Ask Dr. Rowena

Photo Dr. Rowena Your questions about high blood pressure answered by a board certified doctor. Browse the categories in the left menu.

Systolic down, diastolic still up.

Q: My BP was in the 170′s over 120′s and has been reduced with lifestyle changes and lisinopril to low 140′s but over 100-110 still for diastolic. What might cause this? Are the dangers specific to a high diastolic or just the ratio being what it...

  • Facebook
  • Twitter
1 Star2 Stars3 Stars4 Stars5 Stars (13 votes, average: 3.31 out of 5)
Loading ... Loading ...
Read More »
Comments »

Blood pressure reading taken immediately at doctor’s office.

Q: My internist has labeled me hypertensive and I am on Diovan, amlodipine and propranolol. My question is this: my pressures are measured in his office immediately upon sitting down with his nurse while she is talking to me. I have found that my pressures...

  • Facebook
  • Twitter
1 Star2 Stars3 Stars4 Stars5 Stars (27 votes, average: 3.56 out of 5)
Loading ... Loading ...
Read More »
Comments »

Elevated diastolic real indicator of hypertension.

Q: We were recently informed at the local hospital that it’s the diastolic measure that indicates hypertension, not so much the systolic. I have never heard this before. Is this true?

A: This is no longer felt to be true. At one time doctors just looked...

  • Facebook
  • Twitter
1 Star2 Stars3 Stars4 Stars5 Stars (30 votes, average: 4.03 out of 5)
Loading ... Loading ...
Read More »
Comments »

The vasoconstriction vs vasodilation effect.

Q: Can being in a cold room and taking your blood pressure result in a noticeable increase compared with a warmer room? I am thinking of the peripheral vasoconstriction vs vasodilation effect

A: Blood vessels constrict in response to cold to help maintain body heat. This...

  • Facebook
  • Twitter
1 Star2 Stars3 Stars4 Stars5 Stars (3 votes, average: 3.00 out of 5)
Loading ... Loading ...
Read More »
Comments »

Blood pressure measurements jumping up and down.

Q: My initial blood pressure is 140-150/80 (diastolic is always 80 or below) Within 3-5 minutes the systolic goes down to the 115-120 range. I am using the RESPeRATE. Would I be classified as hypertensive? Do I need meds?

A: Average three readings taken 5 minutes...

  • Facebook
  • Twitter
1 Star2 Stars3 Stars4 Stars5 Stars (15 votes, average: 4.40 out of 5)
Loading ... Loading ...
Read More »
Comments »

The effect of a colder room vs a warmer room on your reading.

Q: Can being in a cold room and taking your blood pressure result in a noticeable increase compared with a warmer room? I am thinking of the peripheral vasoconstriction vs vasodilatation effect.

A: Blood vessels constrict in response to cold to help maintain body heat. This...

  • Facebook
  • Twitter
1 Star2 Stars3 Stars4 Stars5 Stars (23 votes, average: 4.57 out of 5)
Loading ... Loading ...
Read More »
Comments »

Breathing rate while monitoring blood pressure.

Q: Which is the correct way of monitoring my blood pressure – while breathing normally or while inhaling deeply and exhaling lengthily? Just a while ago, the former resulted in 140/67 (pulse rate 63) as the average of 3 takes; with the latter, it was...

  • Facebook
  • Twitter
1 Star2 Stars3 Stars4 Stars5 Stars (29 votes, average: 3.93 out of 5)
Loading ... Loading ...
Read More »
Comments »

Best time to get an accurate blood pressure reading

Q: I take my blood pressure reading every morning and it’s always normal; however, when I get home in the evening, the reading can be around 160/90. WHEN is the best time to take an accurate reading of blood pressure? I am not on any...

  • Facebook
  • Twitter
1 Star2 Stars3 Stars4 Stars5 Stars (5 votes, average: 4.00 out of 5)
Loading ... Loading ...
Read More »
Comments »

The accuracy of home blood pressure monitors.

Q: What’s your opinion on home blood pressure monitors. Are they accurate?

A: Used properly, home blood pressure monitors are accurate. Like any piece of equipment, some models are nicer than others. Subscribers might want to read which models Consumer reports like the best here at...

  • Facebook
  • Twitter
1 Star2 Stars3 Stars4 Stars5 Stars (19 votes, average: 3.16 out of 5)
Loading ... Loading ...
Read More »
Comments »

Erratic Blood pressure readings.

Q: Recently at a health fair screening my bp was around 150/90. When I was checking out, they checked it again, it was 180/100, 1 minute later it was 235/100, 1 minute later it was 170/100, they said it was because I was stressed but...

  • Facebook
  • Twitter
1 Star2 Stars3 Stars4 Stars5 Stars (17 votes, average: 3.18 out of 5)
Loading ... Loading ...
Read More »
Comments »