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Question
Hello doctor,
My wife was born in 1970. Currently her blood pressure is not stable. My wife has a history of: Coronary insufficiency. On 3/8/21, my wife had Astrazeneca vaccine, the doctor delayed 3 hours before giving it due to unstable blood pressure.
After injection, the blood pressure was 145/80 and the pulse was only 60 (Omron blood pressure monitor). I give 1/4 tablet of Prolol 5mx2 times/day. Yesterday 8/8/21, my wife's blood pressure increased to 160/80, pulse 60. I changed to taking Amlor 5mg (with Thiazifar diuretic), by noon the blood pressure dropped but by 9pm it again spiked to 160/80, pulse was still 60, so I gave him 1 more Amlor pill.
At 5:00 am this morning, 8/8/21, my wife "fainted", her blood pressure was measured at 100/60, pulse was still 60. I gave her sugar tea to drink, and when she ate porridge, her blood pressure was measured at 10:30. /80, the pulse is still 60. So the doctor asked me what should I do with high blood pressure after the Covid vaccine? Should I change my medication or add something? Due to the Covid situation, my wife did not want to go to the hospital. I thank the doctor.
Ngo Thanh Dai (1963)
Answer
Answered by Master, Doctor Dao Kim Phuong - Department of Examination - Vinmec Times City International General Hospital.
Hi,
With the question “What should I do after high blood pressure after Covid vaccine? ", the doctor would like to answer as follows:
My wife is taking Prolol 10mg / day divided into 2 times, which is a mild antihypertensive drug but has a great effect on lowering heart rate. He switched to taking Amlor, which is a strong antihypertensive drug, combined with Thiazid as a diuretic, which will easily lower blood pressure in the standing position, so his wife fainted. In addition, if lowering blood pressure too aggressively, too quickly can cause cerebral ischemia, need to be careful with this. A pulse of 60 beats/min is stable within the normal range. Currently, he can give a morning dose of Amlor alone and a 5mg Prolol tablet. If blood pressure often rises early in the morning, his wife should take Amlor the night before.
Therefore, you need to have your wife monitor your blood pressure and pulse regularly and properly so that you can adjust the medication according to your blood pressure. Currently, hospitals are implementing online examination during the epidemic season, so if there is a problem, the patient should contact the hospital soon.
If you still have questions about high blood pressure after the Covid vaccine, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wish you a lot of health.
Best regards!
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