I was wondering if anybody has had narrow pulse pressure or found anything that helps with it? I am feeling really bad at present and I think this may be the reason. I was also wondering if it is something a GP would know about or not?
I think it means the difference between systolic and diastolic blood pressure being less than 25% of sysystolic as described below https://www.potsuk.org/low-pulse-pressure/
Yes, that is what it means- I was wondering what numbers you were referring to though? I am not aware that it is supposed to relate to any symptoms, although it can be a silent sign of specific conditions.
Thank you, my blood pressure is 93/74 today and I can't stand up much without feeling faint and feel very unwell sitting as well with chest tightness and general weakness and shakiness, so I thought that might be the cause as I have noticed a correlation in the past.
I don't think pulse pressure is itself a problem. 93 is on the low side, which might be. Low pulse pressure can be a sign of a structural valve problem but if so it doesn't usually vary. I cannot advise specifically but if you are unwell probably best to consult the GP.
I had this for a while together with orthostatic intolerance. Do you have orthostatic intolerance? Have you tried treating it? Do you have small fiber neuropathy?
I have something like POTS diagnosed from standing up and I take a low dose beta blocker and lots of salt. I probably don't have small fibre neuropathy based on symptoms but I haven't had tests for it.
I've talked about low pulse pressure in ME/CFS before. I think it is a clue. That said, I don't want to detract from the need to get the symptoms you mention checked out with your GP.
Venous insufficiency and acrocyanosis in long COVID: dysautonomia, 2023, Iftekhar & Sivan This is a Long Covid case study where blood pressure sitting and standing was noted, but the narrow pulse pressure (as calculated from the BPs) was not noted. Low pulse pressure on standing makes me wonder about Systrom's preload failure findings.
Narrow pulse pressure has been reported in at least several papers from different teams e.g. And here's another post from me about my tracking of cardiovascular measures showing the variability and association with worse symptoms:
Thanks for the helpful information @Hutan , did you find anything that helped with pulse pressure apart from the general things like pacing and time?
I haven't monitored things for a while - full on measuring and symptom recording takes quite a bit of effort and is rather joy-sapping. So, I can't say anything specifically about pulse pressure. With symptoms in general, no, apart from, as you say, managing activity to try not to cause PEM. I did notice that I would get extremely low pulse pressures (coupled with feeling bad) with prolonged standing e.g. standing to wash dishes or to chop vegetables. So, I do try to sit to do some of those jobs, or break the standing into short bursts (and of course use a dishwasher for most things). And sit or lie down afterwards to recover quickly. Moving around while standing might also help. Oh, I should have said earlier, thanks Theresa for making the thread. As you can probably tell, this topic is a bit of a hobby horse of mine. It's an objective measure and seems like a clue to pathophysiology.
