Heart Disease Community
Orthostatic Intolerance with Hypertension
About This Community:

This patient support community is for discussions relating to angina, angioplasty, arrhythmia, bypass surgery, cardiomyopathy, coronary artery disease, defibrillator, heart attack, heart disease, mitral valve, pacemaker, PAD, stenosis, and stress tests.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Orthostatic Intolerance with Hypertension

Hello! I have been on my medical journey for almost 8 years now. I am 29 y/o female, 120lbs 5'6. I have hypertension and vascular insufficiency along with fluctuating aldosterone and renin levels. My blood pressure is currently under control with 25mg of hydrochlorothiazide and 90mg of adalat cc. However, the blood pooling in my legs causes me great discomfort even when standing for short periods of time, I have researched POTS and that seems to fit except for the fact that I have high blood pressure. Has anyone else had similar symptoms as a young woman and found a diagnosis at some point? I have made my rounds to numerous nephrologists, hypertension specialists, pulmonologists, endocrinologists, and cardiologists to no avail other than the suggestion I have hyperaldosteronism that was later ruled out. Renal artery stenosis is also something I have been tested for but some physicians have still suspected it. I am being referred to a cardiologist again due to the increasing issue I have having with circulation. My husband and I don't have kids yet and are uncomfortable even considering the possibility until more conclusive findings occur. Any input/advice is greatly appreciated!!
Avatar_dr_f_tn
Hi, majority of cases of hypertension are due to primary cause, where the cause is not known. Secondary causes are due to renal diseases and endocrine disorders and in this case you are likely to manifest symptoms of these disorders. Blood pressure increases due to peripheral arterial spasm and the heart has to pump against this increased resistance, so the pressure increases. Medications are given to relieve this spasm and lower pressure. This in turn can sometimes cause postural hypotension/Orthostatic Hypotension. You can try lifestyle changes like don't add additional salt in your diet, exercise regularly and practice relaxation techniques to lower your stress levels. And see if this helps to reduce your medication dosages. Regards.
Blank
Post a Comment
To
Top Heart Disease Answerers
63984_tn?1385441539
Blank
Flycaster305
97303, OR
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
Avatar_f_tn
Blank
skydnsr
612551_tn?1247839157
Blank
Jerry_NJ
NJ
Avatar_m_tn
Blank
Occupant
IL
MedHelp Health Answers
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
Avatar_f_tn
Blank
awesomesauce33 commented on Body Builders, Kidney...
58 mins ago
86819_tn?1378951092
Blank
Bromley busy with problem solving. Comment
1 hr ago
535822_tn?1413656274
Blank
margypops commented on GMO'S IN THESE F...
4 hrs ago
Heart Disease Community Resources
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
Top Heart Disease Answerers
63984_tn?1385441539
Blank
Flycaster305
97303, OR
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
Avatar_f_tn
Blank
skydnsr
612551_tn?1247839157
Blank
Jerry_NJ
NJ
Avatar_m_tn
Blank
Occupant
IL