What Causes High BP And Rapid Heart Beat While Lying Down?
 
                                    
                                    
                                          
                                               Posted on
                                          
                                            
                                         
                                           Fri, 27 Feb 2015
                                           
                                        
                                        
                                        
                                            Medically reviewed by
                                            
                                                  Ask A Doctor - 24x7 Medical Review Team
                                            
                                        
                                        
                                            
                                                
                                                Fri, 27 Feb 2015
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Fri, 20 Mar 2015
                                                
                                                
                                                Last reviewed on
                                             
                                            Question : Thank you. I want to know why my bp seems to go up 213/114  heart rate 54 when I lie down. When I sit up for a while, it goes down to 180/95 heart rate 40      Around 3:00 this am, it was 213/114  and about 2 hrs later after sitting up, it was 175/89.   I went to bed and it went back up to 209/107  heart rate 44         i am taking 20 mg of Lisinopril twice a day and 5 mg of a beta blocker.
                            
                                    Brief Answer:
Following answer to your query.
Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.
Your BP is high and the data you provided show that the medication you are taking isn't enough to control it.
If you were my patient I would have add a diuretic and a calcium channel blockers to your therapy in order to control BP. Also iw ould have lowered beta blockers dose to prevent from bradycardia.
Hope this will be of help!
Dr.Benard
                                    
                            Following answer to your query.
Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.
Your BP is high and the data you provided show that the medication you are taking isn't enough to control it.
If you were my patient I would have add a diuretic and a calcium channel blockers to your therapy in order to control BP. Also iw ould have lowered beta blockers dose to prevent from bradycardia.
Hope this will be of help!
Dr.Benard
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Yes, this really helps me. I reminded the nurse practioner this morning that I take 3 pills for hypertension but neither has HCTZ; so I was given a rx for that. The beta blocker, Bisoprolol, is 5mg. I was concerned about taking it for a long time, but didnt know why. Im glad you mentioned bradycardia  I will ask the cardiologist about taking it when I have my first visit 03/04. (I wonder if I need it since the rapid heart rate was probably triggered by the Norvasc)  With it, my heart rate never gets above 40-50.  So would you recommend a beta blocker and a calcium blocker?        Thank you.
                                
                            
                                    Brief Answer:
Following answer to your query.
Detailed Answer:
Hi back.
I would recommend to discuss with your doctor about starting a calcium channel blockers to control BP and to take half dose of bisoprolol to avoid bradycardia.
Wish you health!
Dr. Benard
                                    
                            Following answer to your query.
Detailed Answer:
Hi back.
I would recommend to discuss with your doctor about starting a calcium channel blockers to control BP and to take half dose of bisoprolol to avoid bradycardia.
Wish you health!
Dr. Benard
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                Answered by
                                                    Get personalised answers from verified doctor in minutes across 80+ specialties
                        
                                
                                