High Blood Pressure with AF - Concern... - British Heart Fou...

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High Blood Pressure with AF - Concerned that progress to solution seems very difficult

Travelwatchdog profile image
9 Replies

AF & HBP. I’m new but have had the problem for three years. Have tried Ramopril, Amlodapine and have now got to Losartan at 100mg and Doxazosin at 3Mg per day.

Covid hinders consultations with all being done by phone. My problem is that new or changes to medication seem to reduce pressure to around the S 140 for a few weeks then we are on the upward track again. With the current Losartan and Doxasozin things were reasonable three or four months ago, but I am now getting regular readings of 174/70 or above. I have also been prescribed Apixaban to stop coagulation.

My GP, by phone, seems to believe 174/70 is not too bad. I don’t feel as confident, but like many others, I hesitate to continuously report the same problem over and over at this difficult time. I’m sure there are others who have had similar problems.

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Travelwatchdog
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9 Replies
Palpman profile image
Palpman

High systolic bp is very common with people over 60. Your 170 is high but not high enough for A&E.

This can be caused by narrowing of the arteries so it should be investigated.

Strange why you have not been prescribed a beta blocker. This does not only lower pulse rate but also decreases the intensity of the ventricle pumping action and thereby decreases the systolic pressure.

Seeing a GP is a pain nowadays so you can aggressively stop all salt intake, fast foods and snacks.

Exercise more and loose weight if needed. This may drop your BP enough to cease your other medications.

Travelwatchdog profile image
Travelwatchdog in reply to Palpman

Thank you. Iv'e been as far as possible free of salt, fat etc for quite some time, but exercise has been a problem. In march 2020 I was walking around the golf course three times a week and playing bowls as well, but a recurring arthritic problem with my right knee killed exercise almost stone dead. I attribute part of the problem to that. I found a private physic to help with the knee and that's improving, but as could be expected, hips are also a problem. Thank you for your advice, its appreciated.

Qualipop profile image
Qualipop

Whatever difficult times we are in is no reason not to speak to your GP when you are worried. Don't let them fob you off; persist until they do further tests. Your age makes no difference. If you are concerned and feel it's wrong, they should be helping you. I'd be tempted to say "I feel that because of my age you are writing me off and not bothering". That just might shock them into action.

Travelwatchdog profile image
Travelwatchdog in reply to Qualipop

Thank you. I shall get back in touch with him.

Regarding APIXABAN, I've been taking it for a few year's and apart from waking up with a completely bloodshot eye, a few days after I started on them, I've not had any noticeable side effects.

Remember you will bleed more when cut but I've not been bothered by it, just make sure you carry the warning card, when going anywhere!

I also take Amlodipine and haven't had any issues.

My BP was similar to yours before my Cardiac Ablation (AF) but it's averaging 120/75 nowadays.

I'm now on

Amlodipine

Candesartan

Verapamil

Atorvastatin

Plus

Metformin

Pregabalin

For other conditions!

Travelwatchdog profile image
Travelwatchdog in reply to

Thank you. If this reply appears twice , apologies. It disappeared before I could post.

Apixaban has not given me a problem, up to now, despite the warnings being fearsome. Amloipine caused the most severe swelling of my legs and feet that it quickly had to be discontinued.

I find your success most encouraging and am reassured that there seem to be other drugs that might also help to solve my problem as well. Keep well and many thanks.

Will23_02 profile image
Will23_02

I agree with Palpman, 170 systolic is not a serious problem. Your GP should listen to you. It is a difficult time. Many people are suffering because of Covid related restrictions.

6TIMES profile image
6TIMES

APIXABAN, gave me side effects but settled after a few weeks, however, i have just received a gp letter saying that they now have to monitor them with regular blood test and what weight you are depends on what strength you take and they will only be issued on a monthly basis, i usually get two months supply each prescription, it's got me thinking if something is going on, personally i do not like taking the apixaban.

Travelwatchdog profile image
Travelwatchdog in reply to 6TIMES

Hi,I've so far been OK with Apixaban. The problem for me is that when I was put on it, I could no longer take an anti-inflammatory that was being used to overcome arthritis. At that moment two hips and a knee were suddenly a big source of pain and there is no chance of getting anything done about them for some time.

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