Without diagnosing and playing doctor, yes when you move, exercise, get stressed etc you BP will go up, at rest is goes back down. It’s an adaptation to a need. Keeping it simple, diet and do some cardio.
All of the bolded have a propensity to increase Ca2+ (calcium ion influx, [movement into the cell] with decreased efflux [movement out of the cell]) which can increase vasoconstriction- hypertension. Unfortunately, and ARB isn't well suited in this situation.
It may be worthwhile to discuss with your treating clinician about the adjuvant use of a CCB (calcium channel blocker).
Since you had a good echo cardiogram, if you do a stress test ekg/VO2 max that is normal then you can be very assured that your heart is healthy. The only other thing they could do would be a nuclear test, like a MUGA scan, or an actual angiogram. I dont think either of those would be warranted unless the cardiologist recommends them for some reason. It really sounds like you just need to do some cardio, but if you can do the stress test it would help you feel more at ease I think.
oh, they could also do a holter monitor on you. That is a device you have on you that takes and ekg all day long, and you keep a diary of what you are doing during the day so that if something funny on the ekg comes up they will know what you were doing. Like 11pm, PVCs, doctor I was having sex then!
Cap I've read a lot of your posts over the years. You used to powerlift and have done the gear it took to get there. I don't know if you saw the thread on My CT Scan & Calcium Score Results? At 60 and the path you've traveled in this game, I think you're the perfect candidate to get this done!
Listen to these guys. Just curious. Where is your HCT at? Really high and your blood is closer to pudding than water. Your heart has to beat faster and harder to push that pudding through. Both diastolic and systolic go way up as well as pulse rate (BPM).
I have BP fluctuations too, but I have polyscythemia. I have to do a lot of cardio, drink a ton of water, offload a unit every couple months, and take propranolol. Otherwise, my BP is wrecked. It sucks too, bc I miss A-bombs and EQ.
That is part of the problem OTC
Thick blood high hematocrit and I am overdue for a drain.
But as much as I hate to admit it my conditioning sukks.
Like Bio mentioned I'm just an old powerlifter and we all know they don't do cardio