Guest guest Posted December 15, 2005 Report Share Posted December 15, 2005 Listen or ignone the diastolic pressure. In a message dated 12/15/05 7:51:34 AM, dave@... writes: I had the same pressure-lowering, but lower diastolics (60-66), with the same systolics as yours. My cardiophysiologist said that was expected with LVH (which I got from 6 years on the wrong meds and no DASH diet), as the stiffer muscle could not recoup quite as forcefully as it ejected. I'm no help, but wouldn't dream of using soy sauce except as a little taste for fun. Dave On Dec 15, 2005, at 4:22 AM, bayabas76 wrote: > Hi, > > After five months on Spiro, my bp has come down to better levels and > stabilizing in the region of 130-140 systolic, with frequent 110-120s > and diastolic at 80-90. Lately, about the time I was experiencing that > very unusual craving for soy sauce, I monitored my diastolic moving up > to the 90-100 zone, systolic remaining stable. > > Is this any cause for serious concern Dr. Grim? Anyone in the group > experiencing elevated diastolic? > > Seasons Greetings to all... > > Thanks. > > May your pressure be low! Clarence E. Grim, BS (Chem/Math), MS (Biochem), MD, FACP, FACC, FAHS Clinical Professor of Medicine and Epidemiology Director, Hypertension Diagnosis and Treatment Center Board Certified in Internal Medicine, Geriatrics and Hypertension Published over 220 scientific papers, book chapters and 220 abstracts in the area of high blood pressure epidemiology, physiology, endocrinology measurement, treatment and how to detect curable causes. Listed in Best Doctors in America Specializing in Difficult to Control High Blood Pressure and the History and Physiology of High Blood pressure in the African Diaspora Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 15, 2005 Report Share Posted December 15, 2005 In a message dated 12/15/05 7:51:34 AM, dave@... writes: I had the same pressure-lowering, but lower diastolics (60-66), with the same systolics as yours. My cardiophysiologist said that was expected with LVH (which I got from 6 years on the wrong meds and no DASH diet), as the stiffer muscle could not recoup quite as forcefully as it ejected. I'm no help, but wouldn't dream of using soy sauce except as a little taste for fun. Dave On Dec 15, 2005, at 4:22 AM, bayabas76 wrote: > Hi, > > After five months on Spiro, my bp has come down to better levels and > stabilizing in the region of 130-140 systolic, with frequent 110-120s > and diastolic at 80-90. Lately, about the time I was experiencing that > very unusual craving for soy sauce, I monitored my diastolic moving up > to the 90-100 zone, systolic remaining stable. > > Is this any cause for serious concern Dr. Grim? Anyone in the group > experiencing elevated diastolic? > > Seasons Greetings to all... > > Thanks. > > Just reminder that automatic devices can be very wroing on diastolic pressures. Are you listening to yours or using an auto device. We also dont know if when pressure is lowering or it increases the error in some folks, which can be up to 20 mm Hg is constant. In general when the pressure is high they underread and when low overread. This is why I teach my pts to listen. May your pressure be low! Clarence E. Grim, BS (Chem/Math), MS (Biochem), MD, FACP, FACC, FAHS Clinical Professor of Medicine and Epidemiology Director, Hypertension Diagnosis and Treatment Center Board Certified in Internal Medicine, Geriatrics and Hypertension Published over 220 scientific papers, book chapters and 220 abstracts in the area of high blood pressure epidemiology, physiology, endocrinology measurement, treatment and how to detect curable causes. Listed in Best Doctors in America Specializing in Difficult to Control High Blood Pressure and the History and Physiology of High Blood pressure in the African Diaspora Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 15, 2005 Report Share Posted December 15, 2005 I had the same pressure-lowering, but lower diastolics (60-66), with the same systolics as yours. My cardiophysiologist said that was expected with LVH (which I got from 6 years on the wrong meds and no DASH diet), as the stiffer muscle could not recoup quite as forcefully as it ejected. I'm no help, but wouldn't dream of using soy sauce except as a little taste for fun. Dave On Dec 15, 2005, at 4:22 AM, bayabas76 wrote: > Hi, > > After five months on Spiro, my bp has come down to better levels and > stabilizing in the region of 130-140 systolic, with frequent 110-120s > and diastolic at 80-90. Lately, about the time I was experiencing that > very unusual craving for soy sauce, I monitored my diastolic moving up > to the 90-100 zone, systolic remaining stable. > > Is this any cause for serious concern Dr. Grim? Anyone in the group > experiencing elevated diastolic? > > Seasons Greetings to all... > > Thanks. > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 15, 2005 Report Share Posted December 15, 2005 Next time ask to see the document that states the last time it was calibrated. Did he use the correct cuff? Not on the table I trust? May your pressure be low! Clarence E. Grim, BS (Chem/Math), MS (Biochem), MD, FACP, FACC, FAHS Clinical Professor of Medicine and Epidemiology Director, Hypertension Diagnosis and Treatment Center Board Certified in Internal Medicine, Geriatrics and Hypertension Published over 220 scientific papers, book chapters and 220 abstracts in the area of high blood pressure epidemiology, physiology, endocrinology measurement, treatment and how to detect curable causes. Listed in Best Doctors in America Specializing in Difficult to Control High Blood Pressure and the History and Physiology of High Blood pressure in the African Diaspora Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 15, 2005 Report Share Posted December 15, 2005 Thank you Dr. Grim for educating us on how to correctly take our own bp. I have learned so much from you and others in this forum I thought you may get a kick out of this, I just went to see a doctor (for 2nd opinion who is supposedly a graduate of Harvard) and his assistant who intruduced himself as a PA took my bp with a little omron automatic device!!! lowerbp2@... wrote: In a message dated 12/15/05 7:51:34 AM, dave@... writes: I had the same pressure-lowering, but lower diastolics (60-66), withthe same systolics as yours.My cardiophysiologist said that was expected with LVH (which I got from6 years on the wrong meds and no DASH diet), as the stiffer musclecould not recoup quite as forcefully as it ejected.I'm no help, but wouldn't dream of using soy sauce except as a littletaste for fun.DaveOn Dec 15, 2005, at 4:22 AM, bayabas76 wrote:> Hi,>> After five months on Spiro, my bp has come down to better levels and> stabilizing in the region of 130-140 systolic, with frequent 110-120s> and diastolic at 80-90. Lately, about the time I was experiencing that> very unusual craving for soy sauce, I monitored my diastolic moving up> to the 90-100 zone, systolic remaining stable.>> Is this any cause for serious concern Dr. Grim? Anyone in the group> experiencing elevated diastolic?>> Seasons Greetings to all...>> Thanks.>> Just reminder that automatic devices can be very wroing on diastolic pressures. Are you listening to yours or using an auto device. We also dont know if when pressure is lowering or it increases the error in some folks, which can be up to 20 mm Hg is constant. In general when the pressure is high they underread and when low overread. This is why I teach my pts to listen.May your pressure be low!Clarence E. Grim, BS (Chem/Math), MS (Biochem), MD, FACP, FACC, FAHSClinical Professor of Medicine and EpidemiologyDirector, Hypertension Diagnosis and Treatment CenterBoard Certified in Internal Medicine, Geriatrics and HypertensionPublished over 220 scientific papers, book chapters and 220 abstracts in the area of high pressure epidemiology, physiology, endocrinology measurement, treatment and how to detect curable causes.Listed in Best Doctors in AmericaSpecializing in Difficult to Control High Pressure and the History and Physiology of High pressure in the African Diaspora Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 15, 2005 Report Share Posted December 15, 2005 Hi Dave, Same thing with me here, ten years of uncontrolled severe HTN resulted in LVH. I do hope in time the heart heals itself. My doc has also mentioned some kidney dysfunction may also heal itself over time. My kidneys must have suffered a beating from the wrong meds and high bp before. I am glad I do not smoke and drink. On exercise, though I do not make the target 10,000 steps per day, I make it up with other chores like making a vegetable garden and housekeeping. Dave > > > > > Hi, > > > > > > After five months on Spiro, my bp has come down to better levels and > > > stabilizing in the region of 130-140 systolic, with frequent 110-120s > > > and diastolic at 80-90. Lately, about the time I was experiencing that > > > very unusual craving for soy sauce, I monitored my diastolic moving up > > > to the 90-100 zone, systolic remaining stable. > > > > > > Is this any cause for serious concern Dr. Grim? Anyone in the group > > > experiencing elevated diastolic? > > > > > > Seasons Greetings to all... > > > > > > Thanks. > > > > > > > > > > > > > > May your pressure be low! > > Clarence E. Grim, BS (Chem/Math), MS (Biochem), MD, FACP, FACC, FAHS > Clinical Professor of Medicine and Epidemiology > Director, Hypertension Diagnosis and Treatment Center > Board Certified in Internal Medicine, Geriatrics and Hypertension > > Published over 220 scientific papers, book chapters and 220 abstracts in the > area of high blood pressure epidemiology, physiology, endocrinology > measurement, treatment and how to detect curable causes. > Listed in Best Doctors in America > Specializing in Difficult to Control High Blood Pressure and the History and > Physiology of High Blood pressure in the African Diaspora > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 15, 2005 Report Share Posted December 15, 2005 Dr. Grim, I monitor my bp using a mercury sphygmomanometer. I have also taught my wife so we could double check in case I want to make sure I am locating the right K sounds. I am more confident taking a bp measurement using the sphygmo than with the electronic bp monitors. Maybe it is just the feel of hearing the K sounds. Why do I get two auscultatory gaps sometimes? > > > > > Hi, > > > > > > After five months on Spiro, my bp has come down to better levels and > > > stabilizing in the region of 130-140 systolic, with frequent 110-120s > > > and diastolic at 80-90. Lately, about the time I was experiencing that > > > very unusual craving for soy sauce, I monitored my diastolic moving up > > > to the 90-100 zone, systolic remaining stable. > > > > > > Is this any cause for serious concern Dr. Grim? Anyone in the group > > > experiencing elevated diastolic? > > > > > > Seasons Greetings to all... > > > > > > Thanks. > > > > > > > > > > Just reminder that automatic devices can be very wroing on diastolic > pressures. Are you listening to yours or using an auto device. > > We also dont know if when pressure is lowering or it increases the error in > some folks, which can be up to 20 mm Hg is constant. In general when the > pressure is high they underread and when low overread. This is why I teach my > pts to listen. > > > > May your pressure be low! > > Clarence E. Grim, BS (Chem/Math), MS (Biochem), MD, FACP, FACC, FAHS > Clinical Professor of Medicine and Epidemiology > Director, Hypertension Diagnosis and Treatment Center > Board Certified in Internal Medicine, Geriatrics and Hypertension > > Published over 220 scientific papers, book chapters and 220 abstracts in the > area of high blood pressure epidemiology, physiology, endocrinology > measurement, treatment and how to detect curable causes. > Listed in Best Doctors in America > Specializing in Difficult to Control High Blood Pressure and the History and > Physiology of High Blood pressure in the African Diaspora > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 15, 2005 Report Share Posted December 15, 2005 In a message dated 12/15/05 4:40:12 PM, bayabas76@... writes: Dr. Grim, I monitor my bp using a mercury sphygmomanometer. I have also taught my wife so we could double check in case I want to make sure I am locating the right K sounds. I am more confident taking a bp measurement using the sphygmo than with the electronic bp monitors. Maybe it is just the feel of hearing the K sounds. Why do I get two auscultatory gaps sometimes? Excellent. This is the best. This can occur because of respiratory variation in blood pressure see if it comes on when you take a deep breath. Or the head of the stethoscope bell may be losing its "seal' and you cant hear. Have you ordered the video from sharedcareinc.com to document your accuracy and hearing ability? May your pressure be low! Clarence E. Grim, BS (Chem/Math), MS (Biochem), MD, FACP, FACC, FAHS Clinical Professor of Medicine and Epidemiology Director, Hypertension Diagnosis and Treatment Center Board Certified in Internal Medicine, Geriatrics and Hypertension Published over 220 scientific papers, book chapters and 220 abstracts in the area of high blood pressure epidemiology, physiology, endocrinology measurement, treatment and how to detect curable causes. Listed in Best Doctors in America Specializing in Difficult to Control High Blood Pressure and the History and Physiology of High Blood pressure in the African Diaspora Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 15, 2005 Report Share Posted December 15, 2005 In a message dated 12/15/05 4:53:03 PM, bayabas76@... writes: Hi Farah, In my case, the consultant himself asked me to explain why it is more right to take the bp from the right..which I learned in one of our files here. I thought bp monitoring is basic in med school. I got a kick of out of it too...a lowly ordinary human explaining such to a professional. Isnt that fun! And you have helped other patients in his clinic. Actually if you are only going to choose one arm and the patient does not know which is higher then use the right for the reasons we mention in the file. However at the first visit the Dr should measure it in both arms and then use the highest and should tell you this and should record in the chart which arm and cuff size was used. May your pressure be low! Clarence E. Grim, BS (Chem/Math), MS (Biochem), MD, FACP, FACC, FAHS Clinical Professor of Medicine and Epidemiology Director, Hypertension Diagnosis and Treatment Center Board Certified in Internal Medicine, Geriatrics and Hypertension Published over 220 scientific papers, book chapters and 220 abstracts in the area of high blood pressure epidemiology, physiology, endocrinology measurement, treatment and how to detect curable causes. Listed in Best Doctors in America Specializing in Difficult to Control High Blood Pressure and the History and Physiology of High Blood pressure in the African Diaspora Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.