Sorry you're still having problems. I'd just repeat the earlier advice I gave you- your problem seems to be orthostatic hypertension. The research I found reveals that:
Most of the reported cases of orthostatic hypertension were related to excessive venous pooling, with an initial drop in cardiac output followed by overcompensation with an excessive release of catecholamines, or to nephroptosis with orthostatic activation of the renin-angiotensin system.
[url]http://hyper.ahajournals.org/cgi/content/full/28/1/42[/url]
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You need to find out what is causing your bp to rise when you stand, and that quote I gave you says what the most common causes of this rare disorder are. The article notes that a lady who suffered from your disorder was given the following tests:
Her evaluation included measurements of plasma renin activity and aldosterone and norepinephrine levels, which were normal and demonstrated a normal response to standing; she also had normal heart rate and BP responses to intravenous phenylephrine and phentolamine, isoproterenol, propranolol, and atropine.
- end of quote -
I'd show that article to your doctor and have your plasma renin, and aldosterone and norepinephrine levels measured. That can rule in or out certain causes and you can go from there. I'd also note that the lead doctor who wrote the article I quoted is Dr. Neal L. Benowitz from the Clinical Pharmacology, Endocrinology, and Cardiology Units of the Medical Service, San Francisco General Hospital Medical Center, University of California, San Francisco. I'd think seriously about getting in touch with that doctor- with rare conditions, you often have to search to find doctors who specialize in it. Here is the doctor's e-mail address: [email]REMOVED[/email] and phone number REMOVED If he can't help you maybe he knows someone who can. Good luck.
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