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Increase in diastolic BP levels after exercise - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hi I have talked to a couple Doctors already and they were very informative but i forgot to ask a couple questions
Doctor :   Proceed with your questions?
User :   I was wondering why my Diastolic BP rises with excersice I have read everywhere that its supposed to stay the same or drop and if it rises its a serious condition
Doctor :   Exercises and stress releases stress hormones from the adrenal glands.
Doctor :   Hormone similar to steroids.
Doctor :   These hormones produces various symptoms which include increased heart rate and blood pressure.
Doctor :   Hence blood pressures rises and NOT drops during exercise.
User :   I have reaf thats true with systolic.. but what about diastolic?
User :   read*
Doctor :   Generally diastolic blood pressure is an indication of vascular resistance which again is modified by stress hormones.
Doctor :   Hence both systolic and diastolic blood pressure rises and NOT fall with exercises.
User :   So i should not be concerend about a large increase in Diastolic pressure? I have read it is a sign of unstable hypertension. my resting BP is usually 110/69. with mild excersice it can increase to 140/87.
Doctor :   Blood pressure changes with exercises have been studied many a times.
Doctor :   The stress hormones that I mentioned have actions more on the heart than the blood vessels.
Doctor :   Thus systolic BP is found higher than the diastolic BP (though this too can rise).
Doctor :   If diastolic BP is found at higher levels, you may be prone to develop hypertension in the future.
Doctor :   This could explain the left ventricle hypertrophy which you had discussed with us during the previous discussions.
Doctor :   Hence watch out for obesity, blood sugars, cholesterol levels. They could be contributing to the blood pressure changes.
Doctor :   Hope this is clear to you.
User :   you think the LVH is the cause of the high BP during excersice or the effect of the high bp diring excersice?
Doctor :   LVH indicates that the heart muscles are contracting against strong resistance.
Doctor :   Such resistance are commonly seen in people who have hypertension / blood flow resistance.
Doctor :   LVH is thus the effects of increased blood pressure.
User :   and Im only 23. I would think it would take a long time to develop. is there anyhting that will resolve this LVH since my resting BP is fine.
Doctor :   The positive features you have are
Doctor :   1. Resting blood pressure is normal.
Doctor :   2. There are no feature of blood out flow resistance on the ECHO.
Doctor :   So you need not worry.
Doctor :   Monitor blood pressure regularly.
Doctor :   Check blood cholesterol levels and take appropriate measures if they are high.
Doctor :   A good and regular sleep with a low calorie diet also can go in a long way in preventing future problems.
Doctor :   Have you followed what I have suggested?
User :   yes. I have sleep apnea too. and cannot wear my cpap because I cannot breath from my nose because I have nasal polyps so that is probably contributing to my problem
Doctor :   The factors responsible are multiple.
Doctor :   Lack of sleep is one reason.
Doctor :   Increase body weight, insulin resistance, high calorie, high fat diet are few other common factors which predisposes to increased vascular resistance.
Doctor :   thus those Echo changes.
User :   Ok thank you very much for being so informative once again.
Doctor :   You are welcome.
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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