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It used to.range between.9 high 6 or 5 low..and spmetimes 15 over 9.16\9.accordin.to that i started concor.n.i.felt.well.since.4.months everythn.stable. but today as i.told u high heart beat with 12\9
19 أغسطس 2014
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د. Zakia Dimassi طب الأطفال
I don't know if you have undergone a full work-up for high blood pressure, especially that you are young. In your age group, we need to rule out a disorder known as pheochromocytoma, which is very rare but can cause high blood pressure in otherwise healthy young people. It is a benign condition that occurs when the adrenal gland, a small gland that sits on top of the kidney, secretes too much compounds known as cathecholamines (including norepinephrine and epinephrine - these have effects on the nervous system, blood vessels and heart). The result is: blood pressure that fluctuates between high and low or normal levels, rapid heart rate, shaking (tremors), excessive sweating (diaphoresis), weight loss, and headache because of the elevated blood pressure. This disease requires special tests in the urine to be ruled out.
Other possibilities include narrowing of the kidney blood vessels due to blood vessel disease especially if you have high cholesterol, obesity, or you're a chronic smoker; or kidney disease because of abuse of certain drugs (especially non steroidal anti-inflammatory drugs such as Advil and Profinal as these can harm the kidney if used in excess). This is discovered by doing an ultrasound of the kidneys and looking at the blood flow through the vessels, and a urine analysis to check if there are proteins (goes with drug-induced harm to the kidney, which is reversible most times).
If all the above is ruled out, then the remaining less likely but more common explanation is essential or primary hypertension, which is high blood pressure with no obvious cause. It's usually associated with a strong family history of people with onset of hypertension at a young age. Here you also do an echocardiogram to check if the heart muscle is thickened (when the heart pumps blood with the presence of a high pressure in the blood vessel, it needs to increase the size of its muscles to be able to push against this high pressure and deliver the right amount of blood to organs).
You also need to check for anemia, thyroid gland function (if it's overactive, a condition known as hyperthyroidism, you get elevated heart rate; hypertension is unlikely though), and do a lipid profile (to check if your blood cholesterol is high, a known risk factor for hypertension).
I do not know if you have done the tests needed to rule out the above mentioned possible conditions - if you didn't, I recommend that you do.
If they all turn out to be normal, then it is indeed essential hypertension and you need to be maintained on medications.
For now:
1- Avoid caffeinated foods or beverages
2- Minimize any kind of stress
3- Do not do any heavy exercise
4- If you smoke, don't
5- If you are taking Concor 0.5, contact your doctor and ask if you can increase the dose till the tachycardia fades away
6- Keep well hydrated (dehydration increases the heart rate and blood pressure)
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