Does the above reading mean I need to speak to a doctor sharpish.?

Been on Amlopine best part of 10 years  but systolic stays mainly around 150. Diastolic been gradually working down from 80 for a few years.

Healthyish diet, old git now, no alcohol for over 1 year, non smoker, not overweight, had chemo and radiation 1 year ago, tumour gone 

Any advice welcome.

 

 

https://www.theemtspot.org/blood-pressure/readings/150-51/

5 minutes ago, saintdomingo said:

Does the above reading mean I need to speak to a doctor sharpish.?

Been on Amlopine best part of 10 years  but systolic stays mainly around 150. Diastolic been gradually working down from 80 for a few years.

Healthyish diet, old git now, no alcohol for over 1 year, non smoker, not overweight, had chemo and radiation 1 year ago,

Any advice welcome.

depends on your age as well. Over 70 or 80?

4 minutes ago, Ralf001 said:

 

 

https://www.theemtspot.org/blood-pressure/readings/150-51/

Not really if it is a once off reading. Follow it for a week, every day at the same time and don't speak during the procedure. Always rest before at least 5 minutes.

2 minutes ago, newbee2022 said:

Not really if it is a once off reading. Follow it for a week, every day at the same time and don't speak during the procedure. Always rest before at least 5 minutes.

reading between the lines of the OP's post.... it aint a one off reading.

3 minutes ago, Ralf001 said:

reading between the lines of the OP's post.... it aint a one off reading.

Not my interpretation. He doesn't say this. Or where is it?

Thanks for the replies and interest, the 150 is not a one off. the diastolic has  been a gradual lowering. Age er between the two figures quoted. I suppose a doctor visit is in order.

7 minutes ago, saintdomingo said:

Thanks for the replies and interest, the 150 is not a one off. the diastolic has  been a gradual lowering. Age er between the two figures quoted. I suppose a doctor visit is in order.

I would not wait ,you sound worried about it.

I would also bring the bloodpressure reader so you can compare over there.

The lower reading would worry me the most, too low and you can pass out.

This is not medical advice. 

A systolic reading of 150 is to be treated as a serious risk for a heart related event or stroke. You need to see a cardiologist. I am 70 and have had 1 heart attack due to generational family history. I have been on statins since 1996 as well as Omacore. I am the longest living male member of my family. I am also the only one that has never had bypass operations. I recommend you purchase a blood pressure monitor for home use. Omron is reasonable priced and accurate. Take a reading upon waking after relaxing and seated after 3-5 minutes. There are many free phone apps to keep a record of your systolic, diastolic, and pulse.

The reading at the doctors office will almost always be higher due to a number of factors. I took mine this morning and I am still over my goal at 127/66 with a pulse of 60. A key to managing is eating correctly, exercise, very little alcohol (I might have a beer 1x per month. Strength training is important but at 150 I would get a cardiologists opinion before starting on any program. Walking is excellent at ideally 6000-10000 per day or at least 4 days per week. Again speak with your doctor.

Periodic blood tests will help you gain a measure of indicative control over the  cause and effect of changes to your lifestyle. I have seen a remarkable or rather incredible reduction in my triglyceride levels after taking Omacore (OTC Omega 3 esters) for a while.

 

I was treated excellently at Bumrungrad for the minor heart attack but left due to my doctor's arrogance and impatience during my queries.

I have since changed doctors and really enjoy my current cardiologist Dr. Apichai Pongpatananurak at Samitivej Sukhumvit. If you think you require more individual care then you may want to see him. A number of Thai physicians aren't very receptive to interaction and act in a hierarchical manner. They know and you don't. Dr. Apichai doesn't operate that way. I have validated his protocols and I am satisfied with his advice, protocols, and results.

Best of luck and don't wait to see a Dr.

To make sure your readings are correct.

Go and have your blood pressure tested a local clinic or do selftest at a public hospital/health center. Latter one is free.

 

Diastolic 51 in combination sounds extreme.

Misc possible causes.

Do you take other medications?

Are you dehydrated? (not drink enough)

Worst case is heart problems (valve)?

What's your pulse after resting?

 

 

25 minutes ago, RayOday said:

This is not medical advice. 

A systolic reading of 150 is to be treated as a serious risk for a heart related event or stroke. You need to see a cardiologist. I am 70 and have had 1 heart attack due to generational family history. I have been on statins since 1996 as well as Omacore. I am the longest living male member of my family. I am also the only one that has never had bypass operations. I recommend you purchase a blood pressure monitor for home use. Omron is reasonable priced and accurate. Take a reading upon waking after relaxing and seated after 3-5 minutes. There are many free phone apps to keep a record of your systolic, diastolic, and pulse.

The reading at the doctors office will almost always be higher due to a number of factors. I took mine this morning and I am still over my goal at 127/66 with a pulse of 60. A key to managing is eating correctly, exercise, very little alcohol (I might have a beer 1x per month. Strength training is important but at 150 I would get a cardiologists opinion before starting on any program. Walking is excellent at ideally 6000-10000 per day or at least 4 days per week. Again speak with your doctor.

Periodic blood tests will help you gain a measure of indicative control over the  cause and effect of changes to your lifestyle. I have seen a remarkable or rather incredible reduction in my triglyceride levels after taking Omacore (OTC Omega 3 esters) for a while.

 

I was treated excellently at Bumrungrad for the minor heart attack but left due to my doctor's arrogance and impatience during my queries.

I have since changed doctors and really enjoy my current cardiologist Dr. Apichai Pongpatananurak at Samitivej Sukhumvit. If you think you require more individual care then you may want to see him. A number of Thai physicians aren't very receptive to interaction and act in a hierarchical manner. They know and you don't. Dr. Apichai doesn't operate that way. I have validated his protocols and I am satisfied with his advice, protocols, and results.

Best of luck and don't wait to see a Dr.

A bit off topic, but I was pretty much kicked out of a doctor's office with my daughter many years ago for posing questions about her diagnosis. It was a Thai government hospital and the doctor seemed offended by my questions, i.e. I had no right to question her as she was the doctor. 

 

As to blood pressure question of @saintdomingo, if those readings are consistent over a few days, I would hurry off to hospital. 

38 minutes ago, saintdomingo said:

Thanks for the replies and interest, the 150 is not a one off. the diastolic has  been a gradual lowering. Age er between the two figures quoted. I suppose a doctor visit is in order.

I suppose the Amlodipine dosis has to be adjusted. (or move to a beta blocker)

Also I would advise some regular exercises, (swimming) at least every second day.  Check your heartbeat after the work out. 

And try to get your weight and BMI right. (though in our age not number one issue)

Good luck

3 minutes ago, GarryP said:

A bit off topic, but I was pretty much kicked out of a doctor's office with my daughter many years ago for posing questions about her diagnosis. It was a Thai government hospital and the doctor seemed offended by my questions, i.e. I had no right to question her as she was the doctor. 

 

 

I similar experience with two Thai veterinarians. I didn't realize there were cultural aspects to this, but they definitely did not like being questioned. It was simply buy the pills they were selling and follow orders.

 

1 hour ago, saintdomingo said:

Does the above reading mean I need to speak to a doctor sharpish.?

 

I would have said yes....with no medical knowledge of any note.

 

It seems to suggest hardening/stiffening of the arteries.....heart is work hard 150, and arteries are losing their "kick back" 51...... 

 

No idea what you do about though.

 

 

28 minutes ago, GarryP said:

 I was pretty much kicked out of a doctor's office with my daughter many years ago for posing questions

I had a similar experience.

Now when I visit a new doctor I read them the riot act and see how they react before a diagnosis.

I tell the doctor that I am paying and they are my servant. I am the employer and they are the employee.

I will listen to their advice but all decisions are made by me.

If they get all snotty about it then I walk out before the diagnosis.

This works for me but it upsets about half of Thai doctors.

I took Amlodipine for a while - my lower reading went down to the low 50s - from 65 ish

My doctor didn't seem too worried but I think it would be worth you checking with a doctor yourself also if you are checking with your own monitor it might be worth checking it against one a doctor has.

But I guess Sheryl will give you good advice.

3 hours ago, newbee2022 said:

I suppose the Amlodipine dosis has to be adjusted. (or move to a beta blocker)

I believe they have two different mechanisms and I expect the doctor would have reasons for choosing one over the other.

I took beta blockers once - slowed my heart rate to 60 beats a minute under most conditions

Many, many thanks to all who took the time and trouble to reply. 

9 minutes ago, Negita43 said:

I believe they have two different mechanisms and I expect the doctor would have reasons for choosing one over the other.

Maybe. Op decided already what to do

I had a triple bypass a few years ago and was fitted with a defib. I moniter my B/P pressure a few times a week and its aways Different For peace of mind when i visit my Doctor or the nurse for my blood check ups i always ask for a B/P check.

150/50 is not a healthy blood pressure. 

See a cardiologist to find out the reason,  or, if  no reason can be found,  to adjust your medication

Are these #s taken at home, at rest, or at doc's office ?

 

Might want to get an Omron BP meter, if not having, get from ...

https://aseannow.com/topic/1367286-bought-another-omron-bp-machine-from-lazada-is-it-real/#findComment-19959530

 

150 / 50 doesn't sound right.  Would expect the 150 to be lower or 51 to higher.

8 hours ago, saintdomingo said:

Does the above reading mean I need to speak to a doctor sharpish.?

Been on Amlopine best part of 10 years  but systolic stays mainly around 150. Diastolic been gradually working down from 80 for a few years.

Healthyish diet, old git now, no alcohol for over 1 year, non smoker, not overweight, had chemo and radiation 1 year ago, tumour gone 

Any advice welcome.

PLEASE no more replies, and thanks to all for your time and trouble spent offering helpful advice.

Many thanks again.

You can leave the forum if you like but it remains of interest to others. Thanks for posting. 

 

7 hours ago, Will B Good said:

 

I would have said yes....with no medical knowledge of any note.

 

It seems to suggest hardening/stiffening of the arteries.....heart is work hard 150, and arteries are losing their "kick back" 51...... 

 

No idea what you do about though.

 

 

Correct. The systolic should be under 130 mm Hg. A low diastolic ( < 70 ) is an indicator of hardening of the arteries.

 

IMO the OP should also be looking at oximeter and pulse rate too. Less than 95%, or more than 70 bpm is not healthy either.

 

The good news is 50 mg of Viagra should knock at least 30 points off his systolic.

 

 

 A systolic that is usually at 150 or so, is too high.

 

As for the low diastolic, several possibilities for that, the simplest being an issue with the machine used, but could also  be indicative of an underlying cardiac problem.

 

Yu should consult a good cardiologist.

As you probably know, 150/51 is a slightly high systolic with a slightly low diastolic.  If this is your usual reading under normal conditions, then, yes, I would advise you to see a doctor before it gets any worse. 

On 7/30/2025 at 3:00 AM, Sheryl said:

 A systolic that is usually at 150 or so, is too high.

 

As for the low diastolic, several possibilities for that, the simplest being an issue with the machine used, but could also  be indicative of an underlying cardiac problem.

 

Yu should consult a good cardiologist.

Thanks Sheryl, 18 months ago I took your recommendation for St Louis, which took me on to Chula (same doc), I could now do with a general check up for a short list of things beside the above. As Chula have all my info they look the logical place to start, but their admin procedures are at best an irritant plus the inevitable hanging about. Being old is a right pain.

On 7/29/2025 at 11:37 AM, newbee2022 said:

Not my interpretation. He doesn't say this. Or where is it?

This extract copy from the OP's post clearly indicates that it's not a 1 off reading.

 

Been on Amlopine best part of 10 years  but systolic stays mainly around 150. Diastolic been gradually working down from 80 for a few years.

 

You can only interpret that 1 way. His systolic stay mainly around 150 for the best part of the 10 years he's been on Amlopine, and his diastolic has been gradually decreasing from 80 for a few years.