Discussions By Condition: Cardiovascular disease

High BP and Low HP at the Same Time

Posted In: Cardiovascular disease 2 Replies
  • Posted By: Anonymous
  • January 3, 2009
  • 06:59 PM

I writing on behalf of my 77 father. He is an other wise healthy non-smoker/drinker/non-overweight white male who exercises regularly. In 2000 he had hear attack due to partial blocked artery and had stent implanted. He also had pacemaker defribulator put in about 24 months ago. He has has some a-fib conditions over the last two years but nothing that lasts more an hour or or less.

For the last 24 months he has had fainting spells due to orthostatic (postural) hypotension. Most recently he has be hospitalized due to transient ischemic attacks which he had good resolve. He was again hospitalized as precaution due to a rapid a-fib situation. With all that being said, he seems not to able to get his blood pressure regulated; its ether way too high when laying down or too low when standing. We have taken every precaution and direction from the doctors to the letter with mediocre results at times. The problem is here that if the BP is too high he risks a a major stroke if its too low he risks fainting upon standing up and falling. In August of 2008 he was tested for tested for multiple myeloma and amyloidosis which came up negative. The frustration we all experiencing is that we are being told that at 77 we need to choose between high blood pressure or low blood pressure according to the cardiology team overseeing him. Is there any other diagnosis available or medical group that specializes in these disorders?

Much Thanks for your interest

Below I have listed all the medications he taking:

Lisinopro 10 MG
Coumadin 5 MG
Asprin 81 MG
Toporl 50 MG
Lipotor 50MG
Midodrine 2.5 MG
Amiodarone 200 MG

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  • Hi there.. i have the same issues going but in the opposite way. My BP daily has eposides of going up to 156/138 when upright and as low as 89/65 on laying. I have postural taccycardia syndrome too. From my past reseach on this (doctors were useless and had no idea what the issue could be, they kept on telling me they hadnt seen anyones BP going high and low to the degree that mine does) .. I now know two different conditions which this high and low issue one is baroreflex failure (i hope i have this name right) and the other is Orthostatic diastolic hypertension (which i have). (anyone interested the following link thou talking about a certain illness also talks about 5 different Othostatic intollerance issues including these rarer ones) http://www.pediatricnetwork.org/medical/CFS/bell-commentary/oi-intro.htm ). POTS can appear with other orthostatic intollerance issues from the sounds as it your father has baroreflex failure""Most patients who are ultimately diagnosed with baroreflex failure are sent to tertiary care centers for evaluation of severe and volatile arterial hypertension. However, in the majority of patients, volatile arterial hypertension is not caused by baroreflex failure. Alternative causes of volatile hypertension, such as renovascular hypertension or pheochromocytoma, should be considered first. Hypertensive episodes are usually accompanied by tachycardia, a so-called "tracking" of blood pressure and heart rate.5,7 Many patients experience sensations of warmth or flushing, palpitations, headache, and diaphoresis. The hypertensive episodes are triggered by factors such as psychological stress, physical exercise, and pain. A minority of patients present with episodes of hypotension and bradycardia. Hypotensive episodes can be observed when patients are resting and cortical input is diminished. Severe orthostatic hypotension is not a typical symptom of baroreflex failure. Orthostatic hypotension may be observed in baroreflex failure patients who are volume depleted or treated with sympatholytic drugs. " i hope that helps.. POTS patients are said to be often volume depleted.
    taniaaust1 2267 Replies
    • January 6, 2009
    • 11:22 AM
    • 0
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  • Thanks I will look into it
    Anonymous 42789 Replies
    • January 6, 2009
    • 01:09 PM
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