Is blood pressure lower when lying down?

Blood pressure is usually lower at night while sleeping. The blood pressure measurement at night is called nocturnal blood pressure.

mayoclinic.org - Blood pressure: Does it have a daily pattern? - Mayo Clinic

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Does blood pressure have a daily pattern? I've noticed that my blood pressure is always lower in the morning than in the afternoon. Answer From Francisco Lopez-Jimenez, M.D.

Blood pressure has a daily pattern.

Usually, blood pressure starts to rise a few hours before a person wakes up. It continues to rise during the day, peaking in midday. Blood pressure typically drops in the late afternoon and evening. Blood pressure is usually lower at night while sleeping. The blood pressure measurement at night is called nocturnal blood pressure.

Examples of an irregular blood pressure pattern include:

High blood pressure during the night

High blood pressure early in the morning

Less than 10% drop in blood pressure overnight (nondipping blood pressure)

A rise in blood pressure overnight to early morning has been linked to an increased risk of heart disease.

An irregular blood pressure pattern could also mean that you have:

Poorly controlled high blood pressure

Obstructive sleep apnea

Kidney disease

Diabetes

Thyroid disease

A nervous system disorder

Poor diet, lack of exercise and certain lifestyle factors can affect blood pressure pattern, including:

Night-shift work

Smoking

Overweight or obesity

Stress and anxiety

Not taking medications for blood pressure or sleep apnea as directed, or ineffective treatment Your health care provider can tell you if an irregular daily blood pressure pattern needs treatment. Sometimes, a person's blood pressure rises simply when seeing a care provider. This is called whitecoat hypertension. A 24-hour blood pressure monitoring test can be done to measure blood pressure at regular time periods over 24 hours. The test is called ambulatory blood pressure monitoring. It provides a detailed look at blood pressure changes over an average day and night.

With Francisco Lopez-Jimenez, M.D.

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Which arm for blood pressure?

(It's best to take your blood pressure from your left arm if you are right-handed. However, you can use the other arm if you have been told to do so by your healthcare provider.) Rest in a chair next to a table for 5 to 10 minutes. (Your left arm should rest comfortably at heart level.)

my.clevelandclinic.org - Blood Pressure + Measuring - Cleveland Clinic

Overview

How can I get an accurate blood pressure measurement?

There are a few simple steps to help get an accurate blood pressure reading. Keep in mind that certain factors can cause blood pressure to temporarily rise. Blood pressure normally rises as a result of:

Stress

Smoking

Cold temperatures

Exercise

A full stomach

Full bladder

Caffeine

Certain medicines

Avoid these factors if you can when taking your blood pressure. Be sure to follow your healthcare provider's instructions on when and how often to take your blood pressure. Also, try measuring your blood pressure at about the same time each day.

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