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BP - Sudden elevation

Q: I am a 35 years old male, weighing 92 kg and my blood pressure remains 130/100 normally but it went up to 170/118 one day while driving. My ECG and serum cholesterol are normal. I want to know if I need to take any medicine, if yes, please suggest on that.

A:A resting blood pressure of 130/100 mmHg, rising to 170/118 mmHg while driving, in a 35-year old man, requires early assessment and treatment. At 92 kg you are definitely obese for a man 170 cm tall. Your body weight should be between 63 and 70 kg. Weight reduction should be achieved by a suitable dietary regimen and physical exercise. Basic investigations should include a fasting blood glucose, serum creatinine level, full urine analysis, a chest xray and haemoglobin estimation. I note that your ECG and serum cholesterol are normal. I would prefer to start drug treatment in your case with either captopril 12.5 mg or enalapril 5 mg once a day. The dose should be adjusted according to the response achieved, at not less than monthly intervals, so that the systolic pressure is not over 150 mmHg and the diastolic pressure is 90 mmHg or less. Once such a stable blood pressure is achieved only an annual check-up is needed. If you are a smoker you should give up smoking. Alcohol intake, if you are a drinker, should not exceed one or two units, only 2-3 times a week.

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