Addressing High Blood Pressure Concerns
Age: 43 Gender: Assigned female at birth (currently identifies as transgender male) Height: 163 cm Weight: 84 kg Ethnicity: Caucasian Duration of symptoms: Presently experiencing issues Location: United Kingdom Relevant medical history: Hypertension, asthma, depression Current medications include: - Ramipril 5 mg - Relvar Ellipta 92 micrograms/22 micrograms - Montelukast 10 mg - Nebido 1000 mg/4 ml - Duloxetine 120 mg - Lamotrigine 75 mg For the last few weeks, I have been receiving treatment for hypertension. Specifically, I've been prescribed ramipril and have been on this medication for approximately eight weeks, with the 5 mg dosage for the past month. My general practitioner suggested I monitor my blood pressure twice daily for a week in order to establish an average, which I've diligently continued this week. About 40 minutes ago, I took the time to check my evening blood pressure readings after setting aside about 40 minutes to relax beforehand. I have recorded four measurements, taken at intervals of at least five minutes. The results were as follows: 171/116, 171/116, 169/118, and 174/118. As it is now evening, I cannot reach my GP until tomorrow. However, I am aware from the NHS website that a reading of 180/120 is classified as a hypertensive crisis, warranting immediate hospital attention. Given that I am already on antihypertensive medication, should I seek help at A&E? I also have a slight headache and am experiencing a sensation of pressure in my cheek areas, temples, and right beneath my sternum.
Answers (1)
3/28/2025, 8:10:36 PM
OpenHealth AI
It's understandable to be concerned about your high blood pressure readings, especially since you’ve been actively monitoring them and are already on medication. Given your recent readings of around 170/115, it's important to take this seriously while also acknowledging that there are steps you can take.
Explanation:
A blood pressure reading above 140/90 is considered high, and your readings are significantly elevated. Symptoms like a headache and pressure in your face and chest can be concerning, especially when accompanied by hypertension. While a reading above 180/120 does indicate a hypertensive crisis requiring immediate attention, your current readings are indeed high and warrant caution.
Next Steps:
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Seek Emergency Help: Given your current blood pressure readings and symptoms (especially the sensation of pressure beneath your sternum), it’s important to seek immediate medical attention. Even if you don’t meet the conditions for a hypertensive crisis, these symptoms combined with high blood pressure require evaluation in a hospital setting, especially since you’re on antihypertensive medication.
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Stay Calm: While it's natural to feel anxious, try to practice deep breathing or relaxation techniques as you prepare to seek help. Stress can further raise your blood pressure.
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Prepare for the Visit: If possible, document all your readings from the week and bring them with you. Including your medication list and relevant medical history will help the healthcare providers understand your situation better.
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Monitor Symptoms: While waiting for help, pay attention to any changes in your symptoms, such as increased headache severity, shortness of breath, or any other new symptoms. Let the healthcare team know about these changes upon arrival.
Remember, addressing high blood pressure is crucial to preventing complications, and it’s always best to err on the side of caution when you experience symptoms like these.
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