Talk to Cardiologist on Hypertension
Asking For Self, Male 23, Islamabad
Hi I'm 23 years old On the rest position my bp remains normal when i stand or walk little steps it moves to 140/90 or 3 mint slow walk increase it to 150/100 and then If gradually comes down slowly to normal during rest position.
my echo,ecg, kidney, rft, renal Doppler, sugar, tft, lipid profile all are normal.
Dr. Muhammad Asad Baqai - Cardiologist
MBBS, FCPS Cardiovascular Diseases | Karachi
bp should be checked at resting state. it should be below 130/80 at rest. on exercise it increases its a normal phenomena. so always check bp at rest
It's a normal phenomenon, just ignore it.
Do focus on lifestyle. Brisk walk and decrease ur salt intake. If problem persist then consult a cardiologist near you
you didn't mention your fitness level.
what is your weight.
BP normally increases with the exercise, if you have low level of fitness it may increase inappropriately.
Get an ETT done.lt may give lot of information about your health status and BP.
Rizwan Ali Khan - Clinical Psychologist
| MSc (Psychology) | MS (Clinical Psychology) | Certified (Crucial Conversations) | | Lahore
36 Positive Reviews
Treating worldwide successfully Just click NOW https://www.marham.pk/doctors/lahore/psychologist/dr-rizwan-ali-khan
Prof. Homeopathic Dr. Syed Atta E Rasool Bokhari - Homeopath
DHMS, RHMP | Lahore
94 Positive Reviews
You have weaknesses.
Your problem will be under ccontrol within a week.
I need to ask some more questions to guide you properly.
Book an online consultation appointment in 100 Rs from the comfort of your home.
Prof. Dr. Anjum Ilahi - Cardiologist
MRCP, FRCP, MBBS, D.Card, Dip. Cardiac Medicine, Dip. Echocardiography, | Islamabad
11 Positive Reviews
This is called hypertensive response on exercise. What is your BP at rest?
Ehsan Zafar Awan - Psychologist
MSc (Applied Psychology) Certification in Psychiatry Post Graduate Diploma in Applied Psychology, MS Level in Subjects organizational Behaviour & Management | Islamabad
963 Positive Reviews
When reports are cleared, then it means it's due to psychological issues. Book my appointment through Marham for treatment.
It is normal for blood pressure to rise during physical activity, but reaching 150/100 mmHg after just three minutes of slow walking is a significant increase for a 23-year-old. Since your primary organ tests (heart, kidneys, thyroid) are normal, this suggests a functional or regulatory issue rather than organ damage.
Potential Causes to Discuss with a Doctor
Autonomic Dysfunction: Sometimes the nervous system overreacts to changes in posture or mild exertion. This is often seen in conditions like Hyperadrenergic POTS (Postural Orthostatic Tachycardia Syndrome), where standing causes an exaggerated release of stress hormones.
Exercise-Induced Hypertension (EIH): An exaggerated BP response to low-level activity can sometimes be an early sign of future underlying hypertension, even if resting BP is currently normal.
Anxiety or "White Coat" Effect: If you are monitoring your BP very frequently while walking, the stress of the "reading" itself can cause a spike.
Deconditioning or Lifestyle: Even with normal tests, high caffeine intake, nicotine, or lack of cardiovascular fitness can cause sharp BP spikes during movement.
Recommended Next Steps
Ambulatory BP Monitoring (ABPM): Ask your doctor for a 24-hour wearable monitor. This tracks your BP during real-life activities to see if these spikes are sustained or just momentary blips.
Stress Test (TMT): Since your resting ECG and Echo are normal, a Cardiac Stress Test can monitor exactly how your heart and BP behave under controlled exertion.
Review Medications/Supplements: Ensure you aren't taking any stimulants, pre-workout supplements, or decongestants that could be sensitizing your system.
Seek immediate medical attention if these spikes are accompanied by chest pain, severe headache, shortness of breath, or vision changes.
Farhana Shams - Clinical Psychologist
BS.Hons (Psychology), Post Graduate Diploma (Clinical Psychologist), M.Phil (Applied Psychology) | Mansehra
108 Positive Reviews
consult a clinical psychologist for assessment and therapy. need detailed history. you can also book an appointment with me.
thank you
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