BP-144/112, HR-120. Should I be on medication?

Resolved question:
Hello. BP: 144/112 tonight. HR: 120. Should i be on medication for this?

Submitted: 4 Days
Category: Cardiologist

Expert:  Dr. Vivek Mahajan replied 4 Days.

Hello,
thank you for your medical query at DoctorSpring.com
I understand your concern.
It depends on whether you have a previous history of hypertension or other cardiac ailments? What is your age? Do you have cholesterol? Kindly give answers to these questions and I can guide you further.
Feel free to discuss further,
Regards.

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Patient replied :

Yes I have had a hx of hypertension before. My mother has angina and is T2DM. I do smoke. I was diagnosed with arrhythmia at age 22. I have had ECGs done in the past. They have been abnormal. Lately I have been getting dull chest pain.But it eventually subsided. BGLs are between 5-7. I have been tested for DM and the test was negative.


Expert:  Dr. Vivek Mahajan replied 3 Days.

Hello,
In that case, you definitely need medicines, however, I will still advise the BP be monitored for 3 days and if persistently the diastolic values are over 90, you will need to start Tab. Envas ( Enalapril ) 5 mg once daily, and any calcium channel blocker according to your physician's guidelines. You need to start with these 2 medicines, Enalapril has long-term good protective effect on the heart too.
Hope this was helpful,
Regards.

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