New BP guidelines...........

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jltrent
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Re: New BP guidelines...........

Post by jltrent » Fri Jun 01, 2018 9:14 am

My BIL BP runs low and the funny thing is they use the same meds for low BP as for high BP for him.

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Re: New BP guidelines...........

Post by greybeard » Fri Jun 01, 2018 11:57 am

BP should normally be lower in the morning. The evening meal is mostly already digested, your body muscles and heart muscles aren't doing much so there's no reason for increased blood flow to those relaxed muscles. Once you get some caffiene in you, or breakfast and start walking around, and even thinking, bp will go up because the voluntary and involuntary movement of your arms, neck and the heart muscle itself demand more o2 rich blood. Between the time I had my heart cath and the actual bypass surgery, I sat thru an explanation of what had happened and why, and how it was all supposed to work. It was pretty interesting. The coronary arteries that supply blood to the heart muscles come right off the big aorta near the top of the heart, which is the same big artery that supplies blood to your brain, neck and arms thru the subclavian arteries and the 2 cartoid arteries. IOW, the heart's muscles get o2 rich blood before everything else.
That aorta makes a big loop, with the part between the top of the loop and the heart going upwards..it's called the ascending aorta, once the loop or arch is made, the part that sends blood down your body to legs and abdomen is called the descending aorta, but way before that, the heart muscles should have already gotten their supply of 'good' blood.
It's quite an amazing organ really.
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Re: New BP guidelines...........

Post by TexasBred » Tue Jun 05, 2018 3:29 pm

greybeard wrote:Metoprolol succinate (label may say Succ ER) is the slow release or extended release and Metoprolol Tartrate is the immediate release. I was on the succinate.

That was the change they made GB. Can't even tell I take it now.
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Re: New BP guidelines...........

Post by ohiosteve » Tue Jun 05, 2018 6:57 pm

My BP has been running high and they can't figure out why, it has extreme fluctuations, I'll go from 117/78 one day to 180/90 the next. When I went in the one time it was 190/100. I'm taking something now that's helping but still big swings. Scary part is my white blood cells are high. If it goes up one more time they want to take a sliver of my hip bone and test it. That sounds fun.
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Re: New BP guidelines...........

Post by Bright Raven » Tue Jun 05, 2018 7:04 pm

ohiosteve wrote:My BP has been running high and they can't figure out why, it has extreme fluctuations, I'll go from 117/78 one day to 180/90 the next. When I went in the one time it was 190/100. I'm taking something now that's helping but still big swings. Scary part is my white blood cells are high. If it goes up one more time they want to take a sliver of my hip bone and test it. That sounds fun.


I don't like any kind of invasive procedure. It is totally mental because I have a high tolerance to pain. Hope it is nothing but a little stress.
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Re: New BP guidelines...........

Post by hurleyjd » Wed Jun 06, 2018 5:04 pm

Just came in and checked my BP 96/69. Been in the heat and sweating. Sure do not feel as well as you should with it that low.

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Re: New BP guidelines...........

Post by Bright Raven » Wed Jun 06, 2018 8:53 pm

hurleyjd wrote:Just came in and checked my BP 96/69. Been in the heat and sweating. Sure do not feel as well as you should with it that low.


I am still having trouble in the morning. Very difficult to describe medical feelings. I tried a morning sports drink called Black Powder. It has a lot of caffeine but also NO - nitric oxide. It helps a lot.
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Re: New BP guidelines...........

Post by jltrent » Sun Dec 30, 2018 11:23 am

Pretty interesting thread. With the Watchman device is blood thinner needed? GB you are very knowledgeable on this subject and I learn from reading your post. With almost 5 million people in the US affected by this and rising, very interesting. Seems like in just the last few years they have came up with new techniques that work.

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Re: New BP guidelines...........

Post by kenny thomas » Sun Dec 30, 2018 1:05 pm

Bright Raven wrote:'Guidelines' and 'normal' and everything that falls under the bell curve are methods of defining BP.

My BP runs low and my pulse is on the extreme left of the bell curve. According to my doctor, that is my 'normal'. My pulse has been as low as 48. My blood pressure both systolic and diastolic can fall below the median for measured BP. I have some early morning symptoms - really hard to describe. Not dizzy, it is more like feeling like you want to sleep. I recently passed out one morning. Doctor says he has the same characteristics. Low pulse, low morning BP.

I have those morning feelings sometimes, but I'm pretty sure mine is hangovers.
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Re: New BP guidelines...........

Post by jltrent » Sun Dec 30, 2018 2:02 pm

kenny thomas wrote:
Bright Raven wrote:'Guidelines' and 'normal' and everything that falls under the bell curve are methods of defining BP.

My BP runs low and my pulse is on the extreme left of the bell curve. According to my doctor, that is my 'normal'. My pulse has been as low as 48. My blood pressure both systolic and diastolic can fall below the median for measured BP. I have some early morning symptoms - really hard to describe. Not dizzy, it is more like feeling like you want to sleep. I recently passed out one morning. Doctor says he has the same characteristics. Low pulse, low morning BP.

I have those morning feelings sometimes, but I'm pretty sure mine is hangovers.


They say that hangover medicine is a good blood thinner, but I don't know about everything else.

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Re: New BP guidelines...........

Post by Hook2.0 » Mon Dec 31, 2018 5:48 am

139/87 is my normal.
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Re: New BP guidelines...........

Post by greybeard » Mon Dec 31, 2018 9:10 am

jltrent wrote:Pretty interesting thread. With the Watchman device is blood thinner needed? GB you are very knowledgeable on this subject and I learn from reading your post. With almost 5 million people in the US affected by this and rising, very interesting. Seems like in just the last few years they have came up with new techniques that work.

For 4-6 weeks after the implant is done, warfarin is used. This is in case the procedure dislodged any existing clots. I don't remember what the dosage was on the warfarin.
After that, the only blood thinner is one 81 mg aspirin daily.

If you have other circulation issues, (diabetic or peripheral vascular disease) the cardio electrician may prescribe an anti-platlet like Plavix (Clopidigrel)
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Re: New BP guidelines...........

Post by jltrent » Mon Dec 31, 2018 10:29 am

greybeard wrote:
jltrent wrote:Pretty interesting thread. With the Watchman device is blood thinner needed? GB you are very knowledgeable on this subject and I learn from reading your post. With almost 5 million people in the US affected by this and rising, very interesting. Seems like in just the last few years they have came up with new techniques that work.

For 4-6 weeks after the implant is done, warfarin is used. This is in case the procedure dislodged any existing clots. I don't remember what the dosage was on the warfarin.
After that, the only blood thinner is one 81 mg aspirin daily.

If you have other circulation issues, (diabetic or peripheral vascular disease) the cardio electrician may prescribe an anti-platlet like Plavix (Clopidigrel)


Thanks for the information as it sounds like the device would be great, especially since the blood thinners are not needed. I never knew about this until your thread/post. A lot of other people should be interested in this, especially if long term it proves out.

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Re: New BP guidelines...........

Post by sstterry » Mon Dec 31, 2018 1:28 pm

greybeard wrote:
jltrent wrote:Pretty interesting thread. With the Watchman device is blood thinner needed? GB you are very knowledgeable on this subject and I learn from reading your post. With almost 5 million people in the US affected by this and rising, very interesting. Seems like in just the last few years they have came up with new techniques that work.

For 4-6 weeks after the implant is done, warfarin is used. This is in case the procedure dislodged any existing clots. I don't remember what the dosage was on the warfarin.
After that, the only blood thinner is one 81 mg aspirin daily.

If you have other circulation issues, (diabetic or peripheral vascular disease) the cardio electrician may prescribe an anti-platlet like Plavix (Clopidigrel)


The dosage of Warfarin is always based on the INR numbers. Those can fluctuate quite a bit from individual to individual, so I doubt there is a "standard" dosage. But medicine is making progress by leaps and bounds.

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Re: New BP guidelines...........

Post by boondocks » Mon Dec 31, 2018 8:04 pm

Bright Raven wrote:
hurleyjd wrote:Just came in and checked my BP 96/69. Been in the heat and sweating. Sure do not feel as well as you should with it that low.


I am still having trouble in the morning. Very difficult to describe medical feelings. I tried a morning sports drink called Black Powder. It has a lot of caffeine but also NO - nitric oxide. It helps a lot.


Similar stuff. Autonomic. Get caffeine and salt in you asap each am--electrolyte drink works well. I use those drops you can put in water, or the powder. Dr. once told me to eat a few spoonfuls of salt a day. :yuck:

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