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Question
Hello doctor,
I am 61 years old, my blood pressure in the morning when I woke up the first time was 137/99, my heart rate was 71. The second time was 126/93, my heart rate was 71. The third time it was 134/ 89, heart rate 85. But after going to the gym to rest for 15 minutes, I measured my blood pressure again as follows: 1st time is 116/86, heart rate 86. 2nd time 114/86, heart rate 86. Third time is 118/83, heart rate 77. So the doctor asked me if my blood pressure is not stable? I thank the doctor.
Nguyen Thanh Ha (1960)
Answer
Answered by Master, Doctor Pham Van Hung - Department of Medical Examination & Internal Medicine, Vinmec Danang International General Hospital.
Hello,
With the question “Is it okay if the blood pressure is not stable? ", the doctor would like to answer as follows:
Blood pressure is the necessary blood pressure acting on the artery walls to bring blood to nourish the body's tissues, blood pressure is created by the force of contraction of the heart and the strength of the heart. artery barrier. Blood pressure can fluctuate up and down depending on different conditions, circumstances and time of day, so to determine whether blood pressure is high or not, it is necessary to measure several times a day, even for many days. day.
To ensure accurate blood pressure measurement, patients need to adhere to the following principles: Should measure at a fixed time of day, relaxed mood, rest for about 5-10 minutes before measuring, do not speak Talk, don't use stimulants: Coffee, cigarettes 30 minutes before, if you measure many times, you should be more than 2 minutes apart and take the average. In case of doubt, your doctor can monitor your blood pressure with a 24-hour automatic monitor (also known as a blood pressure Holter).
Diagnosis of hypertension is when systolic blood pressure is greater than 140 mmHg and/or diastolic blood pressure is greater than 90 mmHg. You should consult with a Cardiologist for a general check on hypertension and associated cardiovascular risk factors (diabetes, dyslipidemia, obesity, kidney disease,...), through Then the doctor will give the appropriate treatment and monitoring method.
If you still have questions about the unstable blood pressure, 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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