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Anybody With Oh Who Gets Hypertensive With Non-Strenuous Exercise?


rubytuesday
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I take Midodrine and am waiting for second agent to add. I run low, low normal BP typically but when I do recumbent stationary bike (and when I'd done other exercises before the POTS hit), I notice that I get pretty hypertensive. Is this normal with exercise. Before full blown POTS when I had 'neurocardiogenic syncope' and was riding bike 10 miles/day, sometimes my blood pressure bottomed out as I dismounted the bike, finishing my ride. Now it seems to go up. Is that the Midodrine? How high is 'ok' to let it get with exercise (have to exercise)? Am just a little worried if it does this with just Midodrine--it may go even higher with another agent added. I still have the near syncope/syncope but not nearly as much now that weather is cooler, am indoors more and know the dos and don'ts. I try to get my exercise in first thing in the morning (when my BP is at its lowest--if I'm feeling ok).

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Well surprisingly enough people who do weight lifting, especially leg presses can see transient blood pressure rises of up to 360/300 mm Hg. Now how they don't die from those stresses I have no idea. Typically you don't want to see a sustained change in blood pressure of more than 30 mm Hg, that might be a little bit dangerous, but transient changes of more than that are ok so long as they don't last long.

Of course you want to keep your systolic pressure below 140 mm Hg

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Well surprisingly enough people who do weight lifting, especially leg presses can see transient blood pressure rises of up to 360/300 mm Hg. Now how they don't die from those stresses I have no idea. Typically you don't want to see a sustained change in blood pressure of more than 30 mm Hg, that might be a little bit dangerous, but transient changes of more than that are ok so long as they don't last long.

Of course you want to keep your systolic pressure below 140 mm Hg

Thanks, jangle. Since moving more from POTS to OH with autonomic nervous system failing (as I understood specialist to say), even though my BP hangs around 90's/60's-70ish and HR 60's-70, when the BP post the bike goes 121/81, HR hangs in upper 80s to 90 ish. Am doing about 25 min--go about 5 miles, no resistance. Am afraid to add any resistance due to BP. Barely break sweat but do have to mouth breath due to vocal cord dysfunction (have to keep respirations fairly shallow in my case).

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