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Pulse Pressure and BP

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danisha70256
danisha70256

21 year old, female. Diagnosed with High BP. I also run a pretty high heart rate, as high as 155.

I'm currently on metoprolol and bouncing between 50mg and 25 mg. The 25mg is not enough to bring my heart rate down and the 50 mg lowers my blood pressure to almost dangerous levels. I start getting dizzy and almost passed out a couple of times.

I was feeling very dizzy while laying down and so I took my BP. 118/43. And then I found this thing called pulse pressure.

I subtracted the two numbers and got a PP of 75! According to some studies, it should actually be 40. Oh my god.

But all the studies seem to only concern older people and men, so I'm not even sure if this applies? Nonetheless, I'm freaked out!

I stood up and took it again. Can't remember my BP, but my PP was around 55. Better.

But am I going to be okay? I've talked to a cardiologist about how low my BP goes, but she didn't seem so worried. I even told her it made me feel dizzy and she just said to take some salt water. Which is annoying to do after a while. Like, every night it's like this. It has even erupted my sleep. And well I guess she must not be worried about pulse pressure. If she even calculates that at all.

Sorry... I'm going on a vent here, but this is truly frustrating. I've been dealing with this for months now and I have no idea how both my BP and HR got so high. It all just came out of nowhere, and so far my blood tests are normal.

Had EKG, Stress Test, and Echo as well. All normal. Aside from mild MVP which my cardiologist isn't even concerned about it.

I'm trying to push to see and endocrinologist, but either my primary doctor doesn't care or my insurance is very limiting. I have to have a "reason" to see an endocrinologist. I have to have a blood test first. Maybe that's a thing, but... I mean... isn't my history is high BP and high HR enough of a reason to see a specialist?

I really do believe I have a thyroid problem or something and I know blood tests can be normal even if you have thyroid problems.

It's all frustrating, slow, and depressing. I can barely move around without feeling dizzy and I just want to give up.

I also have shortness of breath too but only god knows why. I've been to the ER more times than anyone. Tons of blood tests, been monitored, etc... and nothing.

I'm very dizzy atm, which I probably should go to the ER again, but... it might be nothing.

 

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  • Bob37393
    Bob37393 danisha70256

    Posted

    As an addendum to my last reply be sure when you are having a repeat EKG that you tell the physician what drug you are currently taking and at what dose. From all evidence available I have reason to believe that metoprolol shortens your QT interval which in your case could make your symptoms worse. If you are advised to withdraw from the drug then I suggest your QT (not your QTcH) should be monitored during the withdrawal.

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