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Is There A Medical Condition That Causes Ones Blood Pressure
Question: Is there a medical condition that causes ones blood pressure to rise when you lay down?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I passed carefully through your concern and would like to explain that similar clinical scenarios with supine spikes of blood pressure happen in neurogenic supine hypertension.
Neurogenic supine hypertension occurs in cases of cardiovascular autonomic failure most commonly in the settings of inherited or sporadic neurodegenerative diseases affecting the autonomic nervous system.
Other causes such as amyloidosis, metabolic and immune-mediated diseases including autonomic neuropathy may lead to neurogenic supine hypertension.
In order to better define the presence of nocturnal hypertension or what is called neurogenic supine hypertension a 24 h-ambulatory BP monitoring (24 h-ABPM) test would be helpful.
I would ask you for more details on the possible past neurological disorders and your recent supine blood pressure values.
You should discuss with your attending physician on the above mentioned issues.
Hope you will find this answer helpful!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I passed carefully through your concern and would like to explain that similar clinical scenarios with supine spikes of blood pressure happen in neurogenic supine hypertension.
Neurogenic supine hypertension occurs in cases of cardiovascular autonomic failure most commonly in the settings of inherited or sporadic neurodegenerative diseases affecting the autonomic nervous system.
Other causes such as amyloidosis, metabolic and immune-mediated diseases including autonomic neuropathy may lead to neurogenic supine hypertension.
In order to better define the presence of nocturnal hypertension or what is called neurogenic supine hypertension a 24 h-ambulatory BP monitoring (24 h-ABPM) test would be helpful.
I would ask you for more details on the possible past neurological disorders and your recent supine blood pressure values.
You should discuss with your attending physician on the above mentioned issues.
Hope you will find this answer helpful!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have read that medicine can either just stop working or create the opposite intended effect. Can that happen with beta blockers?
If it does happen with a beta blocker, would changing to another beta blocker be effective? Would your body be more likely to reject to new beta blocker as well?
If it does happen with a beta blocker, would changing to another beta blocker be effective? Would your body be more likely to reject to new beta blocker as well?
Brief Answer:
Opinion as follows:
Detailed Answer:
Hello again!
Regarding your concern I would explain that beta-blockers are not considered a first line anti-hypertensive therapy.
Carvedilol exerts also alpha receptors blocking activity, showing thus more effective than other traditional beta-blockers.
Your laying down hypertension is not explained with any possible drugs especially beta-blockers adverse reaction.
Instead of replacing Carvedilol with another beta-blocker, I recommend increasing the daily dose of Lisinopril to 10 mg and even more in an escalating manner (after consulting your prescribing doctor) and if necessary to add another anti-hypertensive drug such as Hydrochlorothiazide 25 mg/day.
I recommend discussing with your doctor on the matter.
Wishing you a pleasant weekend!
Kind regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hello again!
Regarding your concern I would explain that beta-blockers are not considered a first line anti-hypertensive therapy.
Carvedilol exerts also alpha receptors blocking activity, showing thus more effective than other traditional beta-blockers.
Your laying down hypertension is not explained with any possible drugs especially beta-blockers adverse reaction.
Instead of replacing Carvedilol with another beta-blocker, I recommend increasing the daily dose of Lisinopril to 10 mg and even more in an escalating manner (after consulting your prescribing doctor) and if necessary to add another anti-hypertensive drug such as Hydrochlorothiazide 25 mg/day.
I recommend discussing with your doctor on the matter.
Wishing you a pleasant weekend!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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