Blood pressure…A&E?.

[BarrelOfOtters]

I’ve been tracking with home monitor as per request of practice nurse. Day 3 and readings are very high. 188/110 for example. Tried on DH and he’s getting normal readings. Should I wait out the 7 days, try again in the morning or got to a&e?

My BIL had similar Bp to the OP one Xmas ….i told him to go to a&e. He didn’t. He had a massive stroke a couple of days later, from which he’s never fully recovered. So I’d say go to a&e. He felt well in himself but obviously wasn’t.

Auntieobem wrong again.
It depends on the readings, there is no 'in general'. There are not always symptoms with hypertension. The silent killer.

If there are no GP appointments, (and GP's are not an emergency service), then in many cases people should go to A&E, regardless of overcrowding.
HCP.

Please don't comment with dangerous information you clearly know nothing about.

Mine can get that high sometimes, especially if I'm stressed. I have had to go to A&E before, but there are a few things I can do to try bringing it down on my own first.

For me it's always higher late in the day and when it's cold. And stress is a massive factor, especially if I've had an argument or am crying. A soak in a very warm bath, with a large drink of water is quite useful for getting it down to a manageable level.

(The other thing I have noticed is that if I'm ill and vomiting for any reason, systolic BP will reach 200+ fast. That's an A&E situation.)

Thanks all for the helpful info. It’s still high this morning but not as high. I don’t feel particularly stressed, I’ve been very stressed, but not now. There’s a history in the family and my older siblings are on BP medication.

Yes, there's obviously a reason if the nurse has asked you to take readings. You should still let them know asap about that spike though.

Please STOP giving dangerous medical advice.

Hypertension, even at critical levels, is often symptomless other than the reading.

Hypertension can lead to heart attack and/or stroke, both of which can be fatal.

It should not be left waiting for other symptoms. It should be investigated - 111 will advise, or a GP if in day time and can get an appointment.

Hypertension, even at crisis level, often is symptomless. Even though it can be very dangerous.

Continued very high levels of hypertension needs investigation, especially when it isn't coming down as it can lead to heart attack or stroke. It's preferable to catch it before that happens, obviously.

From the Royal College of Emergency Medicine uk

https://www.rcemlearning.co.uk/reference/hypertensive-emergencies/

This is the NhS blood pressure check: www.nhs.uk/health-assessment-tools/check-your-blood-pressure-reading

It will tell you what to do after entering in the values.

A hypertension emergency requires same day medical attention. Ideally this would be at your GP but otherwise you call 111. In most cases they will then make you an emergency doctors appointment or advise A and E.

Yes the worry was a hypertensive emergency, they sent someone out to test my Blood Pressure (which I was frankly amazed at but he was on his way somewhere else and called in I think I just got lucky with that). He confirmed my readings and I got the call back from on call Doctor.