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British Heart Foundation
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Very high blood pressure

Hi there,

Just after a little advice really regarding my 37 year old partner. He has described experiencing heart palpitations a couple of times over the last few weeks. I have bought a home blood pressure monitor and found over the last few days his BP is consistently between 164/118 and 210/134, pulse varying between 80 and a huge 210. Does anyone suffer with such high blood pressure? should we keep an eye on it or get an medical assessment. He has no other symptoms and feels otherwise healthy. Looking online just states stage 3 hypertension but no guidelines as to what to do. Anyone with advise and or had personal experience similar is greatly appreciated.

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"If my arteries were still blocked my blood pressure would still be up. This means that my arteries must be clearing out."

Jimmy, you're doing it again, that statement is simply wrong. A reduction in blood pressure could be due to many things, for example from having a stent to taking more exercise, or just reducing the salt in your diet. You must know this, so why do you keep peddling this misinformation?

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Hi, I was recently at my GPs for a routine health check my BP was over 200 and I was sent straight to A&E for treatment. The doctors at the hospital were quite clear anyone with a BP over 200 should go to hospital there and then to get treatment

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Oh blimey, he peaked at 210/134 yesterday. This morning his pulse was worst at 210 but blood pressure lower at 174/126 which I'm aware the diastolic is still way too high. I'll nag him to call 111. Thank you so much, was all ok at your a&e visit or are you pending more investigation?

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Hope everything is ok now? Waiting for an echocardiogram to be done

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Yes much better but not perfect on meds so will probably have a mess around with meds at gp appointment couldn't find a reason. Let me know how your echocardiogram goes

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Hi Josh,

Yes, I agree, your partner needs urgent medical advice. His BP is indeed very high and the palpitations suggest he may have an irregular heartbeat at times, probably because his heart is under strain, caused by high BP. In my case, I also experienced palpitations caused by an irregular heartbeat at times. My blood pressure had gone up, thankfully not as high as your partner's. I had an urgent ECG, was prescribed more medication and was referred to the Chest Pain Clinic for more tests. All the medical and nursing staff were lovely. I know it is scary, but he does need to see someone asap, ie today. Best wishes

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Glad you have had a helpful experience as medical staff so friendly. I will show him your post and hopefully ease some anxiety. Thank you so much for your reply

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Ensure he sees his GP as a priority and get his bp and heart checked out, if he resists I would ring the GP and ask for their advice, if they say he needs to go down to the surgery right away that might motivate him to do so. Don't leave please he needs medical input and attention.

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Thank you. After reading the replies I'm hoping to be able to persuade him to get medical advise asap.

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My brother was sent from GP to hospital when he was first found to have such high blood pressure. They gave him emergency drugs and kept him overnight until it was under control. He has been on BP meds through GP since. I understand it to be an urgent issue with such high readings until managed in primary care.

Take action, people don’t always feel unwell with it.

Jo

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Thank you Jo, after everyone's comments I'm going to force him to call 111.

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As others have said, with numbers like that, your partner definitely needs medical attention. Blood pressure and heart rates like that put him at a high risk of a stroke. I had blood pressure at similar levels after the birth of my first daughter and doctors would not even allow me to be moved from the delivery suite back to my room. It sounds like he has some type of arrhythmia as well as the high BP. Excessively high heart rates can damage the heart muscle so that needs to be brought down. All the best (and please update us later).

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Thank you Kaz747 I'm definitely going to force him to call 111 if he doesn't I'll frog march him to gp. Thinking about it all he experienced what we thought were a couple of panick attacks (uncontrollable pulse, sweating, feeling sick and unwell) may well have been mild heart attacks as unknown how long this blood pressure has been going on for. Will update thanks so much

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You’re far better seeing a doctor and after an examination being told “it’s just panic attacks” than assuming that and ignoring something that could be serious. Xx

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Hi Josh, I am glad you found my reply helpful. I suspect your partner is scared and trying to put off getting medical help. As a carer for my husband, I was also worried, but I eventually accepted that delaying a medical check would only make things much more risky, not only for me, but for my husband too. Good luck!

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I used to suffer these symptoms from high heart rate arrhythmia - I’ve never had a heart attack nor blocked arteries. He needs medical attention to know what his personal issues are, and get treatment, please don’t worry too much, worry solves nothing but prompt care can prevent, as well as manage medical issues.

Jo

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Hi Josh,

Some good replies here so just to clarify - your partner's blood pressure is consistently higher than 140/90, so he should see his GP for review. They may give him a 24hr blood pressure monitor to calculate his average through the day to confirm a diagnosis.

There's some great info on our website about blood pressure and how you can help to keep it under control too: bhf.org.uk/informationsuppo...

Hope this helps,

Chris

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Many thanks Chris I will look at the info and get him to seek medical advise

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Thanks guys, I called 111 this morning after his stubbornness. We have been in hospital and he is been kept in as they can't seem to control his blood pressure. Have tried 5mg ramapril and 5mg of a beta blocker but BP hasn't changed. Good news is all x-ray and blood tests returned with nothing concerning.

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I would say the blood pressure you are recording is very high....see a Doctor for medication...

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Hey, thanks everyone. He was out of hospital last night. 10mg amlodipine and 2.5mg ramapril. To keep observing at home and maybe a further 24hour monitor at go check up.

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