Postural Blood Pressure Too High?

[khaarina]

My Cardio put me on a new beta blocker and told me to start doing 2 min. standing tests every day for a month, so for the past three days I have done this and everyday I am getting a big jump in blood pressure after 2 min. of standing. Here are my numbers so far:

laying: 130/90BP, 81HR

Standing: 144/96BP, 96HR

laying: 120/79BP, 81HR

standing: 137/93BP, 104HR

laying: 119/79BP, 80HR

standing: 150/122BP, 106HR

During the standing part of the test I get tingly, hot, sweaty, shaky, and my arms feel swollen. I have also had a bad hadache for the past three days straight. I am worried that my blood pressure is getting too high to be safe, but it does go back down when I lie down for a while. Should I keep doing these tests for the rest of the month or stop and call my doctor?

[boymommy3]

I think I would call my doc on Monday....just to make sure he thinks this is ok.

[bustersacc11]

I would call Monday and share your data along with symptoms. How long have you been on the new BB? I see your taking Midodrine. Do you think that may be causing some of your orthostatic hypertension? Did your dr prescribe BB for rate control or to act as a anti hypertensive? I know that is a miserable and scary feeling. Hang in there.

[imre]

I have the same symptoms high BP upon standing and that shaky pre syncope feeling. My BP does go down after a while though although it randomly goes up and down in waves if I stand still for too long. Not sure what this is, but also, not sure that it isn't normal for BP to go up upon standing. Does yours drop after a while or stay the same?

Your last reading was high so you should talk with your doctor. If you want to, keep me posted on what you find out I'd be really interested because of my similar symptoms? Stay strong!

[khaarina]

I would call Monday and share your data along with symptoms. How long have you been on the new BB? I see your taking Midodrine. Do you think that may be causing some of your orthostatic hypertension? Did your dr prescribe BB for rate control or to act as a anti hypertensive? I know that is a miserable and scary feeling. Hang in there.

I just started Metropolol three days ago, I was on Atenolol but I thought it might be causing my insomnia so he changed it. I think the BB is for tachycardia, but I'm not sure. He wasn't very clear. I've had these symptoms for two years, but I didn't know whether it was high bp, low bp, tachy, or a variation of these.

I have the same symptoms high BP upon standing and that shaky pre syncope feeling. My BP does go down after a while though although it randomly goes up and down in waves if I stand still for too long. Not sure what this is, but also, not sure that it isn't normal for BP to go up upon standing. Does yours drop after a while or stay the same?

Your last reading was high so you should talk with your doctor. If you want to, keep me posted on what you find out I'd be really interested because of my similar symptoms? Stay strong!

As far as I know it doesn't drop until I lay down, but I am afraid to push it too far. I will call my cardio Monday and let you know what happens. Thanks for the responses.

[bustersacc11]

If you can tolerate it a simple orthostatic challenge test done by vandy is supine BP after 15 min. Then standing BP at 3min, 5, and 10. Like it was mentioned above sometimes it takes our ANS a few min to balance out. You might find out either things level out or not. The metoprolol should have a steady effect in about 3 to 5 days. If it is XL the 25mg is a pretty standard dose to start off with.

[khaarina]

It was a bit better today. Maybe the new beta blocker is starting to work. I will give it some more time before bothering the doctor. Thanks.

[ramakentesh]

My BP has been around 150/90 when i stand since 2003. Actually perhaps before then. It could be the midodrine. I find betas actually make my blood pressure higher dfor some reason.

[Chaos]

If you continue to see diastolic numbers like that 122, you need to be calling I would think.

Hope you feel better soon!