8 doctors weighed in:
A 90 year old lady with mild htn but prior eschemic strokewoke abruptly, but late. She was confused and agitated for20 minutes. Was digital home BP of 189 real?
8 doctors weighed in

Dr. Luis Villaplana
Internal Medicine
4 doctors agree
In brief: Quite possible
Although it could've been as a response, and not the cause.
It's the chicken vs egg syndrome...

In brief: Quite possible
Although it could've been as a response, and not the cause.
It's the chicken vs egg syndrome...
Dr. Luis Villaplana
Dr. Luis Villaplana
Thank
Dr. Mark Stern
Internal Medicine - Cardiology
1 doctor agrees
In brief: Probably
The BP of 189 systolic in an agitated 90 year old with hypertension is probably real, but it may be a symptom of the agitation and not a cause of the confusion.

In brief: Probably
The BP of 189 systolic in an agitated 90 year old with hypertension is probably real, but it may be a symptom of the agitation and not a cause of the confusion.
Dr. Mark Stern
Dr. Mark Stern
Thank
3 comments
Dr. Mark Stern
so what did the bp monitor read? what number systolic over what number diastolic?
Dr. Mark Stern
the 189/169 is not an accurate reading because I don't believe the 169 diastolic, but all the other numbers are possible and I believe them
Dr. Nassir Azimi
Clinical Lipidology
In brief: Probably
The problem with digital BP measurements are reproducibility.
To confirm one can measure 3 measurements 1 minute apart to confirm precisions. Then once bring and corroborate with a manual cuff at the doctors office.

In brief: Probably
The problem with digital BP measurements are reproducibility.
To confirm one can measure 3 measurements 1 minute apart to confirm precisions. Then once bring and corroborate with a manual cuff at the doctors office.
Dr. Nassir Azimi
Dr. Nassir Azimi
Thank
Dr. Rick Koch
Internal Medicine - Cardiology
In brief: Get evaluation ASAP
No point in guessing...Head to er as it could be minor or major.

In brief: Get evaluation ASAP
No point in guessing...Head to er as it could be minor or major.
Dr. Rick Koch
Dr. Rick Koch
Thank
Get help from a real doctor now
Dr. William Forsythe
Board Certified, Emergency Medicine
23 years in practice
171K people helped
Continue
107,000 doctors available
Read more answers from doctors