md. Other choices?

160/80: There seems to be much going on and not fully helping you. For now please check your blood pressure every other morning and every other alternate night. I suspect that the blood pressure data will be different from day to day, in which case you must contact your doctor for treatment advice. Please let me know how things develop. ...Read more

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Treatment for drug-resistant high blood pressure?

Treatment for drug-resistant high blood pressure?

Too many options: If you have resistant blood pressure, you may need to make sure you do not have a secondary cause such as a kidney or hormonal problem. Undiagnosed sleep apnea can do also be a cause. Obesity and failure to lose wight with diet and exercise can also prevent medication from working. You may need to be on at least 4 types of drugs to lower your blood pressure. You may need to see a hypertension. ...Read more

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How is pulmonary hypertension vs. Regular hypertension?

How is pulmonary hypertension vs. Regular hypertension?

Very different: Pulmonary hypertension is high pressure in the lungs and associated with chest pain, shortness of breath and fainting spells. Essential or systemic hypertension is different and is high pressure in blood vessels outside of the lungs. It can cause headaches, cheat pain but usually no fainting spells. ...Read more

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How is hypertension controlled?

How is hypertension controlled?

Diet, exercise, meds: Htn requires a strong committment to treat effectively. Compliance with a weight loss diet, low salt and alcohol, coupled with regular aerobic exercise can help tremendously in keeping BP under control. For most, these will be necessary , along with meds in order to control BP adequately. Meds without lifestyle changes often just leads to more meds and side effects. Doing both works better. ...Read more

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Is pulmonary hypertension treatable?

Is pulmonary hypertension treatable?

PAH is treatable: FDA approved treatments include oral endothelin receptor antagonists, ambrisentan and bosentan; nitric oxide pathway, riociguat, tadalafil and sildenafil; and Prostanoids (iloprost, epoprostenol, and treprostinil) that can be oral, inhaled, or intravenous or subcutaneous infusion. These treatments widen lung blood vessels and ease the symptoms of Pulmonary Arterial Hypertension ...Read more

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Which is better carvedilol or nebivolol in treating hypertension?

Which is better carvedilol or nebivolol in treating hypertension?

Beta blockers: Beta blocker drugs are sometimes used to treat hypertension (high blood pressure.) Comparison of different drugs shows that carvedilol and nebivolol have similar clinical effects although differences can be detected if sophisticated testing is done. See http://bit.ly/2iX7HEI ...Read more

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Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

SSRIs: There is some evidence that ssris help with post stroke remodeling where the brain works on regrowing connections between brain areas that were not killed by the stroke. There is also evidence they help prevent post stroke depression that is very common. Not much reason to think one ssri is better than another. See your prescriber for specific dosage recommendations. ...Read more

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Labile (Definition)

Other descriptions include: subject to abrupt change, or unpredictable & changeable. It is often used in reference to a "labile affect" -- which is a mood which varies broadly & abruptly. You hear "labile hypertension"--which is blood pressure that bounces above & below what would be considered normal or benign. Such a BP must be charted throughout the day to determine ...Read more


Dr. Payam Mehranpour
2,112 doctors shared insights

Hypertension (Definition)

Hypertension is defined as elevated blood pressure systolic over 140 and diastolic over ...Read more