Hello there,
I have a question about blood pressure.

Its a bit complicated.
Recently I had a tilt table test to see if I have pots, or any other problem related to that.
I do not have the results yet and have to wait three weeks.
In the time between the neurologist asked me to take my blood pressure when I do not feel well. To help determine where the symtoms come from. I do not want to bother him for nothing so I thought I could ask my question here first.

I noticed, that often in the mornings tends to be both low and with a narrow pulse pressure. What does this mean? Is it a normal thing?
Examples are:
97/77 (HR 66)
93/70 (HR 54)

It does rise a bit during the day, and the pulse pressure is not that narrow all the time, it varies, but the mornings are very often like this. During the day it often goes towards 105/65 and numbers like that.
But I also noticed that when I do active things, like vacuuming, and then measure it (standing) it sometimes narrows like that as well. Which is at the same time when I feel my symptoms.

I am not a sports woman at all, so the low heart rates are not because of me being an athlete Smile
I am 36 years old, not overweight or extremely thin (somewhere in the middle).
I drink plenty, so that can not be a problem.
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replied September 21st, 2016
Blood pressure readings are measured in millimeters of mercury (mmHg) and usually given as two numbers . Eg, 120 over 80 (written as 120/80 mmHg). One or both of these numbers can be too high.‎

The top number is your systolic blood pressure (SBP).‎ Above 140 is considered high and it is normal when it is 120 or below.

The bottom number is your diastolic Blood pressure (DBP).‎ It is high when above 90 and normal when it is 80 or below.

Low blood pressure (hypotension) is pressure so low it causes symptoms or signs due to the low flow of blood through the arteries and veins. When the flow of blood is too low to deliver enough oxygen and nutrients to vital organs such as the brain, heart, and kidney, the organs do not function normally and may be temporarily or permanently damaged.
Some individuals routinely may have blood pressures of 90/50 with no symptoms and therefore do not have low blood pressure. However, others who normally have higher blood pressures may develop symptoms of low blood pressure if their blood pressure drops to 100/60.

1. In case, you had checked your blood pressure, previously and was higher than the current levels.
2. You have symptoms associated with low blood pressure - like feeling dizzy, lightheadedness, fainting episodes, blurred vision, etc.
In case, you have the above 2 findings, then it is definitely possible that you may be having low blood pressure.
The common causes of low BP, include Dehydration, autonomic neuropathy, medications used to treat depression, high blood pressure, epilepsy, etc ; cardiac disorders with low heart rate, Diabetes, Stress exhaustion, Alcohol intake, etc.

In the absence of any such symptoms, and with a blood pressure which is well within the normal range, there is nothing to worry about. In some people with anxiety issues along with obsessive compulsive disorder, who tend to keep checking the blood pressure inspite of absence of clinically significant findings normal changes or findings will appear to be abnormal, and they may get worried.

It would be recommended that you seek proper counselling and advice for your anxiety with a psychiatrist, which may help you lead a normal productive life.

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