Question: My wife often feels very tired, and has high blood pressure (140 over 42). Are the two things related, and does she have to worry?
Dr. Hibberd's answer:
They could it. It’s not always clear. You didn’t mention anything about her underlying medical conditions, her activity level, and whether she has any dizziness or other symptoms. These and other pertinent negatives will be important in devising an action plan for her.
Her blood pressure alone is not likely causing her fatigue, but may be an important part of the solution for her. The question I would have is whether her true systolic blood pressure is actually lower, and the 140 reading may be reflecting a compensatory effect of an elevated heart rate, which can occur when BP drops below usual normal levels.
I would recommend she write down her blood pressure four times a day for a week and give this to her doctor for review. It’s possible she may have atherosclerosis, but that will not normally cause fatigue unless some underlying cause, such as heart disease, is present.
Fatigue should never be disregarded, and it is always prudent to see your doctor when new symptoms occur without a reasonable known cause.
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