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I have been attending a hypertension referral centre after having had hypertension for fourteen years. This is from the letter of my second consultation in September.
“ His blood pressure at the clinic today was 187/82. He has very labile hypertension but I wonder the reality if it is his blood pressure tends to be low but very reactive rather than predominately high certainly he seems to have had side effects on a number of antihypertensives raising the question as to whether he was in fact being over treated. To avoid complicating things we are leaving his medication as it is although if he gets symptomatic hypertension it would probably be worth reducing his losartan (from 100mg to 50mg)
We will arrange the MR scan and I look forward to hearing the results of his 24 hour ambulatory BP monitor.
Going into his past in a little more detail it sounds as if he hasn’t had a lot in the way of investigations for his hypertension and I am going to arrange an MR scan to address his aneurysm but more importantly whether his renal arteries are involved in it (which might not be apparent from the surveillance ultrasounds he gets) and also to clarify a little more about his liver cysts and in particular the extent to which his kidneys may be involved”
MR scan is on Friday but my next clinic appointment is not until mid January.
Over the past ten days my average BP reading has been higher at 157/78 compared to 147/78 in the previous two months.
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