He was healthy and fit at 54, an avid runner with no vices — he didn’t smoke, drink or do drugs. So when he suddenly experienced left-sided weakness, numbness and difficulties with balance, walking, swallowing and speech, a family member rushed him to a nearby stroke clinic.
“His blood pressure was sky high — about 254 over 150 millimeters — yet when you looked at him you’ve never know it, because he looked so well. That’s why we call hypertension the silent killer,” said Dr. Sunil Munshi, a consulting physician at Nottingham University Hospitals NHS Trust in the United Kingdom.
Munshi is the senior author of a case report about the man, a warehouse worker from Sherwood, Nottingham, whose name was withheld to protect his privacy. The paper was published Tuesday in the journal BMJ Case Reports.
Normal blood pressure for adults is less than 120 over 80 mm HG (millimeters of mercury). Blood pressure of 180 over 120 or higher is considered a medical crisis that requires immediate emergency care.
“His left side was numb, and scans showed he had a stroke in the deeper part of the brain, the thalamus, which explains the unsteadiness,” Munshi said. “He was admitted, and we treated him with five different medications until his blood pressure dropped to 170.”
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