Is your blood pressure higher or lower than usual when you wake up in the morning?

The blood pressure of normal people shows obvious diurnal fluctuations, and the dynamic blood pressure curve is a double peak and a valley, that is, the blood pressure rises rapidly after getting up in the morning, with a peak at 6-10 a.m. and 4-8 p.m., followed by a slow decline. The diurnal fluctuation curve of blood pressure in patients with moderate and mild hypertension is similar to that of normal people, and the highest blood pressure in patients with hypertension is generally in the early morning (6 to 10 o'clock in the morning).

Why is blood pressure so likely to rise in the early morning?

There are many reasons for the rise in blood pressure in the early morning, the main ones are the following two aspects:

1. Endocrine and neurological factors.

When sleeping at night, the person is in a quiet state, when the human body is mainly regulated by the vagus nerve, when the heart rate is slow and the blood pressure is low. After waking up in the morning, the sympathetic nervous system is in a period of increased excitability, and the renin-angiotensin system is activated, causing rapid heartbeat and increased blood pressure;

2. The increase in blood pressure in the early morning is also related to the elasticity of the arteries.

Some patients have poor arterial elasticity (e.g., atherosclerosis), and some patients' blood vessels cannot adapt to changes in the body, such as when the heart rate increases and blood pressure rises, the blood vessels cannot dilate effectively, which will further exacerbate the increase in blood pressure.

What should I pay attention to in the early morning hypertension?

Early morning is the high incidence period of sudden death, myocardial infarction and stroke, and the increase in blood pressure in the early morning is an important factor in promoting cardiovascular and cerebrovascular events. Controlling early morning hypertension is especially important and requires medication and non-medication (lifestyle) efforts!

1. The most important thing to prevent cardiovascular and cerebrovascular diseases is to reduce blood pressure in the morning, which requires **. It is best to choose antihypertensive drugs that can cover 24 hours, of course, each person's condition is different, and the specific situation needs to be strictly followed by the doctor's instructions.

2. In terms of lifestyle, it is best for middle-aged and elderly people suffering from cardiovascular disease to sleep until they wake up naturally; The exercise time should not be too early; Don't push too hard to defecate; Maintain emotional stability; Pay more attention to your diet.

Everyone is different.

High blood pressure in the morning may be caused by sympathetic nerve excitement, poor sleep quality, poor medication compliance and other historical reasons, and it is necessary to treat the symptoms**.

1. Sympathetic nervous excitation: Usually when the patient gets up in the morning, the sympathetic nerve is in a state of excitement, the activity is enhanced, and the secretion of adrenaline and glucocorticoids reaches a peak; It may increase the pressure of blood vessels, expand blood volume, increase heart rate, and may cause high blood pressure in the morning;

2. Poor quality of sleep and sleep: if the patient drinks coffee, strong tea, etc. before going to bed, or is anxious, agitated and other reasons, it may affect normal sleep, and the inability to fall asleep normally will directly affect the patient's mood, which may lead to abnormal regulation of the nervous system, so blood pressure may increase when getting up in the morning;

3. Poor compliance with limb medication: patients with high blood pressure take medication irregularly, and do not use antihypertensive drugs according to the doctor's instructions before falling asleep, if the dose is insufficient, they may not be able to inhibit the increase in blood pressure, which will cause the blood pressure to rise in the morning.

Early hypertension is usually caused by sympathetic nerve excitation, but it can also be caused by taking short-term antihypertensive drugs, which needs to be analyzed on a case-by-case basis.

1. Sympathetic nervous system excitation branch balance.

The sympathetic nervous system in the human body will be in a state of excitement when waking up in the morning, which can lead to increased catecholamine secretion, causing increased heart rate, increased myocardial contractility, and increased blood pressure, most of which are normal conditions and do not require special treatment.

2. Taking short-acting antihypertensive drugs.

If the patient is a hypertensive patient, it is necessary to take antihypertensive drugs to control the condition, if the patient chooses a short-acting antihypertensive drug, such as nifedipine tablets, captopril, etc., although it has the characteristics of fast blood pressure, but can not cover the night blood pressure, it is easy to cause blood pressure to increase in the morning, the patient can change to long-acting antihypertensive drugs under the guidance of a doctor, including perindopril, benazepril, etc.

High blood pressure in the morning can be caused by sympathetic nervous excitation, hormone secretion, and high blood pressure.

1. Sympathetic nervous excitation: the parasympathetic nervous system plays a leading role when sleeping every night, and the sympathetic nervous system will be in a relatively stable state, and when you get up every morning, the sympathetic nervous system will be excited, which will cause blood pressure to rise.

2. High hormone secretion: The glucocorticoid secreted by the human body will cause the activation of the renin-angiotensin-aldosterone system, and when you get up every morning, the glucocorticoid secretion in the body is relatively vigorous, resulting in an increase in blood pressure.

3. Hypertension: For people with hypertensive diseases, high blood pressure will also occur every morning. Because the antihypertensive drugs taken do not have the effect of lowering blood pressure for 24 hours, or because the drugs are not taken according to the doctor's instructions, the effect of the drugs decreases or disappears every morning, resulting in high blood pressure in the morning.

Don't worry if your blood pressure is high in the morning, because it is a normal response of the human body and a physiological regulation mechanism of the body. When resting at night, many functions are weaker, and when you wake up in the morning, you are more excited, so the heart's contraction ability gradually increases, and the levels of adrenaline and metrepinephrine increase, resulting in an increase in heart rate and blood pressure.

Because after a person's sleep, there is a very serious sharp rise in blood pressure, and it may peak at 6 a.m. and then it will drop. It could also be that the brain is more active, which is why this result occurs.

This is because when you wake up in the morning, your organs have just recovered and your brain is just active, so your blood pressure is also affected, which can lead to higher blood pressure than at other times.

This is because I lay down all night in the morning without exercising, and in the morning, my brain is more active, so it also leads to high blood pressure values.

Your blood pressure will be higher than usual when you wake up in the morning;

Normal blood pressure fluctuates constantly, peaking at 8 10 a.m. and 4 6 p.m., and dropping by more than 10 at night compared to daytime, and blood pressure at a certain time does not represent the overall blood pressure level. Therefore, it is advisable to take the average of multiple measurements as a reference value for blood pressure levels. You can choose an electronic sphygmomanometer with memory function to overcome the resulting errors, and record the date, time, place and activity of the measurement at the same time as the blood pressure value, so that you and the doctor can refer to it.

Patients are advised to take the average of the stored data for one week or one month as the reference blood pressure value for the week or month.

The main clinical manifestations of hypotensive patients: mild symptoms of the disease may include: dizziness, headache, loss of appetite, fatigue, paleness, dyspepsia, motion sickness, etc.; Severe symptoms include:

Orthostatic vertigo, cold extremities, palpitations, dyspnea, ataxia, slurred speech, even fainting, and the need for prolonged bed rest. Low blood pressure.

Appropriate: Meat and vegetarian combinations. Longan, lotus seeds, jujubes, mulberries, etc., have the function of strengthening the mind and nourishing the brain, and should be eaten regularly to enhance physical fitness; For hypotension caused by blood loss and menorrhagia, it is important to eat foods that provide hematopoietic raw materials, such as foods rich in protein, copper, and iron, such as liver, fish, milk, eggs, legumes, and iron-rich vegetables and fruits, which can help correct anemia.

Patients with low blood pressure should choose a diet high in sodium (12 15 grams of salt per day) and high cholesterol, such as animal brain, liver, egg yolk, cream, caviar, etc., so that blood volume increases, cardiac output also increases, arterial tension increases, and blood pressure will rise.

Avoid eating raw and cold, cold and air-breaking foods, such as spinach, radish, celery, cold drinks, etc. Don't eat corn and other foods that lower blood pressure!