High blood pressure while sleeping

Q: Sometimes I wake up during the middle of the night and my heart is pounding. My blood pressure and pulse get higher and higher, up to 200 over 90 or 100. I have gone to the ER and they haven’t found anything wrong. They gave me meds — Metropolol Succ ER 25 mg, Clonidine HCl .1 mg and Diltazem ER. 120 mg. Usually I get up and take Metropolol and Clonidine and eventually my BP goes down. What do you suggest?

A: High blood pressure late at night is worrisome. I suggest you have a consultation visit with a cardiologist and take your Emergency Room records. You might benefit from ambulatory blood pressure monitoring. Use of this technology can help with the diagnosis and treatment of hypertension.

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