[Blood pressure battles]

Author: Arnold (---.linear.com)

Date: 08-07-02 18:07

Hi,

This is my first post to this message board. I was diagnosed

with symmetric HCM about 7 years ago. I am fortunate because my

symptoms are fairly mild. One issue I have had is that I have

been battling moderately high blood pressure and recently, I have

started to take my blood pressure more seriously since it

hasn't been going down. It typically runs 140/95. My previous

cardiologist boosted my prescription meds from 120mg of

Verapamil, up to 240mg of verapamil and added 20mg of Zestril

over the last 4 years and I think it has had little/no effect. A

recent echo seems to indicate my thickening has decreased

by 2mm. I have recently added to my routine better eating habits,

eliminating salt from my diet as much as possible, and have started a

moderate exercise program.

I also recently moved to higher altitudes (sea level to 6000 feet), I am not

sure how altitude may affect me in the long run.

I am wondering if anyone has had similar battles, and what it took

to get the blood pressure down. I tried attenolol (sp?) once, and that almost

killed me.....slowed my heart rate way to low....

Any advice will be given serious consideration. Thanks.

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[Re: Blood pressure battles]

Author: Sarah B--Board Moderator (---.client.attbi.com)

Date: 08-07-02 20:11

Hi

Well, the best suggestion I can think of is to recommend that you call the office and get the name of an HCM specialist. Differences in echos and echo techs make small changes like 2mm not necessarily completely accurate, but even if the hypertrophy is less, it doesn't mean that the HCM is going away. HCM is a combination of tissue organization and hypertrophy, and nothing we have so far can change the actual structure of the heart muscle cells to be normal again.

Everyone is different, but perhaps a small dose of a newer beta-blocker would be worth considering --assuming the HCM specialist thinks so, too.

It sounds like you are doing all the right things but could benefit from seeing someone who really knows HCM very well and can take your treatment to the next level.

take care

Sarah

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[Re: Blood pressure battles]

Author: Lisa Salberg (---.dyn.optonline.net)

Date: 08-07-02 20:43

Arnold,

I would be a little concerned about the Zestril, while yes it can help lower b/p it also can increase your ejection fraction... which is normally above average in those with HCM. I would tak to your doctor regarding this drug and why it is being used. For further information on Zestril go to http://www.zestril-us.com/

Your changes in eating habits and excersise are wonderful and should help you maintian a lower b/p.

If there is anything else we can help with just let us now.

Best wishes,

Lisa