apollo
  • male
  • 45 Years
  • 29/01/2025

I'm curious about why my blood pressure spikes to 180100 during times of aggression, while it's usually around 11080 or 12080 when I'm calm. I don't have diabetes or thyroid issues, and my echo, ECG, and TMT results are normal. My lipid profile shows LDL at 60, HDL at 37, and total cholesterol at 110. Is there any underlying pathological condition that could be causing these blood pressure fluctuations?

Doctor 1

Answered by 1 Apollo Doctors

Aggression or stress can indeed cause a temporary spike in blood pressure. Since your heart tests and lipid profile are normal, the elevated blood pressure may be due to situational factors. However, it is important to monitor your blood pressure regularly and consider lifestyle modifications. In case of persistent high blood pressure, your doctor may prescribe medications like Amlodipine 5mg or Losartan 50mg to help keep it under control.

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really concerned about something and wanted to get your advice. I'm 61 and just had some tests done. They said my LV function is normal with an EF of 60 and no RWMA, but I have trivial MR and Grade 1 LV diastolic dysfunction with concentric LVH. The valves check out fine and there are no clots, vegetation, or pericardial effusion. My chamber dimensions are normal too. But when I did a stress TMT, it showed some significant ST changes in leads II, III, AVf, V4, V6, although I had no arrhythmia or chest pain, and my heart rate and blood pressure responded normally. Should I be worried about these ST changes? What does this all mean for my heart health?

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