Ambulatory BP monitoring in metabolic syn ProJR

 Conversational transcripts:

[17/01, 20:14]hu1: 57M patient ambulatory 24hr BP report👆🏽

[17/01, 20:14]hu1: Any comment?Is the sleeping bp normal here for the patient?

[17/01, 20:31]hu2: No it suggests a dipping less than 10% which is near non dipping and it's not considered to be good in an epidemiological sense.

But then let that not bother you as all these newer insights around BP will change with time.

To my mind BP is simply due to vasculopathy and the root cause of that is abdominal adiposity and sarcopenia and that is essentially what needs to be addressed rather than BP

[17/01, 20:45]hu2: Check out the ambulatory BP readings of one of our past patients here: https://bppatient.blogspot.com/2015/08/bp-patients-experience.html?m=1

http://web.archive.org/web/20260117160454/https://bppatient.blogspot.com/2015/08/bp-patients-experience.html?m=1

Pasting it here again from the above link:

Ambulatory BP

Based on these results my doctor asked me not to panic and to continue with my exercises and diet control. At the moment I am not taking any medication. I am continuing my morning walks (recently been irregular because of rains). I generally feel ok but get tired while climbing steps and picking up my 3.5 year old daughter. That is it for now, will keep updating.

am a 35-year-old male scientist working in India. I first realized that my BP was on the higher side in January 2015. I had flu like symptoms and was feeling a bit dizzy. A medical officer at my work place checked my BP using manual BP measuring instrument at his clinic and it was around 140/100 mm Hg.  One week later I measured it again at the same clinic and it was 146/102 mm Hg.  Over the next few weeks I occasionally used to go to the clinic for measurements (randomly at different time of the day when in office) and it was always around 140/100.  In March, I took advise from a couple of doctors. I was advised to get an ECG, echo, USG whole abdomen, lipid profile and haematology tests done.  The reports are attached below.

Current update of the 35M patient linked above:

2015 he was not on medication

2019 his BP was well controlled on cilacar T once daily

2026 his BP is still controlled on cilacar T once daily but hyperglycemia has recently been added to his metabolic syn portfolio and he's been added on metformin and dapagliflozin 10 mg.