Abnormal EKG and High Blood Pressure Before TT? (photo) Doctor Answers, Tips
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Abnormal EKG and High Blood Pressure Before TT? (photo)

Hi, my tummy tuck is coming up on the 25 of Feb. Im so excited and nervous about it that my blood pressure went up at the dr office when i went in for my surgery clearence and my EKG was abormal. I use to take Phentermine and i wonder if this will keep me from having my tummy tuck.Im still waiting for a cardiologist to evaluate me.sometimes i dont know what to do about my blood pressure it only goes up when i am in the dr office.

11 Doctor Answers | Asked by mondesta12
+1

White coat hypertension is common.

Elevated blood pressures that occur only at the doctors office are termed "white coat hypertension." That being said, an abnormal ECG is typically considered part of the equation. Given your photo, so seem to be overweight. A combination of hypertension and an abnormal ECG requires a thorough examination and workup by a cardiologist prior to any surgery.
+1

Surgery

This is elective surgery and you need to be fully evaluated and cleared prior to having the procedure performed
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Hi BP

Having some anxiety before surgery or even going into the doctors office is normal so maybe your doctor can prescribe a sleeping pill or sedative prio to surgery.also getting clearance from your internist or cardiologist before surgey is essential.Good luck.

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+1

High blood pressure and abnormal EKG

Your surgeon is doing the right thing having you see a cardiologist prior to surgery. You question does not specify how high your blood pressure is and what your EKG showed, but the cardiologist should be able to sort it out and make sure you have a safe operation.
+1

Abnormal test before surgery

Thank you for your question. It is not likely that your EKG was abnormal from ‘just excitement & nervousness”. Occasionally, your blood pressure can be SLIGHTLY elevated due to stressors (like excitement), but this would not be the cause for an abnormal EKG. Our patients are required to get blood work (CBC & CMP) prior to elective procedures to ensure they are healthy enough to undergo a procedure. This is done to ensure the safety of our patients. Our patients are... more
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Abnormal tests before surgery

Stop the phentermine. I don't allow my surgery patients to take active wt loss drugs. Make sure you get surgical clearance from your pcp and probably cardiologist. A tt is elective and you want to only have surgery under the best possible circumstances. Good luck! Dr K
+1

Abnormal ekg

Let me be blunt. How do you know your bp only goes up in the doctor's office? That is only place you check it. My guess is that it is up way more than you would ever know- it is the silent killer you know. I say this with personal knowledge, as I too am on blood pressure meds. You obviously have a few extra pounds on you. My suggestion is that you really listen to the cardiologist. You may want to ask for a stress test to be sure that you not only... more
+1

Abnormal results means further workup

Unfortunately, if you were my patient you would have a full work up including a stress test prior to the surgery. You don't give us any family history, or past medical history so it is difficult to say. Have the work up and then have the surgery. That's the safest way to go about this.
+1

Abnormal EKG and high blood pressure before surgery?

Thank you for your question. You have some very valid concerns that can best be answered by your cardiologist after a complete evaluation of you. Should your cardiologist have any concerns they should discuss them with your plastic surgeon and anesthesiologist before your surgery. Best of luck.
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Abnormal EKG and HTN with History of Phentermine and Tummy Tuck

The high blood pressure may be episodic and due to nervousness, but you can determine if there is any validity to this by taking your blood pressure at home or at the drug store. The cardiologist will give you the proper evaluation and make a decision about your high blood pressure as well. Kenneth Hughes, MD Los Angeles, CA
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