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Forum Name: Hypertension

Question: Hypertension at the age 29


 gracy - Mon Sep 07, 2009 6:07 am

During a causal health check up my husband’s BP was 150/90, cholesterol-240, triglycerides-138.
Later we monitored his Bp for about a month the diastolic pressure reading was always between 90-95.One day late evening the reading was 163/103.Then doctor kept him on anti anxiety tablets for 5 days monitoring his BP[Readings were 140/100,130/80, 140/100, 140/100, 140/100].[cholesterol-218 and triglycerides-156.]
We went to a specialist he suggested us some tests.
Bun-Normal,ESR-Normal,ECg/EKg-Normal,Abdominal to renal UltraScanning - Normal
Doctor concluded that he had essential hypertension. Gave him alpha blocker (Minpress XL 205mg) .Its been one and half month since and BP is normal (120/80).Doctor has suggested to continue the tablets for one more month. After that he told he would reduce the dosage. Later we can stop the medicine slowly.
Family History: Father -Got High Bp at the age of 45-50, Got Diabetes at the age of 40, has High cholesterol. Mother – Got High BP at the age of 50.
Social History: He travels 75km a day, social drinking (3pegs in week), and no exercise/physical work.
My concern is that BP at this age (29) what could be the reason?
If he takes BP medicine from this age will it effect is lifeline?
If he stops the medicine is it risk we are taking?
Are there any more tests that have to be done to find if there is any other underlining cause?
What are the precautions that we have to take in future?

Thank you in advance. Any suggestions would be apperciated and will be very helpfully
 Dr.M.jagesh kamath - Fri Oct 16, 2009 9:21 pm

User avatar Hello,The evidence available today links hypertension to cardiovascular disease.There are two types essential,and secondary.The first one is commonly found in the general population and there are some genes involved in developing the same.Secondary relates to renal or hormonal problems and need investigations non invasive or invasive to find the cause.In your husbands case it looks like essential hypetension.Now the important thing is to keep down the BP always rather than thinking of withdrawing medications.Stress management,excercise,proper diet , the important lifestyle managements to lead a normal life.Multipe risk factors like diabetes,cholesterol,obesity need to be controlled as this group is more likely to develop complications than people with only hypertension.Mild hypertension could be treated with life style management but as of now he needs therapy.Infact it will help him to live longer with monitoring and therapy a indicated.Best wishes.

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