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High Blood Pressure, Stroke and Heart Attack

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Will my high blood pressure cause a stroke or heart attack?

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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 what point (number) might a stroke happen? Sandy
Sandy Bonner, Huntington, Indiana, USA, February 4, 2008

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