<s>[INST] My grandmothers blood pressure is currently 203 over 47? How bad is that? Isnt that dangerously high for top number and dangerously low for bottom number? Heart rate is 119. She is in hospital and just came off of vent yesterday. They have been trying to get heart rate down and blood pressure controlled with no success so far. That blood pressure sounds really out of wack to me. [/INST] Hello, Yes high Blood pressure is a matter of worry especially high one. Blood pressure should be frequently checked and if further rises then can be detrimental. Lower BP and high heart rate are not problematic issue. So focus should be on controlling blood pressure. There are number of medicine available, I hope they must be trying those like Amlodipine, telmisartan, praising, metoprolol, clonidine etc. So you discuss these issues with the doctors over there. Hope this helps you and get back if you have any doubts. </s>