very high BP with standing and POTS syndrome. Please help

[ahmedhass]

hello
I'm 36 y male suffering from horrible symptoms since 6 months,
I have got a POTS syndrome with heart rate jumps from 75 to 120 with standing and many other sever POTS symptoms  "dizziness, fatigue, PACs, tingling feet, shaky feeling...etc".But what makes me crazy is that spike in BP especially the diastolic. My BP in when I lay down is 125/83 but when I stand up it go fast to 140/110 this makes me mad and scored me too much.
Nowadays I am scared to do any exercise or walk a short distance because I remember that crazy spike in my BP 110 diastolic is too dangerous any I read it is indicates coronary artery disease. I went to many cardiologist they mad echo ECG come back normal.
Please help me if any one has the same problem. I don't know what to do I'm going to see another cardiologist next week he will but a 24hr BP monitor. But till that time I am hopeless.

[NeverAgain127]

Hi hon:

Here is a great website that has a ton of information about POTS:  http://www.dysautonomiainternational.org/page.php?ID=30

Good luck...and try not to worry..

[ahmedhass]

Thank you. I'll see an endocrinologist tomorrow. I hope I can come back healthy.

[tacolino]

Hi there. Have a look at a test thats one on BP Lying down for 5 min, then stand and re take it. You will find it on google.The rise in bp on standing may be an indication of a possible cause. I think it may have something to do with aldosterone, but i am not a doctor so you need to check adrenal function etc hope thats of some help.