waiting for 24 BP monitor

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I have PAF well controlled by Flecainide and Rivaroxiban. Routine bp tests usually show BP of 140-160/70 but gp has never suggested high bp medication. Cardiologist yesterday suggested 24 bp monitor (reading was 160/70) and am on waiting list for it. Have had slight headache and mild wooziness and slight tingling in left hand this morning. Think this is reaction to cardiologist talking about strokes and heart attacks. Advice please.

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  • Posted

    Similar situation - last PAF episode was over 2 years ago being controlled by Flecainide and Warfarin.  However I also take a BP drug (Lercandipine).  My cardiologist reckons that my PAF was caused by high BP but no-one is sure.  He reckons I ought to aim for 140/90 but obviously it varies daily, if not hourly!  I have a home BP monitor and my GP is happy with me monitoring at home - I suffer 'white coat' syndrome!
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    • Posted

      Thanks for replying. i am puzzled to hear that your BP fluctuates even though you are on the Lerandipine, as I thought  BP drugs kept you stable ? Might I ask what you do if you monitor and your BP is raised, do you have to increase your dose that day ? I read  a headline years ago (before i got PAF, so didn't take that much notice) that if your BP goes up and down a lot, you are at greater risk of stroke than from a consistently high BP. 

      Thank you

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  • Posted

    Hi there, I too am in a similar situation. I started with permanent AF last June and got a cardioversion in October which worked ....... until last Wednesday. I am back in AF and am controlling it with bisoprolol and warfarin. Every time I went to see the GP or cardiologist my BP was high, I have 'white coat syndrome', I only have to look at a stethescope and it goes up!! The cardio suggested I have a 24 hour monitor which I did. I went back to my GP and he read out the results, they daytime BP averaged at 140, and they like it to be nearer 130, the night time BP averaged at 130, and they like it to be 120. Not crazy results by any means. At the time of wearing the monitor I was back in sinus rhythm. The GP said in view of this and the fact that my BP does go up in stressful situations he would give me a small dose of meds. I'm sorry but at this moment in time I can't for the life of me remember what it is but it's 2.5mg!! I think that my AF was probably brought on by a number of things but high BP may have been a factor. Good luck. 
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    • Posted

      Thanks for your reply. You are the 2nd person to mention 'white coat syndrome' so I am telling myself to chill out and remember that I've been like this for years and not had a stroke yet !

      Am in the midst of getting ready to move house which isn't helping. 

      Best wishes to you, thanks again for taking time to reply. It has helped calm me down !

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  • Posted

    I was told the avarge BP is what mattered and I manage to keep mine around 135/75 - it fluctuates naturally.  I find that if I worry about it it rises - so i try not to!  I like to think that my stroke risk is reduced by Warfarin!
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  • Posted

    Don't underestimate the value of exercise - my BP is always better after a visit to the gym.  Makes a bigger impact than medication!  So chill out and exercise!
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    • Posted

      I do go for a brisk walk with my neighbour most mornings, but I think I will do more. Thanks for that reminder.  
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