Taking 8mg ARB medication. Systolic pressure during day varies between 100 - 130. Cannot explain why during evening systolic pressure can go up to 170mm and drops back during second reading to 110.
Blood test show high thyroglobin antibodies, free thyroxine abd TSH normal, endo. confirm I am euthyroid, no evidence of Graves disease or thyroid eye diesease. Ultrasound of thyroid confirms normal. Total chlorestrol 4 mmol/L, Trylcerides 0.45 mmol/L, HDL 2 mmol/L and LDL 1.8 mmol/L.
Renal ultrasound and renal artery doppler confrim normal. No evidence of hydro-nephrosis, hydro-ureter or stone formation. No evidence of renal artery stenosis. Kidney found a 1.2 cm simple cyst.
Echo cardiogram confrim heart function is good.
Aldosterone (Upright) 363 pmol/L (Range 100-950) and Renin H92 mU/L (Range 3.3-41). Aldosterone/Renis Ration 4 (Normai Range <70). Confrim no diabetis.
Exercise daily one hour walks. Diet cut out adding salt to food. What is causing the spikes in the systolic pressure.