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What exactly is blood pressure in the first place? And how can you know if your blood pressure is either high OR low?...
Millions of American have blood pressure problems. Learn what can put you at risk of high or low blood pressure here....
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Q: Peripheral arterial disease
asked by: DoctorQuestion on October 2nd, 2009
I (55 y.o. male, quit smoking 10 years ago, 8 hours/week intense exercise on road bicycle, Cholesterol low, TG high) was diagnosed with hypertension a few years back (average BP 140/90) and put on Diovan 160mg qd (average BP 125/85). All seemed well for a time, but then my right leg quit getting enough blood. The Vascular Surgeon put 3 stents in my right iliac artery to restore the blood flow. My guess is that the arterial insufficiency to my right leg had been causing the right leg to demand more BP causing my hypertension. After the angioplasty, my BP fell to 100/65. So, I stopped taking the Diovan. The average BP during the week since is 112/76.

Is my hypertension cured or is this just a side effect of the 5mg qd Coumadin, which is temporary?

The only other change is 81mg ASA qd and 135mg Trilipix qd.


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Dr. Rajesh Kesari , MD
replied on October 7th, 2009
High Blood Pressure and Hypertension Answer A7468
There may be a compensatory increase in systemic blood pressure in patients with Peripheral Arterial disease, as was in your case and was relieved by angioplasty.


The cause of PAD is atherosclerosis, which is a generalized process and may happen in blood vessels of other major organs like the heart and brain as well. Generally, persons with PAD have a higher risk of suffering a heart attack and stroke. Other medicines which you have mentioned do not lower BP, as such.

Hypertension, as such, may not have been cured considering all other factors ( history of smoking and high TG's).


You should consult your treating doctor before completely abandoning BP medication, probably other medications of a lower potency may be required to prevent any major complications, but this should be decided by your treating physician.




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