After 2 months of my operation- Doing well!

Thank you for the update - you are doing well

by Gemita - 2023-06-21 19:25:11

Baban, good news so far.  10 years battery remaining and only pacing 22% of the time.  We always say however that it is more important to feel well  than to worry about the percentage time we are pacing.  I am paced in the right atrium almost 100% of the time, but as long as I feel well, I am not worried at all.

If you and your doctors are concerned about your blood pressure, then you could ask about trying another medication or increasing your current beta blocker dosage?  However at 144/88, I would certainly not be too concerned and nor would my doctors.  I would take three blood pressure readings, three times a day for a week, to get an idea of your average blood pressure value.  Sometimes as we get older it is not always desirable to lower our blood pressure too much or too quickly in case it causes other problems like dizzy spells, leading to falls which could be dangerous, although I see you are young.  

I would speak to your doctor and if you feel well on your current medication, ask whether you can continue on this dosage with your slightly raised blood pressure or whether you need additional treatment?

Despite your concern about your blood pressure and heart rate (neither of which are dangerously high) I think you are doing very well.  And do you remember what we said about anxiety?  Anxiety is likely to push our blood pressure and heart rate up even more, so I would stay relaxed as much as possible

All good

by Lavender - 2023-06-21 19:31:45

My bp is normally low. When I go to a medical appointment, it goes up. My chart has on it " white coat syndrome ". Maybe your heart rate and bp go up due to anxiety about the appointment. Check it at home. 

Two months

by AgentX86 - 2023-06-21 23:12:49

It does sound like you're doing very well indeed.  I wouldn't worry too much about 144/88, for now. A beta blocker may not be enough to lower your BP.  You may need another drug, like amlodipine. It may take a while to get things right.

I'm a lot older than you, but I could only wish I could post numbers like that consistently.  To be fair, if they check manually, I do OK. The machines, any of them, show at least 10mm-hg higher.

Thanks everyone!

by Baban - 2023-06-22 02:58:19

Yeh , I think it's the hospital's environment and the not so pleasent smell of the sanitizers they use over there. Those things obviously elevate my anxiety and in return high blood pressure and high pulse rate. Yeh, I am also a little concerned about the blood pressure checking machines. I also heard that the machines usually give a little higher readings. Overall, I am feeling good.

SBP > 140

by Rch - 2023-06-23 01:58:19

Hi

With a systolic bp over 140, you do have Stage 2 hypertension. Nonetheless, I strongly believe that part of the reason for the elevation is your anxiety in the exam room. So, I suggest you ask your provider to do a 24 hour ambulatory bp recording, or you log your bps on a home monitor several times a day and show your readings to your provider. If the SBP consistently runs higher than 140, you could try some lifestyle modifications including DASH diet before starting any new medications . Since you have no diabetes or chronic kidney disease, there's no urgency to treat your blood pressure but do consult your provider on the ambulatory blood pressure monitoring and life style changes. ( My bps are about 140/70 and I'm on Lisinopril and Metoprolol. But I'm in my late 70s and have diabetes!).