This is for my mother who is 70 years of age. Sh is a known hypertensive since 2002 and has been on amlong 2.5mgm od, concor 5mgm bd, and minipress xl 2.5 MGM od. A few years ago some doctor put her on ecosprin 75mgm daily. Apart from that she takes calcium and multivitamin. Her bp used to always be 130 /70. But off late her bp was in the range of 140-150/76. So we consulted a physician and he made it concor with amlong 5/5mgm, and azilsartan 80 MGM once s day. With aspirin in the afternoon. Her bp is still 140-150/76. My question is is this the normal bp and I shouldn't worry about it ?ir is there some other medication that she should be on to bring the systolic to 130 range? And is aspirin actually required for her? Her echo shows concentric left ventricular hypertrophy and mild diastolic dysfunction. Her weight also is 76.8 and she hardly eats anything. Could it be due to salt retention from aspirin intake? Can I stop aspirin? Her platelets are 4.18 lakhs. Pls advice.

Dr. Paramjeet SinghCardiologist9yrs exp

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1) Aspirin (Ecosprin) does not cause high BP, it is given in this case for Heart attack prevention so please continue that 2) anti hypertensive medications needs to be adjusted periodically according to bP records and lab parameters for side effects. And usually not more than 2 or 3 drugs are needed. 3) you need to do these test for further assestment. KFT, ECG, STRESS ECHO, LIPID PROFILE. 4) Continue to take same BP medications but take them all early in the morning and measure BP twice daily and keep a record. 5) If Evening BP is more than 140/90 (Which is the upper limit for her age) you can give half or full tablet of amlong again in the evening according to BP. Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. Get back to me with a detailed history and old / new records for a better individualized advice. 

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