If blood pressure rises upon standing, so may risk for heart attack (Increases of >6.5 mm Hg = 2X more major cardiovascular events, possibly from excess epinephrine)

Medical Xpress / American Heart Association / Hypertension ^ | Mar. 17, 2022 | Paolo Palatini, M.D. et al

[ConservativeMind]

Among young and middle-aged adults with high blood pressure, a substantial rise in blood pressure upon standing may identify those with a higher risk of serious cardiovascular events, such as heart attack and stroke.

"This finding may warrant starting blood-pressure-lowering treatment including medicines earlier in patients with exaggerated blood pressure response to standing," said Paolo Palatini, M.D.

Typically, systolic (top number) blood pressure falls slightly upon standing up. In this study, researchers assessed whether the opposite response—a significant rise in systolic blood pressure upon standing—is a risk factor for heart attack and other serious cardiovascular events.

At enrollment, six blood pressure measurements for each participant were taken in various physical positions, including when lying down and after standing up. The 120 participants with the highest rise (top 10%) in blood pressure upon standing averaged an 11.4 mm Hg increase; all increases in this group were greater than 6.5 mm Hg. The remaining participants averaged a 3.8 mm Hg fall in systolic blood pressure upon standing.

People in the group with top 10% rise in blood pressure:

- were almost twice as likely as other participants to experience a major cardiovascular event; - did not generally have a higher risk profile for cardiovascular events during their initial evaluation

In a subset of 630 participants who had stress hormones measured from 24-hour urine samples, the epinephrine/creatinine ratio was higher in the people with a rise in standing blood pressure compared to those whose standing blood pressure did not rise.

[ConservativeMind]

You can check this at home with your blood pressure monitor.

Excess epinephrine should be able to be picked up on a blood test, but why bother unless you note this unusual blood pressure behavior?

It seem these people appeared more “normal” when taking their blood pressure sitting down.

[ConservativeMind]

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[Repeal The 17th]

I can hear my heart-beat in my ears when I am trying to go to sleep...
I am 70, been that way seen I was a teenager...

[BitWielder1]

If my BP does not increase when I stand up, I grey out instead.
So I thought that was normal.

[one guy in new jersey]

Desperately Seeking Non-Vexxine Causes of Death for Healthy Males Ages 18-45.

No Vaguely Plausible Applicant Will Be Refused.

[Chad C. Mulligan]

If my BP does not increase when I stand up, I grey out instead. So I thought that was normal.

---

Systolic pressure always increases when you stand from a seated position. Who are they kidding?

One thing I’ve realized in the last ten years or so is that BP measurement is anything BUT precise anyway. Trying to automate it hasn’t helped. I’ve had a med tech using a machine take multiple readings in quick succession, and seen the systolic number vary by ~30 points. The superannuated metrologist in me recoils in horror at this sloppiness.

[ProtectOurFreedom]

Many years ago, my doc called that “loud heart.”

[ProtectOurFreedom]

I monitor my own BP with an Omron automated cuff. I strive for repeatability. Get up in the morning, head to the breakfast table, and rest ten minutes. Then I take three readings about five or six minutes apart and average them. I do that about three or four times a week. It’s been great help adjusting BP meds and dosages. I’ve got data going back 25 years. I didn’t take so many readings in my fifties, but began taking more readings in my sixties (now 70).

I bought an Omron wrist BP unit and use it when I’m hiking hard. I get lots of variability when I’m exercising hard, so I’m not sure that information is worth much.

[politicianslie]

Desperately Seeking Non-Vexxine Causes of Death for Healthy Males Ages 18-45.

No Vaguely Plausible Applicant Will Be Refused.

The excess death numbers and the number of heart attacks in age groups that should NOT be having cardiac problems is beginning to show even the dumbest of the dumb that the vaxxxxines are more dangerous than is believable.

If you are dumb enough to take a vaxxine instead of becoming knowledgeable about early treatment medications that are very effective and ultra safe, then you deserve to die. And the idiots like Fraudci are going to kill you.

[sauropod]

.

[Faith65]

Thanks.
BKMK