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I have 13 stents, I had open heart surgery 2 years ago.

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Quickly go to urgent care or the ER... you are correct, your blood pressure is very high. It needs to be checked out immediately.
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Once you get stabilized (after going to the ER), start reading about Dr. Caldwell Esselstyn's work. He took people diagnosed with the worst kinds of heart disease who had exhausted all other options (through the Cleveland Clinic where he works) and kept them going for 20 years if they followed his plant-base, no oil lifestyle. His most popular book is "Prevent and Reverse Heart Disease." Good luck and let us know how you're doing.
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Stop using salt !!
I had a minor stroke 4 months ago. My BP was running very high before the stroke. Two doctors told me about no salt diet. I cook every day with a pinch or no salt to keep my BP down. Maybe once a week I eat out.
Watch for salt content on packaged food!! Ideally not more than 5% sodium.
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I can only suggest that you follow the advice of the people who provided you with the stents and the surgery, and stop looking online for answers you like better.
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As Churchmouse has indicated, you should defer to the physicians who care for your cardiac issues.
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This is a question for your doctor. Chances are your doctor will want to add one or two extra medications to your current one to help get your bp down. Talk to your doctor right away.
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Go to your doctor????? Don't think asking a bunch of people on a website is the appropriate action.
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Well I guess by now you are either dead or have followed the advice given and consulted your Drs.
Anyone with these kinds of conditions should be able to ask for medical advice day or night to prevent a catastrophe. Don't delay
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You're right, V. This thread is a couple of weeks old. Of course, 197/94 isn't normally deadly, but it is something you want to get down to avoid damage. I'm not sure how it would affect the stints.
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It really is a matter of whether you want to take the advice of the cardiologists or the online folk who have had some experiences but the cardiologists see these issues many times a day who would be your best helpers if you want them. No salt is good, watching your cholesterol intake is good, reduce your stress is good, not eating much red meat is good, well, you get the picture. Why go to the doctor if you can't get the B/P down without his/her help. It's really very simple - I have had three bypasses and no stents in 1999 and can do almost anything and have good health now. I follow the cardiologists suggestions - after all it is the reason to go, in my mind. They know more than I do and I an an RN. I helped with many angiograms and heart surgeries, etc. Sure, they don't know it all, but they sure know more then online folk who are also asking questions about their own health.
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Consider that you could be in strong denial of your ability to change your diet and save your life.
You can do it. Stop the salt and sugar. Get on a vegan diet. Get the weight down. Start walking. If you can't walk. Exercise in your chair. Good luck to you.
This doesn't have to be forever but for as long as it takes to get things going in the right direction. Respect the power of the fork for good and bad. It matters.
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I would run and not walk to my doctor. Busy, you've heard? I'd be on the phone with his office every single day saying I need an appointment, and by the way, I don't care if you're busy or not. I had a hysterectomy 11 years ago and I used this line a lot; it sure got me the attention I needed
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This is the first time I've seen this post and nothing saying how many days it is. I agree with the posts, OP should be calling their Dr. This is close to stroking out. Hope all is well.
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The post is 2 weeks old. I wonder if the question meant what should I do in general to manage my BP, or what should I do this minute when I see it so high?

There is an awesome resource for people who are panicked in the middle of the night (or day) and need immediate help. Many insurance companies and clinics provide access to a nurse helpline. (The number for mine is printed on my insurance card.) These folks are awesome at on-the-phone triage. The nurse may advise anything from "Don't worry unless this lasts more than x time," or "See your doctor first thing in the morning" to "call an ambulance and go to the nearest ER." The nurseline consultation isn't going to cure you, but it can be very comforting in the middle of the night when you don't know how urgent your need is.

Another option is to call your ER, say you are wondering if you need to come in and ask to speak to someone who can advise you. Obviously if every doctor and nurse is handling victims of a three-car crash, no one can come to the phone. But if you hit a more quiet time you may be helped, or someone may call you back when things quiet down.

I have used both of these resources many times over the years. I highly recommend them!
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There are several blood pressure medications that help with this. After my quadruple by-pass in 2005, I was put on two plus a statin drug and things have been under control ever since. I still have to watch my diet, including the amount of sugar I ingest to keep the triglycerides down, but this and exercise are easy things for me to do. No one else can do the exercising that is recommended for you. It's something only you can do if you want to remain healthy. The doctors really know a lot about this, so please use them and listen to their advice. Best of luck with the rest of your life!
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BGENEV: WE ARE NOT THE EMS (EMERGENCY MEDICAL SERVICES). GO NOW TO YOUR ER (EMERGENCY ROOM). Spiking blood pressure like your reading is not to be ignored!!!!!!! SEEK MEDICAL HELP NOW!!!!!!
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