Labile Hypertension

[syralia]

I have been told that I have Labile Hypertension because my blood pressure reacts to any movement at all and sometimes for no reason at all, but when I looked it up online the only thing I could find about Labile Hypertension was about emotional response.

My blood pressure will, within ten minutes go from 124/77 to 190/110 then back to 120/69 (happened in the Dr's office), It has gone as high as 240/160 but when I took a clonidine it plummeted to 90/46 and I went from tachycardia at 130 BPM to 49 BPM, leaving me feeling like I was going to pass out.  I know that it cannot all be 'emotional' and 'anxiety' since one episode happened in the middle of surgery and when they treated my suddenly rising BP it dropped so fast and so low they could not register it, so they gave me a fluid overload to try to get one back causing my heart to enlarge.

My sinus tachycardia was captured on a Holter Monitor and Ventricular Tachycardia on an EKG, echo shows 13 mm thickening with EF of 65% (which is great) no hardening, no valve defects, no plaque...

Is there a type of Labile Hypertension that is NOT caused by anxiety disorders?  (I find it impossible to believe that while under general anesthesia three hours into a surgery I was able to become anxious and since I am woken in the middle of the night with v-tach and s-tach as well as ringing ears from a BP spike I am pretty sure it is not stress)

Any help would be appreciated trying to understand this all.  (I monitor my BP at home)

[NTB]

hi, then that seems to say that everything is caused by some mystery nerve dysfunction, right? that must be very frustrating

have you tried fasting? IIRC the beta hydroxybutyrate which is created in the liver during fasts can help nerve function, and fasting was used as therapy (for epilepsy) in years past. It might be worth a try, even though a long shot.

or what about Lyme?

[syralia]

Pheochromocytoma and Cushings have both been ruled out and fasting glucose testing showed that I am 'normal'.

I do have unexplained nueropathy in both arms and hands, I woke up one morning in 2003 unable to use either arm and with the left side of my face paralized, the facial troubles was ruled to be Bells Palsey but no reason for the neuropathy in my arms was ever found.  I have regained most function in my arms and hands, but only about 65% strength and 40% sensation... much of the time I cannot feel my fingers at all.  The best bet is MS, but with no plaques one Dr says it is and another says it isn't.  (To me a title is not as important as being able to use my hands again)

I can tell you that I do not tolerate heat at all... anything over 70 degrees (F) and over 40% humidity will turn me beat red, make it hard to breath and send my BP into rises and crashes that leave me feeling like I am going to pass out, it also triggers idiopathic ventricular tachycardia.

[NTB]

hi, my guess is that you'd try to discover some situation in which your central nervous system causes a spike in adrenalin - yet it's not because of anxiety

a pheochromocytoma seems ruled out because your BP dropped with the clonidine, but adrenalin seems possibly ruled in, for the same reason

btw, giving gender, height, weight, age, etc can be helpful for anyone posing a question. also any drugs being taken, and any medical conditions such as diabetes etc

so what can provoke adrenalin besides emotions/anxiety? I don't know, but how's your blood glucose? do you ever have reactive or fasting hypoglycemia? low BG can result in a spike in adrenalin, which raises BG via action in the liver (glycolysis and gluconeogenesis, IIRC - but I don't know what exactly mediates the adrenalin release, though glucagon is also involved)

[syralia]

no one has any information?