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Orthostatic hypertension involving the systolic BP is known as systolic orthostatic hypertension. High diastolic blood pressure measured while standing in a person who stood up shortly after waking up. When it affects an individual's ability to remain upright, orthostatic hypertension is considered as a form of orthostatic intolerance.
“A common myth is that you will not develop high blood pressure if you do not have a family history of high blood pressure or heart disease,” says Marjorie Nolan Cohn, M.S., RD, LDN, a ...
POTS patients experience an increase in heart rate within a few minutes of standing or sitting up. This makes it different from other conditions that generally cause a fast heart rate.
Orthostatic intolerance occurs in humans because standing upright is a fundamental stressor, so requires rapid and effective circulatory and neurologic compensations to maintain blood pressure, cerebral blood flow, and consciousness. When a human stands, about 750 ml of thoracic blood are abruptly translocated downward.
Only continuous beat-to-beat BP measurement during an active standing-up maneuver can document this condition. [32] Classic orthostatic hypotension is frequently characterized by a systolic blood pressure decrease of ≥20 mmHg or diastolic blood pressure decrease of ≥10 mmHg between 30 seconds and 3 min of standing. [33]
The basic physiological change that occurs in the body during prolonged standing or sudden stand from supine position is that there will be increased pooling of blood in the legs. This decreases the venous return, and so there will be decreased cardiac output, which ultimately causes systolic blood pressure to fall (hypotension).
When measuring blood pressure in the home, an accurate reading requires that one not drink coffee, smoke cigarettes, or engage in strenuous exercise for 30 minutes before taking the reading. A full bladder may have a small effect on blood pressure readings; if the urge to urinate arises, one should do so before the reading.
A South Carolina gym enthusiast says her arms “exploded” after she attempted to do a vigorous fitness challenge — which she says caused a life-threatening condition.
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