Blood Pressure Rises When You Wake Up But Decreases After Activity?

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Good morning doctor, my doctor is 45 years old, I am diligent in sports in the morning either jogging or healthy walking 4 to 5 times a week with a distance of 3-5 km, the question is, what when I wake up in the morning my blood pressure is high 145/90, with pulse rate 58-60, but 10 minutes after exercise it becomes 122/88 pulse 70, the tendency after exercise is always low, whereas the pulse rate is directly proportional to blood pressure, thank you?

1 Answer:

Hi Andreas,


Thank you for asking HealthReplies.com.

By exercising, the heart will work harder to pump oxygen-rich blood from the lungs throughout the body, and oxygen-poor blood from the whole body back to the lungs. An increase in heart work can be observed from an increased heart rate. In general, indeed, this increased heart rate will appear coupled with an increase in blood pressure. However, it does not rule out the opposite happening.


In some people, blood pressure may actually decrease after physical activity, including after jogging and walking. According to some literature, this decrease in blood pressure occurs due to changes in chemical compounds in the baroreflex in the brain that cause decreased peripheral resistance. To compensate for this drop in blood pressure the heart rate will increase.


In addition, the condition of your blood pressure that seems to decrease after exercising can also be influenced by the accuracy of the blood pressure measurement tool used, the competency of the operator who is doing it, the medicine being consumed, the time and technique of blood pressure testing carried out, the history of the disease suffered, and many other factors.


As long as this drop in blood pressure is still reasonable, that is, not less than 90/60 mmHg or less, and also does not lead to annoying complaints, such as dizziness, fatigue, blurry vision, decreased consciousness, etc., this condition is not always dangerous. . In fact, what deserves more attention from you is your blood pressure when the rest is quite high (more than 130/80 mmHg). It is feared, this condition is already classified as hypertension (high blood pressure) and needs further treatment so it does not lead to dangerous complications.


You can check your condition directly to the doctor or a specialist in internal medicine. Before making the diagnosis of hypertension and determine the best treatment, generally the doctor will direct you to undergo several examinations, including involving regular blood pressure checks at least in 2 different conditions, namely when resting and after physical activity.


Hope this helps ...

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