Just diagnosed with High Blood Pressure

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19/11/2013 at 16:42

My GP has just detected high blood pressure when I visted to ask for medical certificate for a marathon in France. It is around 170/115. I am 41 and there are no signs of any underlying causes, and of course I have been doing a hell of a lot of exercise through running.

While we do further tests, the GP has told me to stop running and not to do any vigorous exercise at all. She has also alreday sounded me out about how I would feel about going on medication - and I see that many of the pills have pretty bad side effects.

Although I'm obviously going to follow the GPs advice, I'd appreciate it hearing from other forumites about whether they've been able to continue running with high blood pressure and how it's affected their performance. I'm also pretty worried about these meds. Running is a really, really important part of my life and I don't want to give it up!

thanks

19/11/2013 at 18:14

Really sorry to read this and feel for you. For me, running was one of the things that helped me get both my weight and blood pressure down. On minimal medication now after years of taking beta-blockers and diuretics. Unfortunately, there are often no underlying causes. Stress, illness, working in a different environment etc can all lead to short term spikes in blood pressure. Hopefully, they'll be able to get your BP down and you'll get the ok to start running again. Could be just a precaution as exercise is usually one of the first things recommended to reduce it. I wish you all the best.

19/11/2013 at 19:00

I have been on medication for bp for quite a few years and I am now in the process of reducing it with my GP's blessing - so it's not all a one way street.

It might be worth investing in a good quality home monitor.  My blood pressure would shoot up as soon as I walked in the surgery, but strangely during the times I was a hospital in-patient it was usually around normal.  If your readings are otherwise low you might persuade your GP you have a bad case of 'white coat syndrome'.  Otherwise you could ask to be fitted with an ambulatory monitor - athough I found this quite an unpleasant, it might give a truer picture.

I was lucky that before medication - with readings somewhat higher than yours - I was referred to a cardiac specialist who understood running.  He encouraged me to continue and said that both beta blockers and diuretics were out as far as he was concerned.  He then suggested a low dose of Candesartan cilexitil which I found had no side effects.

If your GP decides on medication as a first resort I would suggest you ask for a  second opinion - as neil says exercise is generally recommended and usually advice given regarding diet and salt reduction are also tried before medication.

Good luck.

19/11/2013 at 21:27
Yeah, as Bear says it's not a one way street and the diet and salt reduction (not to mention alcohol - not casting aspertions by the way!) can also make a big difference. As my weight & BP started to go down, my previous GP didn't want to know about altering the medication. For a number of reasons I got a new GP who was far more interested in me and much more pro-active. Been off the dreaded beta blockers for about 2.5 years now and, as mentioned in previous post, take minimal medication now. Get it checked every two months at the health centre and it's very stable and well in the healthy range so you can definitely turn it around. Feel quite strongly about this, hence the second post. Good luck.
19/11/2013 at 22:45

I've had high BP for a few years which is kept under control by medication. My doc is very supportive of my running and general fitness levels and reckons it'd be much worse if I wasn't so fit.

I had reason to see a cardio consultant (not to do with my BP) a couple of weeks ago and whilst he changed my meds slightly saw no reason to do anything more dramatic. I'd stopped running for a few weeks, but he gave me the all clear to start again. He also told me that i could do a marasthon in early December that i was planning to. He mentioned that the only real danger is if your arteries are restricted, but used some wonderful logic that as I'd already ran 2 marathons this year, its unlikely to apply to me.

He also kept me of beta blockers as he said that I'd never be able to get out of bed as my heart rate would be soooo low. 

I'd say don't worry too much, its probably just precautionary whilst they sort out your meds and if not then go and see a specialist. Once they have your meds sorted it shouldn't affect you too much.

If I can be of any support then pm me.

21/11/2013 at 11:43

thanks for your advice and support, guys...it's really appreciated. Still at early stage of all this - it comes as quite a shock to discover you have this problem when you're a healthy weight and exercising regularly. Unfortunately, i think the first difficulty I'm going to have is managing my GP, who is quite clear that her priority is to see patients as quickly as possible. I've already started changing my diet and reducing coffees so we'll see how that goes. Workplace stress could also do with coming down (but I used to use running for that!)

fingers crossed!

21/11/2013 at 12:12

If you want a bit more guidance on the dietary side of things, have a read of this:

DASH diet

 

21/11/2013 at 12:46

this is very useful, Ultra Bookie...thanks!

19/12/2013 at 21:56

Just to add to whats been said, I've been on BP tablets since I was 19, I'm now 52. If you have to take tablets stay off the beta blockers, I've taken calcium antagonist type tablets and ACE inhibitors. Whilst on the medication I've managed a 10k pb of 32 min, 5k pb 15 min, so need to worry about our running.

19/12/2013 at 22:11

Did she only do one test?  According to the doctors in the office (I work for a ccg) you have to have several readings showing a high blood pressure before it is confirmed.  

Hard to believe that you could have high blood pressure when training for a marathon.  Get a retest.

Edited: 19/12/2013 at 22:12
20/12/2013 at 12:36

we've now done 3 readings at the surgery, plus I've been home-testing, and unfortunately the results are right.

the doctor has banned me from running until I can see a cardiologist for a full range of tests (so far, we've only done a blood test and ECG - both clear) but says her priority will be to get me running again (she is a runner herself, fortunately!).

in the meantime, she's started me off on a low dose of an inhibitor and i'm changing my diet. the home readings are down to roughly 150/105.

hoping i can still make the VLM (which i just got a club place for), but at the moment the doc says only swimming is OK. better safe that sorry, she says, and i'm inclined to agree.

thanks again for your advice chaps... Surrey, hopefully I'll see you on the My Last Run forum again soon!

20/12/2013 at 20:05

Sorry to hear about the confirmation.  I will be lurking in the injury section for a while longer.  Will have to defer my vlm place in 14.  

21/12/2013 at 08:39
Yes, sorry to read this too. However, it's good to note that your BP is coming down and while 150/105 is high its not stratospheric and hopefully you can continue to get it down. Good luck and let us know how it goes with the cardiologist. All the best.
13/01/2014 at 16:31

now down to 135-140 top reading, but bottom reading still stubbornly at around 100 so GP has upped the dose. she seems more worried about the lower reading - not quite sure why.

on the plus side, i have a cardiologist appointment next week, which will hopefully be helpful..and - whispher - i'm quite enjoying swimming....

13/01/2014 at 17:51

Good to hear that it's dropping and that you get to see the specialist next week. Hopefully they'll give you the all clear.

24/01/2014 at 11:41

Saw the consultant yesterday and she's given me the all clear. the ACE inhibitor has got the readings down to 130/85 and continuing to come down. she also seems confident that the drugs won't affect my performance.

however, this episode is a warning to other runners. the high blood pressure had caused my heart muscle to thicken because of the extra work involved in getting the ticker to beat...this is expected to stop and indeed reverse now the BP is under control but could have been potentially dangerous if it had not been spotted by chance at that original checkup. i'd urge all runners to get a basic MOT done. it's not being soft - it's staying safe.

 

24/01/2014 at 11:46
Great news Baldbloke. Really pleased for you. Apparently the bottom figure is more important than the top one. I think it's called the systolic blood pressure?

Anyway, your advice is spot on. You must be absolutely chuffed to get the all clear to start running again.
04/02/2014 at 13:36

i have just been diagnosed with high blood pressure 213/110 , doctor advised me to stop running and she will review when I go back this Friday.for blood pressure readings and blood tests. Prescribed ramipril. Readings now 183/90. So going in the right direction . I myself was training for Stafford half 

04/02/2014 at 19:59

Shaz4, I've been taking Ramipril 10mg for a few years, have no impact on my running at all, you should be fine. 

06/02/2014 at 14:07

hi Shaz - yep definitely stop running until your BP is brought under control...which is completely doable as my case shows...the consultant showed me on the ECG how runing with undetected high PB had enlarged my heart muscle - that's something you don't want to happen...with a bit of patience you should be back to running fairly soon. after a couple of weeks back, i too would say there are no signs of Rampiril affecting my performance...as for other side effects, there were a few minor ones (dry cough, bit of a rash) initially but they soon wore off. keep us updated on this forum with your progress - i, for one, will be interested to follow it...and make sure you do the other things which the docs recommend, such as eliminating salt from your diet and cutting down on stress. this also really helps!

btw, my BP is now down to 125/80.

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