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Lessons from ME/CFS: Finding Meaning in the Suffering
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OI Poor Mans TTT results help please!

Discussion in 'Problems Standing: Orthostatic Intolerance; POTS' started by JBB, Nov 29, 2013.

  1. JBB

    JBB Senior Member

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    Hey guys,

    I'm new to this OI part of ME / CFS. Just did my poor man's tilt table test and here are the results:

    After 10 minutes lying down:
    BPM SYS DIA
    65 128 66

    Standing measured once per minute:
    BPM SYS DIA
    95 132 72
    80 124 68
    84 127 67
    84 117 66
    82 120 62
    83 107 61
    85 127 62
    81 107 69
    85 117 63
    83 126 61


    Conclusion:
    Heart rate increases by 30 initially on standing up. No major change in blood pressure as far as I know?

    Isn't this what one would expect from mitochondrial dysfunction. The most dense area of mitochondria is in the heart. When the heart requires more energy to pump round blood on standing the mitochondria haven't got it so the heart is forced to beat faster.

    So are these results merely secondary to poor mitochondria function? (despite treatment mine is still not great).

    Many thanks for your insights.

    Best wishes,

    J
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  2. golden

    golden Senior Member

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    Clear Light
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  3. Valentijn

    Valentijn Activity Level: 3

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    @JBB - I don't think your heart rate is too remarkable, since it very quickly settles down. Your pulse pressure (difference between systolic and dialstolic measurement) does get into the 30's once, but barely. It's actually a little odd that your pulse pressure is so huge most of the time - around 60! Your diastolic value is consistently low, however ... almost in the hypotension category.

    Can you do a longer test? Some issues can take half an hour or more to really hit.
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  4. JBB

    JBB Senior Member

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    @golden thanks for your thread, that's very interesting.

    @Valentijn Thanks very much for the info.

    So large pulse pressure...what does that mean?

    And diastolic is low - hypotension, strange :S...maybe I do too much meditation :lol:...wonder what that means too. Have to do some research :).

    I'll give the half hour test a go and see if that turns up anything different.

    Thanks for the suggestions / help,

    J
  5. Valentijn

    Valentijn Activity Level: 3

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    Some ME patients get narrow pulse pressure after standing up for a while - in the neighborhood of 25 and lower, which can cause pretty nasty symptoms. Normal is 40-50. I'm not sure what high pulse pressure means, since I haven't seen it before :p

    Low diastolic is also something some ME patients get ... though usually systolic also drops.
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  6. JBB

    JBB Senior Member

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    *Sigh*...this illness has it in for me! My results are all abnormally abnormal :cautious:.

    From Wiki:
    "The most common cause of a low (narrow) pulse pressure is a drop in left ventricular stroke volume...If the pulse pressure is extremely low, i.e. 25 mmHg or less, the cause may be low stroke volume, as in Congestive Heart Failure and/or shock."

    That would fit into the mitochondrial dysfunction idea and increased heart rate...but I'm high! :S

    Ahaaaaaa...

    "Magnesium deficiency increases systolic and pulse pressure; restoration reduce them. Well-absorbed forms of magnesium include magnesium glycinate and magnesium malate. Systolic and pulse pressure reductions of 5-10 mmHg are most common, though may require many years to develop. "

    That could well be the reason. After countless magnesium injections I still can't get the magnesium up.

    Why do ME patients get low diastolic?

    Best wishes,

    J
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  7. xks201

    xks201 Senior Member

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    Diastolic is low when fluid volume is low.
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