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Re: Exercise and BP

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When you exercise, during a steady workout of some kind of aerobic activcity

such as walking, biking, etc, your bp comes down. (as the hr goes up, it

forces the bp to go down)This is a matter of fact with anyone who exercises.

This is why the doctors suggest that people with high blood pressure should

exercise and take walks as it lowers the bp.

On the contrary if you work out heavily with resistance training such as

working with heavy weights, then your bp can go up. Weight lifters bp can go

as high as 200 or more in systolic while working out during exercise. (this

is why people with chronic hypertension should be careful not to do heavy

resistance training, at least not at the beginning of an exercise routine).

As a PA patient, I notice that my bp starts going up after a workout and

steadily keeps on going up for a couple of days. This could be due to loss

of potassium during exercise through sweating, and over time I have learned

that if I take a high potassium drink or fruit before a workout and then

again immediately after my workout(I add a tiny dash of salt after the

workout to my orange juice too), then my bp tends to remain low and I feel

much better. Perhaps the high potassium relieves the stress on the heart

muscle and it doesn't have to work as hard.

Best,

Farah

On Tue, Oct 7, 2008 at 8:21 AM, mmcandmcc <mmcandmcc@...> wrote:

> Can anyone tell me what my BP should do during vigorous exercise?

> I've had my husband measure it while riding stationary bike and

> directly after getting done with a run. My heart rate of course is up

> but BP is usually lower than my sitting relaxed BP. Is this normal?

> The only meds I'm on are the Sprio & Synthroid. My doc dismissed my

> concern and said when you exercise you get more blood flow to the

> kidneys and the BP will go down. Does that make sense?

>

>

>

>

>

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I have difficulty thinking you can get an accurate measurement during

exercise, but what type device do you use?

I think the dead lift kind of exercise is what I want to avoid, not the

aerobic. There the pressures go the highest.

Regards

Exercise and BP

Can anyone tell me what my BP should do during vigorous exercise?

I've had my husband measure it while riding stationary bike and

directly after getting done with a run. My heart rate of course is up

but BP is usually lower than my sitting relaxed BP. Is this normal?

The only meds I'm on are the Sprio & Synthroid. My doc dismissed my

concern and said when you exercise you get more blood flow to the

kidneys and the BP will go down. Does that make sense?

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Share on other sites

I'm sure my method is not the most accurate, but since I'm on a bike

my husband can support my arm and use the automatic machine.

>

> I have difficulty thinking you can get an accurate measurement

during

> exercise, but what type device do you use?

> I think the dead lift kind of exercise is what I want to avoid,

not the

> aerobic. There the pressures go the highest.

>

> Regards

>

> Exercise and BP

>

>

> Can anyone tell me what my BP should do during vigorous exercise?

> I've had my husband measure it while riding stationary bike and

> directly after getting done with a run. My heart rate of course is

up

> but BP is usually lower than my sitting relaxed BP. Is this normal?

> The only meds I'm on are the Sprio & Synthroid. My doc dismissed my

> concern and said when you exercise you get more blood flow to the

> kidneys and the BP will go down. Does that make sense?

>

>

>

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Share on other sites

Here is no good reason to take BP during exercise

Machines don't work unless you are perfectly still

The only good way is to stick a

Needle in the artery

CGMD

Sent from my iPhone

CE Grim MS MD

Specializing in Difficult Hypertension

Senior Consultant to Shared Care Research and Education Comsulting Inc

Sharedcareinc@...

On Oct 7, 2008, at 2:05 PM, mmcandmcc <mmcandmcc@...> wrote:

> I'm sure my method is not the most accurate, but since I'm on a bike

> my husband can support my arm and use the automatic machine.

>

>

>

>

> >

> > I have difficulty thinking you can get an accurate measurement

> during

> > exercise, but what type device do you use?

> > I think the dead lift kind of exercise is what I want to avoid,

> not the

> > aerobic. There the pressures go the highest.

> >

> > Regards

> >

> > Exercise and BP

> >

> >

> > Can anyone tell me what my BP should do during vigorous exercise?

> > I've had my husband measure it while riding stationary bike and

> > directly after getting done with a run. My heart rate of course is

> up

> > but BP is usually lower than my sitting relaxed BP. Is this normal?

> > The only meds I'm on are the Sprio & Synthroid. My doc dismissed my

> > concern and said when you exercise you get more blood flow to the

> > kidneys and the BP will go down. Does that make sense?

> >

> >

> >

>

>

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Share on other sites

By there I assume you mean the dead lift. What happens is that all

blood flow thru muscles shuts down as muscles contract. Heart keeps

beating and putting blood into the aorta and BP can go over 300.

What we call a Berry aneurysm test in our grim doctor humor.

CE Grim MD

On Oct 7, 2008, at 1:45 PM, jwwright wrote:

> I have difficulty thinking you can get an accurate measurement during

> exercise, but what type device do you use?

> I think the dead lift kind of exercise is what I want to avoid, not

> the

> aerobic. There the pressures go the highest.

>

> Regards

>

> Exercise and BP

>

> Can anyone tell me what my BP should do during vigorous exercise?

> I've had my husband measure it while riding stationary bike and

> directly after getting done with a run. My heart rate of course is up

> but BP is usually lower than my sitting relaxed BP. Is this normal?

> The only meds I'm on are the Sprio & Synthroid. My doc dismissed my

> concern and said when you exercise you get more blood flow to the

> kidneys and the BP will go down. Does that make sense?

>

>

>

>

>

May your pressure be low!



CE Grim BS, MS, MD

High Blood Pressure Consulting

Senior Consultant to Shared Care Research and Education Consulting

Inc.(sharedcareinc.com)

Clinical Professor of Internal Medicine Medical and Cardiology

Medical College of Wisconsin

Board certified in Internal Med, Geriatrics and Hypertension.

Interests:

1. Difficult to control high blood pressure.

2. The effect of recent evolutionary forces on high blood pressure

in human populations.

3. Improving blood pressure measurement in the office and out.

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Share on other sites

On Oct 7, 2008, at 11:44 AM, Farah Rahbar wrote:

Dr. Grim comments

> When you exercise, during a steady workout of some kind of aerobic

> activcity

> such as walking, biking, etc, your bp comes down. (as the hr goes

> up, it

> forces the bp to go down)

No, in general exercise dilates (makes larger) blood vessels to get

more blood to the muscles---in general (if blood vessels don't

dilate) as heart rate goes up so does BP depending on what is driving

the heart rate. If something is lowering BP (exericse), heart rate

has to speed up or you faint.

Recall that :

Pressure in a tube = flow in the tube x reisistance to flow thru the

tube (aka blood vessel).

Flow = Cardiac Output (CO).

BP = CO X Resistance to flow

CO = (amt of blood ejected each beat x heart rate)

Resistance to flow in a tube = length of the tube x 1/(radius to the

4th power).

So the major driver of the BP is the radius of the tube thru which

blood must flow.

> This is a matter of fact with anyone who exercises.

> This is why the doctors suggest that people with high blood

> pressure should

> exercise and take walks as it lowers the bp.

> On the contrary if you work out heavily with resistance training

> such as

> working with heavy weights, then your bp can go up. Weight lifters

> bp can go

> as high as 200 or more in systolic while working out during

> exercise. (this

> is why people with chronic hypertension should be careful not to do

> heavy

> resistance training, at least not at the beginning of an exercise

> routine).

> As a PA patient, I notice that my bp starts going up after a

> workout and

> steadily keeps on going up for a couple of days. This could be due

> to loss

> of potassium during exercise through sweating, and over time I have

> learned

> that if I take a high potassium drink or fruit before a workout and

> then

> again immediately after my workout(I add a tiny dash of salt after the

> workout to my orange juice too), then my bp tends to remain low and

> I feel

> much better. Perhaps the high potassium relieves the stress on the

> heart

> muscle and it doesn't have to work as hard.

May your pressure be low!



CE Grim BS, MS, MD

High Blood Pressure Consulting

Senior Consultant to Shared Care Research and Education Consulting

Inc.(sharedcareinc.com)

Clinical Professor of Internal Medicine Medical and Cardiology

Medical College of Wisconsin

Board certified in Internal Med, Geriatrics and Hypertension.

Interests:

1. Difficult to control high blood pressure.

2. The effect of recent evolutionary forces on high blood pressure

in human populations.

3. Improving blood pressure measurement in the office and out.

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Share on other sites

No. more blood flow goes to the muscles (the blood vessels dilate)

and that is why BP goes down esp after exercise. But if your blood

vessels have been thickened and stiffened by HTN or Aldo/Salt it may

go up remarkably during exercise.

CE Grim MD

On Oct 7, 2008, at 11:21 AM, mmcandmcc wrote:

> Can anyone tell me what my BP should do during vigorous exercise?

> I've had my husband measure it while riding stationary bike and

> directly after getting done with a run. My heart rate of course is up

> but BP is usually lower than my sitting relaxed BP. Is this normal?

> The only meds I'm on are the Sprio & Synthroid. My doc dismissed my

> concern and said when you exercise you get more blood flow to the

> kidneys and the BP will go down. Does that make sense?

>

>

>

>

>

May your pressure be low!



CE Grim BS, MS, MD

High Blood Pressure Consulting

Senior Consultant to Shared Care Research and Education Consulting

Inc.(sharedcareinc.com)

Clinical Professor of Internal Medicine Medical and Cardiology

Medical College of Wisconsin

Board certified in Internal Med, Geriatrics and Hypertension.

Interests:

1. Difficult to control high blood pressure.

2. The effect of recent evolutionary forces on high blood pressure

in human populations.

3. Improving blood pressure measurement in the office and out.

Link to comment
Share on other sites

No. more blood flow goes to the muscles (the blood vessels dilate)

and that is why BP goes down esp after exercise. But if your blood

vessels have been thickened and stiffened by HTN or Aldo/Salt it may

go up remarkably during exercise.

CE Grim MD

On Oct 7, 2008, at 11:21 AM, mmcandmcc wrote:

> Can anyone tell me what my BP should do during vigorous exercise?

> I've had my husband measure it while riding stationary bike and

> directly after getting done with a run. My heart rate of course is up

> but BP is usually lower than my sitting relaxed BP. Is this normal?

> The only meds I'm on are the Sprio & Synthroid. My doc dismissed my

> concern and said when you exercise you get more blood flow to the

> kidneys and the BP will go down. Does that make sense?

>

>

>

>

>

May your pressure be low!



CE Grim BS, MS, MD

High Blood Pressure Consulting

Senior Consultant to Shared Care Research and Education Consulting

Inc.(sharedcareinc.com)

Clinical Professor of Internal Medicine Medical and Cardiology

Medical College of Wisconsin

Board certified in Internal Med, Geriatrics and Hypertension.

Interests:

1. Difficult to control high blood pressure.

2. The effect of recent evolutionary forces on high blood pressure

in human populations.

3. Improving blood pressure measurement in the office and out.

Link to comment
Share on other sites

I passed that test during the hurricane, as I lifted a 189# generator to the

back porch.

Up one step at a time, 4 steps.

Nice to still have some level of fitness.

It was also nice the gen actually ran, after doing that. Most things today

hafta go back.

Regards

Re: Exercise and BP

By there I assume you mean the dead lift. What happens is that all

blood flow thru muscles shuts down as muscles contract. Heart keeps

beating and putting blood into the aorta and BP can go over 300.

What we call a Berry aneurysm test in our grim doctor humor.

CE Grim MD

On Oct 7, 2008, at 1:45 PM, jwwright wrote:

> I have difficulty thinking you can get an accurate measurement during

> exercise, but what type device do you use?

> I think the dead lift kind of exercise is what I want to avoid, not

> the

> aerobic. There the pressures go the highest.

>

> Regards

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