I've noticed my blood pressure is usually around 10462 during the day, but when I'm resting or sleeping, it drops into the 9050s range. I've been keeping an eye on it for about a month and the pattern seems pretty consistent. I had an echocardiogram earlier this year, and it showed I have a diastolic relaxation abnormality. I'm wondering if this could be causing my low blood pressure? Could it lead to more heart-related complications, or is it normal for blood pressure to drop like this at night? I've been feeling really fatigued and low on energy no matter how much I sleep, and it's a bit worrying. What do you think?

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Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

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Low blood pressure during rest or sleep can be influenced by various factors, including underlying conditions such as diastolic dysfunction. In your case, the diastolic relaxation abnormality noted in your echocardiography may contribute to the lower blood pressure readings, especially during periods of rest. This can potentially lead to symptoms of fatigue and lack of energy. To address this issue, it is important to manage the underlying diastolic dysfunction. In addition, ensuring an adequate intake of fluids and electrolytes can help stabilize blood pressure. If symptoms persist, medications such as Midodrine or Fludrocortisone may be prescribed to raise blood pressure levels, especially during periods of rest or sleep. However, it is crucial to consult with your healthcare provider for a proper evaluation and personalized treatment plan.

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Answered 04/07/2025

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