Posted by Tony P on January 25, 2008, at 20:37:03
In reply to Re: HELP - hypertensive crisis on selegiline??, posted by seldomseen on January 24, 2008, at 12:54:24
> Well, a lot of what constitutes a hypertensive crisis depends on the patient, their present condition and previous medical history.
>
> But diastolic BPs of over 120 usually contstitute a hypertensive emergency.
>
> Diastolics over 140 represent a crisis.
>
> Now I'm not saying that you shouldn't be concerned at BPs lower than that, but that's what the data say.
>
> I would call your doc today and let him/her know what happened.
>
> Clonidine is a good med to have for hypertension.
Thanks for your help. Luckily, my MD was doing his day at the walk-in clinic, so I got to see him promptly. We decided: -1) My wrist BP monitor is a piece of crap and sometimes gives wildly inaccurate readings and is usually high. Toss it. (He gave me an arm-cuff for free that he just happened to have lying around!!!)
2) My BP was around normal for me (as of the last couple of months, i.e. a bit high ca. 140/85) when he measured it in the office, so probably my panic was unnecessary, and my med regime & diet are OK as is.
3) His suggestion is to consider systolic 200 or over as an immediate emergency. Taken with your diastolic figures, that gives me a much better criterion.
4) He doesn't want me to have an "emergency kit", such as nifedipine, suggested on another thread, as he's concerned about my level of preoccupation with self-treatment already.
5) My pdoc has just retired, but my MD is trying to get me in to see another one asap, & we'll defer any med. changes until then.
Thanks for responding,
Tony
poster:Tony P
thread:808707
URL: http://www.dr-bob.org/babble/20080124/msgs/808931.html