Seasonal Blood Pressure Changes: A Guide for Patients - Cardiology

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Whenever the weather gets colder, blood pressure tends to rise?


My mother experiences low blood pressure in winter, which rises to about 100-110, and then returns to normal levels of around 60-70 in summer.
She is currently taking Inderal 10 mg, one tablet in the morning and one in the evening.
Additionally, she feels dizzy when her blood pressure is high.
Could you please advise what this might indicate? Thank you.

Ye Ye, 40~49 year old female. Ask Date: 2013/11/06

Dr. Lin Jixiong reply Cardiology


Hello: Generally, when the weather is cold, people are prone to elevated blood pressure, while in warmer weather, blood pressure tends to normalize.
Dizziness is one of the common associated symptoms when blood pressure rises.
If blood pressure increases, additional antihypertensive medications can be added.
Sincerely, Dr.
Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2013/11/06

More Info


Understanding seasonal blood pressure changes is crucial for managing health, especially for patients with pre-existing conditions like your mother. Seasonal variations in blood pressure can be influenced by several factors, including temperature, humidity, and even psychological stressors that vary with the seasons.
In your mother's case, it seems that she experiences significant fluctuations in blood pressure, particularly low blood pressure in the summer and higher readings in the winter. This phenomenon can be attributed to several physiological responses. During colder months, blood vessels constrict to conserve heat, which can lead to increased blood pressure. Conversely, in warmer months, blood vessels dilate, and blood pressure may decrease, leading to lower readings.

Your mother is currently taking Inderal (propranolol), a beta-blocker commonly used to manage hypertension and heart rhythm disorders. While this medication can help lower blood pressure and control heart rate, it may not be sufficient alone to manage the seasonal fluctuations she experiences. The dizziness she feels when her blood pressure is low could be a result of inadequate blood flow to the brain, which can happen when blood pressure drops significantly.

It’s essential to monitor her blood pressure regularly, especially during seasonal transitions. If her blood pressure readings are consistently low (e.g., around 60-70 mmHg), it may be necessary to consult her healthcare provider about adjusting her medication or exploring additional treatments. It’s also important to consider lifestyle factors that can influence blood pressure, such as hydration, diet, and physical activity.

In terms of prevention and management, here are some strategies that may help:
1. Regular Monitoring: Encourage your mother to monitor her blood pressure regularly, especially during seasonal changes. Keeping a log of her readings can help her healthcare provider make informed decisions about her treatment.

2. Hydration: Adequate fluid intake is crucial, especially in warmer months when dehydration can lead to lower blood pressure. Encourage her to drink plenty of fluids throughout the day.

3. Diet: A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support overall cardiovascular health. Reducing salt intake may also help manage blood pressure.

4. Physical Activity: Regular exercise can help maintain a healthy weight and improve cardiovascular health. However, it’s important for her to consult her doctor before starting any new exercise regimen, especially if she experiences dizziness.

5. Medication Review: Regularly reviewing her medications with her healthcare provider can ensure that she is on the most effective regimen for her current health status. If her blood pressure remains unstable, her doctor may consider adjusting her dosage or adding another medication.

6. Stress Management: Psychological factors can also influence blood pressure. Techniques such as mindfulness, yoga, or other relaxation methods may help manage stress and its impact on blood pressure.

7. Seasonal Adjustments: If her blood pressure tends to rise in the winter, her doctor may recommend adjusting her medication during that time to prevent complications associated with high blood pressure, such as stroke or heart attack.

In conclusion, seasonal blood pressure changes are common and can be managed effectively with a combination of lifestyle modifications and appropriate medical management. It’s crucial for your mother to maintain open communication with her healthcare provider to ensure her treatment plan is tailored to her specific needs, especially as the seasons change.

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