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Blood pressure

Scottish65lass profile image
10 Replies

Ok, so here’s s question!!!!

I know everyone’s BP is different, but on average what different is it in a person with copd. Mine is systole 138 & diastole 92,

Just trying to make sense of it x

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Scottish65lass profile image
Scottish65lass
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10 Replies
Carnival567 profile image
Carnival567

Depends when and where you had it taken. 138/92 would probably be considered borderline highish, but if you had it done at a doctor’s appointment it might be so-called white coat syndrome. You cannot really tell anything about your blood pressure on one reading, and if it worries you you need to talk to your GP and perhaps have 24 hour or 7 day monitoring. I have had high blood pressure all my life and have been on treatment since I was 30. I am now 76, I have many other what are cheerfully called co-morbidities but with modern treatment my BP is now lower than it has ever been.

Scottish65lass profile image
Scottish65lass in reply to Carnival567

That reading was average on a 24hr monitor

Carnival567 profile image
Carnival567 in reply to Scottish65lass

In that case my doctor would call it borderline highish, but since I have major heart problems anyway I suspect it will be one of those wait and see jobs unless you have any other symptoms. You don’t say why you had the monitor, so I can’t really say anything else. Good luck anyway, I would like to hear what your doctor thinks xx

Roysieboy profile image
Roysieboy

I can’t say much as I don’t understand it either. Best wishes though. 👍🤓

Just done mine 141 - 9 - 71 and been like that for a long time now

As I understand it, high bp is high bp, regardless of whether you have copd or any other diagnosis underlying, although use of oral corticosteroids has an effect and is therefore relevant to any conversation if a respiratory patient is regularly taking them.

The BNF states that an average, ambulatory bp of 135 over 85 or higher over the course of 24 hours is sufficient to warrant medication, and this would be in keeping with the NICE guidelines for treating high blood pressure to prevent cardiovascular disease. Although a bp of up to 140/90 is classed as ‘normal’, in actual fact this is purely based off the averages seen within the UK population, and you have to have a formal diagnostic threshold: anything regularly between 120/80 and 140/90 outside of a medical setting is actually pre-hypertension, in the same way that you get pre-diabetes, and therefore of concern. A *healthy* blood pressure (as stipulated by the NHS and a number of other cardio-vascular sources) is actually between 90/60 and 120/80, so if you’re outside of that but not at the threshold for a clinical diagnosis of hypertension, people should take definite steps to get their bp down.

Aingeful profile image
Aingeful

I did read that BP can alter with age? I am in my 70s and just now mine was 143 over 78.I have my own monitor due to white coat syndrome! My reading at the hospital clinic two weeks ago was 190 over 90!! I have never got a reading like that at home! My BP doesn't worry me.

Izb1 profile image
Izb1

My bp was 178/92 at the hospital last week and they cancelled my op because of this. I started new meds and my bp is now 153/88 so looking better but still think it is a bit too high, I bought a machine this week as I dont want to be going back and forth to the doctors , shall keep my eye on it x

Ergendl profile image
Ergendl

I was told to try losing weight (even though I was a healthy weight for my height) because my high blood pressure was so resistant to BP reducing meds. According to my GP it has helped bring it back down to a normal range (138/95 in the surgery). It may have been raised a bit as he was a new doctor to me and I found him a bit patronising,

Scottish65lass profile image
Scottish65lass

So in reality, mine is normal for a person with copd, my weight is good

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