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High Blood Pressure - 21 Year Old Female, No Medical Reason?

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Hi there,

I am a 21 year old female, and around 6 months ago I was 'diagnosed' with hypertension. It was initially found when I complained to my doctor about having severe stabbing pains in the left side of my chest, which I have had since I was around 13 years old. It averages around 160/115. Originally my GP was of the opinion that it was the contraceptive pill causing the problem, so I switched to the Implanon, but it has not gone down. My kidneys, liver, heart (with an ECG) have all been checked, along with cholesterol and a million other things, and the only thing that's wrong with me is my Vitamin D is low. Otherwise I'm relatively healthy.

To give you a bit of information about myself, I am 156cm tall, weighing around 69 kilos, but very muscular and quite fit (with a body fat percentage of 24%). So, I suppose my BMI is high, however my GP is quite sure this isn't the problem given how muscular I am. I eat well, occassionally have too much salt, don't drink, don't smoke and exercise every day.

The most concerning aspect to me are the chest pains I experience. They come on very quickly and don't last long, but they cause me to double over in pain and sometimes travels down my left arm, which is especially distressing. I do suffer from some stress in my life, but it just seems like a lot for someone of a young age who is reasonably healthy.

Any suggestions for my case?
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replied April 13th, 2012
An elevated blood pressure at your age demands study to determine the cause of the hypertension. Indeed, it may be a curable condition and should include checking for hyperaldosteronism. I doubt that your left chest pain has anything to do with the blood pressure, but don't know what it might be. It certainly does not sound like a pain from the heart. It may be from the spine, and it might be worthwhile to get x-rays of the neck.
I suggest that you check back with your physician for evaluation of your blood pressure.


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