my husband is on hi bld presure med..he just grabbed his chest , fell over on the couch and was in great pain - i took his blood pressure is was 200/101 - then 200/ 98 then 198 over 97 .....after five minutes it has returned to 138 over 78....what do i need to do.
Hello, Firstly he should be on regular medicine like tab Amlodipine or telmisartan with monitoring of blood pressure. He should have ECG done and if normal then echo and TMT to look for presence of heart blockages.  He should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week and BP should not be persistently more than 140/90 MMH. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once if not tested. Hope this helps you and get back if you have any doubts.