Have Medical Questions? Ask a Doctor Online!
Welcome to just answer
Well although the blood pressure that you mentioned on standing is higher than what you have while sitting, it is still within normal limits and you do not have hypertension...
Let me explain
Normally when you stand up, the blood tends to pool in the legs thus causing a drop in blood pressure... This drop in blood pressure is picked up by the baro receptors which in turn activate certain reflex mechanism to maintain the blood pressure within normal ranges
Why is my blood pressure higher when i stand?
You have an exaggerated response to the drop in blood pressure when you stand
Is this common and could it be causing my dizziness?
As a result the increase in heart rate and in peripheral resistance cause the high blood pressure on standing
Yes it does cause dizziness and it is fairly common
There is a common term known as Orthostatic Hypertension
But since your blood pressure is within normal limits on standing I wouldn't say you have orthostatic hypertension
But the rise in blood pressure in your case has a similar pathophysiology
So if i understand this correctly.
When i am resting my bp is normal, but it is still ok at the standing range. If so, what is out of range?
The normal ranges for blood pressure are as follows:
Normal range: less than 120/80
Pre Hypertension: 120-139/80-89
Stage 1 hypertension: 140-159/90-99
Stage 2 hypertension: more than 160/100
So if i was walking, stopped and took my blood pressure and it was 140/92, this would be Stage 1 (question is based on walking and not at rest)/
No that is a normal response to activity and exertion but however if it does not return to baseline after resting it is abnormal
Got it, i am asking because my doctor put me on a c-blocker because my standing bp was higher. I have never had high bp and thus I am concerned. One last question. This issue of being dizzy when waking and after running only started over the last year. Is there anything you can think of that could cause this?
Yes you should get your heart assessed by a cardiologist...
Get an EKG done, if that turns out to be normal ask your cardiologist to have your exercise done
I meant exercise tolerance test
EKG, blood work, echo, holter monitor all came back good. I have a stress test Friday.
Thanks for your advice.
Well then Stress test would decide the cause of your symptoms