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When Is Blood Pressure Highest During The Day

High Blood Pressure Symptoms

Natural Ways to Lower Blood Pressure

High blood pressure is known as the silent killer because it typically has no symptoms. In fact, most people dont even realize they have hypertension until their blood pressure is monitored.

Symptoms dont develop until the numbers get very high and organs get damaged, often irreversibly, says Dr. Desai.

If you have severe hypertension, you might notice the below symptoms, some of which were reported by patients in a study in the British Journal of General PracticeGoodhart A. Hypertension from the patients perspective. British Journal of General Practice. 2016 66:570. :

What Is Low Blood Pressure

While hypertension can be problematic for your overall health, blood pressure thats too low can also be cause for concern. With that said, the American Heart Association doesnt recognize a specific day-to-day blood pressure reading as too low. Instead, its a matter of what symptoms you may be experiencing due to low blood pressure, how these symptoms affect you and how long they persist.

Which Blood Pressure Number Is More Important

Your healthcare provider can use the top or bottom number to diagnose you with high blood pressure. However, they usually focus more on the top number as a risk factor for heart disease if youre older than 50.

As you get older, the top blood pressure number rises because your arteries get stiff and collect plaque over time.

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Why You Should Take Your Own Blood Pressure At Home Or On The Go

Because of regular fluctuations in blood pressure, white-coat syndrome, and masked hypertension, doctors may recommend self-monitoring for people with HBP. There are many benefits to taking your own BP:

  • Knowing your actual, average blood pressure outside of regular fluctuations
  • Gaining more control over your blood pressure
  • Tracking your progress
  • Saving time and possibly money from frequent doctor visits and complications

The Effect Of Sleep On Blood Pressure

Is a blood pressure of 130/70 high?

Sleep causes a fall in blood pressure. The maximum depth occurs about two hours after falling asleep. In sound, untroubled slumber a pressure of 130/80 might dip to 100/70. It once was thought that this drop in pressure was the cause of sleep, the reasoning being that a lower pressure delivers less blood to the brain resulting in mental sluggishness and hence sleep.

Now it is known that this blood pressure decline is the result, not the cause, of sleep. As morning approaches, the blood pressure drifts slowly upward as the subject begins the awakening process. Any interference with sound sleep causes the blood pressure to rise.

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Tips For Managing Morning Hypertension

If you are diagnosed with morning hypertension, your primary care provider can help you create a treatment plan. They may also work with a cardiologist, especially if your blood pressure is very high, you have a history of heart disease, or someone in your family has high blood pressure.

There are several treatment options for managing morning hypertension. These include:

Lifestyle changes

The most common cause of high blood pressure is lifestyle choices. Making improvements such as changing to a healthier diet, quitting smoking, cutting back on alcohol use, and increasing your aerobic exercise can make a big difference in your blood pressure. Losing weight and learning to manage your stress may also contribute significantly.

Even small changes can result in better blood pressure readings. Your doctor can offer suggestions based on your current lifestyle.


Medicine to bring your blood pressure down is called antihypertensive medication. There are several options, and your doctor will determine the best one for you.

Some antihypertensive medications can cause blood pressure spikes in the early morning. Because of this, your doctor may recommend a combination of medications to reduce your blood pressure and keep it down over a 24-hour cycle.

The Effect Of The Environment On Blood Pressure

People in hot climates average lower pressures than inhabitants of cooler locales. In temperate zones where temperature fluctuates, blood pressures are lower in summer and higher in winter. Moving from one climate to another has an effect. If an Egyptian moves to Britain, his blood pressure rises, but not to the same level as the average Briton. And if a Londoner moves to Cairo, his pressure falls, but it still is slightly higher than that of the average Egyptian.

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How To Lower High Blood Pressure With Vitamins Or Minerals

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What Are The Risks Of Morning Hypertension

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If you are diagnosed with morning hypertension, you may be more likely to develop conditions such as:

All hypertension increases your risk of developing these serious medical conditions, and morning hypertension may make the risk of heart attacks or stroke even higher. This is particularly true if you already have chronic kidney disease.

If you have high blood pressure or a family history of hypertension, talk to your doctor about monitoring your blood pressure and understanding your treatment options.

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At Your Healthcare Provider’s Office

Some people have their blood pressure checked by a healthcare provider on a regular basis. There’s a good chance that these appointments are scheduled at different times of the day.

There’s also a good reason for that. A healthcare provider will do this on purpose to get a range of readings. These multiple readings are then averaged together into one overall result. It is used to give a diagnosis, according to standard guidelines on blood pressure.

The Effect Of The Bladder On Blood Pressure

Curiously enough and for no good reason, the urinary bladder influences blood pressure. Pressure is lowest when the bladder is empty. As the bladder gradually fills, blood pressure rises. Thus a pressure of 130/80 on an empty bladder may reach 160/90 when the bladder is full enough to send messages of Please empty.

During urination, the blood pressure then precipitously drops back to 130/80. People whose bladders are never quite empty may carry a pressure which is slightly higher. After treatment and with the resumption o£ complete bladder emptying the pressure falls to normal levels.

Sitting on a full bladder is not only uncomfortable but bad for the blood pressure.

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How Do I Know If I Have Morning Hypertension

Hypertension is often called the “silent killer.” There are usually no noticeable symptoms until it causes a serious medical emergency. Unless you always have routine check-ups with your doctor in the morning, cases of morning hypertension can easily be missed.

The best way to know if you have morning hypertension is through regular blood pressure checks with your doctor in the morning. This will help them document your baseline levels and identify any increases in your blood pressure over time.

Your doctor will put a blood pressure cuff on your arm and inflate it with air to check your blood pressure. It can be performed manually with a stethoscope or by machine. It only takes a few minutes to get the reading, and while having your arm constricted by the cuff may be briefly uncomfortable, it shouldn’t hurt.

Your doctor may also recommend wearing an ambulatory 24-hour blood pressure monitor for a few days. This type of monitor will give the most accurate readings and how they fluctuate throughout the day, instead of relying on a single measurement in your doctors office. There is evidence that this type of monitoring, along with taking blood pressure medication at night when the pressures are typically lower, can help reduce the risk of a major cardiovascular event.¹²

Your doctor may also order tests to check your heart’s activity or request an ultrasound of the heart to rule out any underlying cause for your high blood pressure.

When To Call Your Doctor

High blood pressure: Doing this activity once a day could keep high ...

The risks of both high and low blood pressure make monitoring your blood pressure at home essential to your overall health and well-being. Both Dr. Wong and Dr. Desai recommend calling your healthcare provider if your self-monitored blood pressure readings are greater than 180/120 mmHgeven if you have no other symptoms.

You should call 911 if these blood pressure readings are associated with symptoms of organ damage, such as headache, vision changes, weakness, numbness, chest pain or shortness of breath, says Dr. Wong.

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What Are The Causes Of High Blood Pressure In The Morning

Anyone can develop high blood pressure and, for some people, there may not be a clear cause. It may develop over time and could be due to an increased genetic risk. For others, high blood pressure may result from an underlying medical condition. That might include:

If your doctor does discover that you have high blood pressure, they’ll try to determine if there is an underlying medical condition causing it. If there is not, which is often the case, they will talk to you about the options for managing your blood pressure to lower your risk of complications.

When Should I Call My Doctor

Contact your healthcare provider if your blood pressure reading at home is lower or higher than normal. Call 911 if your reading is 180/120 millimeters of mercury or even if only one of those numbers is that high.

A note from Cleveland Clinic

Even though you may not feel any symptoms, your blood pressure could be high. Its important to check your blood pressure regularly so you know if youre in the normal range. If you have high blood pressure, keep taking the medications your provider prescribed. Dont stop or start taking them without talking to your provider. Blood pressure medication doesnt keep working after you stop taking it. Keep all follow-up appointments so your provider can monitor your blood pressure, make any needed changes to your medications and help control your risk of cardiovascular disease.

Last reviewed by a Cleveland Clinic medical professional on 07/01/2022.


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Choosing Times That Work For You

The best times of day to take your blood pressure depend on you and your daily routine. Its important to pick times that you can stick to every day.

Taking your blood pressure at the same time each day is key to understanding your blood pressure. It can help make sure that the readings you take arent affected by the events of your day.

You can select times when you know youll be home and are unlikely to be interrupted. For example, you could check your blood pressure before you leave for work, when you get home from work, and before bed.

What Are The Risk Factors For Developing Morning Hypertension

Study: Napping could lead to high blood pressure

You may be at an increased risk of developing morning hypertension if:

  • You have a family history of high blood pressure

  • You are over the age of 60

  • You are of Asian, African, or Caribbean descent.¹ It’s not clear why people of certain races experience higher rates of hypertension.¹¹

Some lifestyle choices and factors may also increase your risk of developing morning hypertension. These include:

Changes to your lifestyle may help bring your blood pressure levels down to normal. This can reduce your risk of developing heart disease and other serious medical conditions. A doctor or cardiologist can help you develop a preventative care plan.

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Which Foods Lower Blood Pressure

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Tips For Achieving A Healthy Blood Pressure

High blood pressure can increase your risk of serious conditions like heart attacks and strokes. Fortunately, there are steps you can take to lower your blood pressure, including:

  • Follow a heart-healthy diet that is high in vegetables, whole grains, and lean proteins.
  • Avoid added sugars, saturated fats, and high-sodium foods.
  • Get plenty of exercise.

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Get Regular Blood Pressure Checks

If your blood pressure is in the healthy range and you have no other risk factors for cardiovascular disease, and no personal or family history of high blood pressure, it is still important to have a check at least every two years. Your doctor can also check your blood pressure during routine visits.

If your blood pressure is highnormal , or if you have other risk factors for cardiovascular disease, such as a personal or family history of high blood pressure, stroke or heart attack, it is best to have it checked more frequently such as every 6 to 12 months or as directed by your doctor. Ask your doctor for advice.

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High blood pressure is diagnosed when blood pressure readings are consistently higher than the normal level.

However, the readings are affected by when the measurements are taken.

According to the Mayo Clinic, blood pressure is highest in the mid-afternoon and lowest during the night.

Blood pressure has a daily pattern, the America-based clinic wrote online.

Your blood pressure starts to rise a few hours before you wake up, and continues to rise during the day. It usually peaks in the middle of the afternoon before starting to drop again.

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Why Does My Blood Pressure Vary Throughout The Day

You may have heard the term circadian rhythm. If so, you know this is not a beat to keep on the dance floor. It is a biological cycle your body follows. As defined by the National Institute of General Medical Sciences, âCircadian rhythms are physical, mental and behavioral changes that follow a roughly 24-hour cycle, responding primarily to light and darkness in an organism’s environment.â As your body cycles through this rhythm each day, responding to both internal and external stimuli, your blood pressure is affected.

The study of these important rhythms, known as chronobiology, was founded by Franz Halberg. His work in this field has helped identify abnormal rhythms in day-night blood pressure readings.Keeping the Beat of Blood PressureFollowing this chronobiological rhythm, your blood pressure is normally higher during the daytime and lower at night, during sleeping hours. Hereâs the problem. People with high blood pressure often donât experience this night time dip. This lack of a lowering of blood pressure at night is referred to as non-dipping.Whatâs the big deal? Heart attack and stroke have been found to be associated with non-dipping. Your blood pressure stays elevated, and your body is not in the relaxed state it should be during rest.


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