Current Postings on This Page (13):
Suze in Illinois -- If your stroke was caused by a blockage in the carotid arteries, your could see either specialist. One reason is your family history and the fact that the disease which blocks the carotid artery, called atherosclerosis, is the same disease that can cause blockages in the coronary arteries. First step is to get a proper diagnosis.
Angioplasty.Org Staff, Angioplasty.Org, February 20, 2012 |
While going to an ENT specialist for a loss of hearing, he ordered an MRI, which showed I had a stroke. Do I see a cardiologist or neurologist? My Mother had a history of strokes and 2 or 3 heart attacks.
Suze, Canton, Illinois, USA, February 20, 2012
Jack -- We assume you are discussing this with your doctor. There are many different medications that can be used in different combinations to lower blood pressure. As you know, high blood pressure is a risk factor for stroke and heart disease. A new treatment is also being introduced, called renal denervation, for patients with refractory hypertension (high blood pressure that is not being lowered enough by medications). It is like angioplasty, but without a balloon or stent. A catheter is threaded into the renal (kidney) arteries and an electric pulse deadens the renal nerves which control blood pressure. It's under investigation in a number of countries and has been quite successful so far.
Angioplasty.Org Staff, Angioplasty.Org, October 1, 2011 |
I have high blood pressure for years. Recently the high stress level led it to be out of control, I was under medication, but a mild stroke occured. After the stroke, I was put on blood thinning aspirin plus new brand of high blood pressure. Right now,my blood pressure is still high, normally around 155/95, sometimes it goes up to 200/110. I am very worried about the situation,and I pray for Lord Jesus to help me. Amen
Jack, Singapore, September 24, 2011
A stroke can be caused by hypertension, but that
is not usually the only contributing factor. If you suffer from asymptomatic
NVAF, which can cause blood pooling and clots to form in the atrium, this
can lead to an ischemic stroke. The risk of clots moving is increased with
increasing BP. You have to treat the AF as well. If you have a weakened
blood vessel and your BP is elevated, that can cause a rupture of the vessel,
leading to a hemorrhagic stroke. The two scenarios are different, but both
need to be closely monitored, and the HBP is definitely a contributing
factor, so see a physician. Just because your heart studies are normal,
and you have HBP, doesn't mean you are not at risk for stroke. Supposedly
healthy people die every day. Watch your weight, eat properly, and exercise
will help control the HBP, along with appropriate medications. The big
risk factor, which no one can control, is Genetics, and only God has the
ability to change
that.
Sandnomad, Kentucky, USA, February 23, 2011
I had Angioplasty and Stent Procedure, (Taxus Liberte') Blood Clot activated. 2 weeks ago, now high blood pressure168/56, 176/72, etc. What's happening? Heart Attack Future? Stroke? Had Congestive Heart Failure 3 years ago.
John R., Baltimore, Maryland, USA, June 1, 2009
Patsy -- seems to us you should be talking to
a cardiologist, given that in other posts you've noted that you've had
a heart attack, and stents, and that possibly your problems are related.
But we do not give medical advice here. As for the drugs, both are beta-blockers,
but they are different drugs, so 2.5mg of Bisoprolol and 25-50mg of metoprolol
are roughly equivalent, according to the package inserts.
Angioplasty.Org Staff, Angioplasty.Org, March 1, 2008
I have no idea what is going on and all I was
told when I left emergency was I could go back to rehab on my regular
day. That's about it, I was so in a hurry to get out I never thought to
ask
what happened. I will be going to my Doctors this week. I am getting
really tired of being sick all the time, yes I'm depressed the whole nine
yards,
Been fighting a lot, just fed up I guess. I will now go back to rehab
have an insurer talk to me about leaving the room when I am feeling sick,
get
a lecture, I will just walk out and say goodbye. That is simple. Is an
intern medicine Doctor the same as a cardio Doctor?? We have two cardio
Doctors and I have not been to one of them, I guess the intern medicine
doctor is the same. My BP meds were changed maybe that is what is going
on, I was taking two metoprolol 25 mgs a day now I am taking Bisoprolol
2.5 mgs a day, that sounds like quite a drop to me from 50 mgs to 2.5,
but do not question
I guess.
Patsy Wellwood, Nova Scotia Canada, March 1, 2008
Patsy -- it sounds like you have a
specific problem, which we hope gets diagnosed and treated correctly --
but there are so many stories of people who have had coronary artery disease,
it got treated, and they go on to live full productive and even active
lives (see our topic on Exercise
After Angioplasty). This doesn't mean
that you get a stent and you're cured -- quite the opposite. All angioplasty
and
stenting
(or
bypass)
do
is correct
a
specific blockage and eliminate the anginal pain and restriction of blood/oxygen
-- the disease remains and needs to be treated medically and through lifestyle
change (smoking cessation, diet, exercise, etc.) which it certainly sounds
like you're doing. But your BP spikes need to be investigated for their
specific cause. Have you gotten any diagnosis as to what is going on?
Angioplasty.Org Staff, Angioplasty.Org, March 1, 2008
OK maybe I am a bit confused about things, but
I am starting to believe, that once you hit the middle ages, our body is
put on hold, and as far as I am
concerned you have lived out your life, and you were put here on earth, to do
your thing, once you have been born, started and raised a family, worked
for a few
dozen years, then that is it for you. You are made to start breaking down. Anyone
else get this feeling. Well anyway I was attending cardio rehab, fit as a fiddle,
out of the blue, I felt sick, got really cold, then really hot, then a real heavy
feeling in my chest, which then proceeded to shortness of breath. I walked out
of cardio room (MISTAKE), to get some air, I found chairs to sit in, the next
thing I new I was on my way to emerg. Blood pressure shooting 178, and I was
just very very sick. I remember someone putting something in my mouth, then I
think I got morphine, then after a bit I was fine, very tired but fine. Now what
would you call this, Angina??
Patsy Wellwood, Nova Scotia, Canada, February 29, 2008
I've never had high blood pressure in my life,
nor high cholesterol, nothing I was fit as a fiddle, until one day I
was having a pain in my left arm and heart burn, which I thought was funny
because I never had heart burn like that before, so for two days it drove
me crazy, I finally went to the hospital, and bam I'm on my was to surgery
to unblock an artery at 90% closure?? Two months later I had a MI which
lasted almost two hours before they could get me stable, Bam back for
surgery,
scar tissue closed off first stent, now I have another but this time
a drug eluting, I feel terrible all the time, sick to my stomach, chest
pain,
tired. How can this be out of the blue have all this wrong with you like
over night. I've had my blood pressure check every time I went to the
drs, there
was no indication, of any of this.
Patsy Wellwood, Nova Scotia, Canada, February 5, 2008
Sandy -- it's not so much an exact number, but
the cause/effects of the high blood pressure that needs to be found.
If untreated, high blood pressure over time will cause the heart
wall to thicken and
vessels
to be overstressed and can promote coronary artery disease by building
up plaques. While it is odd is that both your echo and stress tests were
negative, the thought
may be that your very high blood
pressure is due to a blocked artery or some other abnormality. Has
your cardiologist discussed performing an angioplasty if they find a
blockage? Or was a 64 slice CTA mentioned -- this is an non-invasive test
that could
rule out coronary artery disease (CAD) without a catheterization -- although
if your cardiologist suspects CAD strongly, going straight to cath is
normally the best route.
Angioplasty.Org Staff, Angioplasty.Org, February 4, 2008
I am a 69 year old female. My blood pressure
has been all over the place for about a month or more. Saw a cardiologist
and she sent me for a echo and stress test. They both turned out OK.
They have now scheduled me for a heart cath tomorrow. Yesterday my blood
pressure
spiked to 217/93 then 200/102 just for a couple of readings. My question
is....at what point (number) might a stroke
happen? Sandy
Sandy Bonner, Huntington, Indiana, USA, February 4, 2008
|