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Blood pressure question

post #1 of 25
Thread Starter 
I was having dinner with friends, and had one drink, and then we drove to a gelato place for dessert. I got out of the car and was stumbling, and walked into a wall because I was feeling kinda disoriented.

I thought maybe my blood pressure was low and I was just a bit lightheaded. My blood pressure is normally around 100/60. I just checked my blood pressure (twice) and it's 130/59. Do you think it's anything to worry about if the systolic is higher than normal?

Edit: Just to add - I'm on 50mg beta blocker a day due to open heart surgery last year)
post #2 of 25
We're not suppose to give medical advice here (I don't think), but I can give you my opinion. I wouldn't worry about it. Do you normally drink? If not, then the one drink may have caused you to get off balance. If your blood pressure continues to be higher than normal then you may consider getting checked out by your family doctor.
post #3 of 25
130 is high.
Normal is 120.
I would call a advice nurse and tell them what happened.
post #4 of 25
Quote:
Originally Posted by sarahp View Post
I was having dinner with friends, and had one drink, and then we drove to a gelato place for dessert. I got out of the car and was stumbling, and walked into a wall because I was feeling kinda disoriented.

I thought maybe my blood pressure was low and I was just a bit lightheaded. My blood pressure is normally around 100/60. I just checked my blood pressure (twice) and it's 130/59. Do you think it's anything to worry about if the systolic is higher than normal?

Edit: Just to add - I'm on 50mg beta blocker a day due to open heart surgery last year)
That bit of information below makes all the difference...
Since you had open heart surgery last year I would be calling my doctor tomorrow to ask about it... It might be the case of adjusting the meds...
post #5 of 25
This is only meant to be information. You really should speak to your cardiologist.

Are you on Metoprolol?

Beta Blockers do affect blood pressure a little bit, but it's primarily given for heart arrhythmias.

Your blood pressure looks ok to me. The top number goes up and down for various reasons, including stress and activity. You can't really base a problem with blood pressure on a one time reading, even if the reading was the same back-to-back. Unless what you are seeing is a trend over several days, I don't believe it's anything to worry about. However, like I said earlier, it is better to talk to your cardiologist as he/she is the one who is monitoring you and knows your cardiac history.
post #6 of 25
Thread Starter 
Yes I do plan to let them know tomorrow what happened. It's just weird I felt so odd AND the top number was higher than normal. I still feel kinda lightheaded.

While I don't drink a lot, a couple of drinks here or there is not odd - certainly not enough for it to affect me like that.

And yes, I take metoprolol, which I have been on for years. I've been on this same dosage for probably a bit over a year now.
post #7 of 25
I think that for a normal person, meaning, a person who hasn't been in a open heart surgery recently, and isn't been treated for arrhythmia, that probably isn't a big deal, and nothing to worry about... But on your your case, I would call the doctor just in case.... With heart stuff IMO it is always best to err in the side of caution...
Maybe you need some sleep???
post #8 of 25
Thread Starter 
Well, my open heart surgery was I guess 19 months ago now, so it wasn't too recently. I'm also not being treated for arrythmia - it's just a blood pressure med that they think can help make sure the pressure going through my graft isn't too strong.

And yes - it's bedtime!
post #9 of 25
Quote:
Originally Posted by sarahp View Post
Well, my open heart surgery was I guess 19 months ago now, so it wasn't too recently. I'm also not being treated for arrythmia - it's just a blood pressure med that they think can help make sure the pressure going through my graft isn't too strong.

And yes - it's bedtime!
Ok...... 19 months for me sounds pretty recent...... having heart surgery at all sounds recent !
Sorry - blood pressure.....regardless............................ call your doctor tomorrow.... if anything, it will make you feel better...
Are you still feeling bad now?
post #10 of 25
Thread Starter 
I've already emailed my doc :-) I still feel a bit light headed. Hopefully a good night's sleep will help!
post #11 of 25
Quote:
Originally Posted by sarahp View Post
I've already emailed my doc :-) I still feel a bit light headed. Hopefully a good night's sleep will help!
Sarah - if you continue to feel bad, go to the ER, ok.... you promise??
post #12 of 25
The correct advice is already given, ie asap contact your doctor.

It may be thrue some variation is common and not to worry too much about. But if you had a stable 100/60, and it changes into 130/60 - you should look into it. Both the change, and now also the rather big difference. The difference shoulnt be too big either.
AND as you arent feeling well - a soon contact is advised.
AND as you had issues earlier = ASAP.


As the tread was on before Sarah went to sleep, I presume Sarah is sleeping now at this moment I do write: ie it is too early to worried ask how it is going....

Please, keep us updated.


Good luck!
post #13 of 25
I agree that you should talk to your dr about the change in your blood pressure. You can never overreact. I ignored signs that something was wrong (I didn't have a bp machine but other problems that my bp wasn't quite right) and ended up having a stroke 4 1/2 yrs ago. I was taking another bp med once a day but would often forget. I now am on different bp med twice a day and a blood thinner once a day.

That being said, talk to your doctor!!!!
post #14 of 25
This isn't advice. My doctor said in his experience, people with low bp also have a spike from like climbing the stairs(light activity). Maybe this is the case. Have you ever taken your bp when drinking? (FYI I am on Beta Blockers for migraines which is how this convo came up).

I hope everything is ok. Wow it's been that long since the surgery already!
post #15 of 25
Quote:
Originally Posted by Natalie_ca View Post
Your blood pressure looks ok to me. The top number goes up and down for various reasons, including stress and activity. You can't really base a problem with blood pressure on a one time reading, even if the reading was the same back-to-back. Unless what you are seeing is a trend over several days, I don't believe it's anything to worry about. However, like I said earlier, it is better to talk to your cardiologist as he/she is the one who is monitoring you and knows your cardiac history.
I have to monitor my BP frequently. My systolic can vary quite a bit in the same day- doc says this is normal. It is definitely affected by stress, activity, and what I've eaten/drank. But as others said, you should speak w/your doc- especially since you were feeling "off."
post #16 of 25
Quote:
Originally Posted by Crazyforinfo View Post
This isn't advice. My doctor said in his experience, people with low bp also have a spike from like climbing the stairs(light activity). Maybe this is the case. Have you ever taken your bp when drinking? (FYI I am on Beta Blockers for migraines which is how this convo came up).
Mine spikes, but because my bp is so low to begin with I don't reach normal (aside from the time I reacted badly to a medication and it spiked to 172/70, but that only lasted a few minutes - long enough to spook a nurse in the ER ).

A little about the autonomic nervous system, and how those with low bp can get spikes.
When your blood pressure is low your other organs may occasionally not get enough blood. Such as that woozy or light headed feeling when you're brain isn't getting enough. This triggers your ANS to send out signals to your body to release more catecholamines. Adrenaline to speed up your heart and constrict blood vessels, and norepinephrine (noradrenaline) to constrict peripheral vessels (in arms and legs). If your body keeps pumping these out your blood pressure will rise, the biggest change being on the systolic. Once they clear things settle down again.

Stress, any sort of stress - happiness, upset, fear, standing up, etc can trigger that adrenaline release as well.

If you add alcohol, a central nervous system depressant, into the mix it messes things up. For one, it acts as a vasodilator, meaning it can make blood pressure fall - which ones body would have to try harder to correct, and with that more epinephrine (adrenaline).

There's more to it than that, but that's the very basic. I wouldn't be surprised to learn that the BB, which also affects the CNS (why they help migraines) plus the alcohol doing the same thing was part of the problem. Less sensitive people may not notice it, or maybe most wouldn't notice it most of the time unless something, like blood volume, is a bit off.

... Which is why I won't touch any alcohol with a ten foot pool. My ANS is messed up, so there's no way I'm going to borrow more trouble.
post #17 of 25
Sarah
I am sure you have talked with the dr by now... I suspect you got a touch dehydrated
post #18 of 25
running into walls is not normal. I would tell your doc ASAP. You never really know what could be going on inside of you just by playing a guessing game (I mean this in a nice way!). Be proactive, better safe than sorry when it comes to your health.
post #19 of 25
From what I know, 130 is higher than normal but nowhere near dangerous..it can get raised this much from drinking coffee or eating chocolate temporarily..If you were lightheaded it's probably for another reason, not your blood pressure.
post #20 of 25
130 would be a concern if it continues to stay consistantly above 120 the next few times you check it.....because that can be a sign of hypertension. BUT if it's normally lower than that (120/80 is good) and within a normal range I wouldn't be too worried.

I really think you just raised it a bit tonight with your dinner and drinks sweetie. I wouldn't be too worried, but just to err on the side of caution, since you just went through all of those heart issues and you were also dizzy, check with your cardiologist.

(I take Atenolol and Fludrocortisone (both blood pressure meds, but I don't take them for high BP, but instead for my tachycardia issues)....I've noticed spikes and dips in my blood pressure depending on my activities and eating/drinking habits of the day. Normally though my blood pressure stays in the lower range.)

Have you had Vaso-vagal Syncope ruled out by your cardiologist? It can cause dizzy spells, fainting, etc. If you're having dizzy spells, it could be heart related. I have that syndrome and have found a lot of relief with Fludrocortisone 2x a day. Just a thought.
post #21 of 25
Thread Starter 
My BP was 120/60 this morning when I woke up (it's normally around 95/58 first thing in the morning) and was consistently around 120-130/60 all day.

I spoke with the cardiologists office and they said not to worry but keep an eye on it over the next week or so, and if it doesn't go down then to call them and they'll decide then if it's worth doing anything about.

Thanks all for your concern and advice!
post #22 of 25
Quote:
Originally Posted by sarahp View Post
My BP was 120/60 this morning when I woke up (it's normally around 95/58 first thing in the morning) and was consistently around 120-130/60 all day.

I spoke with the cardiologists office and they said not to worry but keep an eye on it over the next week or so, and if it doesn't go down then to call them and they'll decide then if it's worth doing anything about.

Thanks all for your concern and advice!
Lots of vibes headed that way then that it's just a fluke and all will be ok!
post #23 of 25
& to you Sarah!!!
post #24 of 25
Quote:
Originally Posted by StarryEyedTiGeR View Post
Have you had Vaso-vagal Syncope ruled out by your cardiologist? It can cause dizzy spells, fainting, etc. If you're having dizzy spells, it could be heart related. I have that syndrome and have found a lot of relief with Fludrocortisone 2x a day. Just a thought.
So you finally got diagnosed with something going on with your ANS, but just that? hmm POTS was completely ruled out via tilt table test and catecholamine monitoring during tilt? Not that it matters, that much, since you're getting the correct treatment for that, though there may be other meds that could help you too.
Your florinef isn't a BP med, btw, it's just used because fluid retention causes raised BP as a side effect. If your meniere's wasn't a misdiagnosis, that steroid and the high salt diet you need with it could make the meniere's worse (I've came across others trying to balance the two before). It seems like some sort of cruel joke in those that have these two issues together.



Back on topic. One can have normal or high blood pressure and still have problems with not getting enough oxygenated blood to their brain because of episodes of orthostatic hypotension. You won't see anything when you're taking your BP unless you're looking for it (your BP falling directly after you stand or sit up from a different position). There's also the little problem that the BP in your arm doesn't necessarily reflect what is actually getting to your brain, that takes a specialized and uncommon test to check that.


As for vasovagal syncope - specifically the orthostatic related type, there would be a gradual fall in blood pressure when standing and sometimes sitting. You can try to look for this by standing up and taking your blood pressure every five minutes or so to see if there is a decline. If you can stand up and in place for a while (be it 10 minute to even an hour) this is probably unlikely. An example would be if you were 90/55 sitting, stood up and five minutes later were at 85/50, fifteen minutes after standing 78/45 and after that you couldn't stand (generally that doesn't happen that dramatically to me since tachycardia will push it back up to 80s/50s and fight to keep it up or BP won't fall at all because 150+ tach is rather effective)

However, heart issues can look a lot like this, so yes, please do push your cardiologist to make sure nothing has changed recently if this doesn't get better soon.

As sharky suggested, and in my post right before her's where I mentioned blood volume, you could be dehydrated. When your blood volume lowers it can make a person more sensitive to circulating adrenaline which could make the systolic look high while the dystolic is still low.
post #25 of 25
Sarah, I'm glad to hear that you've talked to your doctor's office. I had a very similar situation when I was on Metoprolol...after I had been on it a while I started having occasional dizzy spells. I'd feel fine and then out of nowhere I'd start feeling very lightheaded and like I was going to pass out. When I'd check my blood pressure I'd get the same thing...the top number would be high and the bottom would be low. After a few minutes they'd go away, but I'd have kind of a weird disconnected feeling for a little while afterwards.

The last one I had was while I was on a trip with some of the pathologists I work with. They took my pulse and found it was very low and told me to call my doctor and tell him that.

I did, and it turns out that what had happened was that the beta blocker was occasionally slowing my pulse down too much, causing the dizzy spells. The problem was solved easily by changing my blood pressure medication to a different kind of drug. (It's more expensive because there isn't a generic yet, but at least I'm not having the dizzyness.) Just like you, I had been on the Metoprolol for a while before it started happening.

If it happens again, you might try checking your pulse and giving that information to your cardiologist as well.
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