Re: Causes for a .5 mm ST depression

From: Andrew B. Chung, MD/PhD (andrew_at_heartmdphd.com)
Date: 03/29/05 

Date: Tue, 29 Mar 2005 14:31:49 -0500

janet wrote:
>
> hi andrew,
> well actually i haven't changed my behavior. my blood pressure fluctuates a
> great deal mostly due to anxiety. and it has only been doing that for the
> past few years so do you think that could still be a source for some ekg
> abnormality like this?

What you describe could possibly be "labile" hypertension or even just
white-coat hypertension. Though the former can lead to hypertensive
heart disease, the latter typically does not.

> do you think patients whose BP fluctuates are better
> off on a BP medicine?

Tough question. Given your family history, imo, one should be more
aggressive and favor starting something cardioprotective like ramipril
and hope (pun intended) that you will tolerate it.

> thanks!

You are welcome, Janet :-)

At His service,

Andrew 

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
**
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