Judah Nguyen

Blood pressure is usually not highest in the morning. In this article, I’ll explain more about blood pressure patterns. I’ll talk about why your blood pressure might sometimes be higher in the morning, and whether it’s dangerous.

I’ll also discuss some risk factors for morning hypertension, as well as its symptoms, diagnosis, and treatment. I’ll also outline some prevention strategies, and tell you when to talk to your doctor.

Your blood pressure and many other body systems have a daily rhythm. Blood pressure drops to its lowest levels while you are asleep. A few hours before it is time to wake up, it starts to rise.

However, morning is not the time of day when blood pressure should be highest.Normal blood pressure rhythms peak in the middle of the day, dropping again in the late afternoon and evening.

If you are concerned about or have been diagnosed with high blood pressure, you should measure your blood pressure at several different times of day to identify patterns. If your blood pressure tends to be higher in the morning, you should talk to your doctor, because this is abnormal.

Abnormal blood pressure patterns can indicate certain causes of hypertension or other cardiovascular risk factors.

Abnormal blood pressure patterns can be detected by taking blood pressure readings at different times of the day, including:

Keep in mind that exercise, caffeine, and stress can lead to short-term increases in blood pressure. When you take a reading, try to be as calm and still as possible, with your arms and legs uncrossed. Avoid checking your blood pressure immediately after exercise or if you have just experienced a very stressful event.

Certain medical conditions can lead to higher blood pressure in the morning. These include:

Some medications can lead to changes in your blood pressure. If your high blood pressure medication is not dosed correctly or is not effective, it can lead to higher morning readings.

If you are on blood pressure medication that does not control your morning levels, your doctor may want to reassess your dosage or switch you to a different medication.

Certain lifestyle factors can lead to higher blood pressure in the morning.

These include:

Elevated blood pressure in the morning is not an immediate sign of danger, unless your blood pressure levels exceed 180/120 mm Hg. Levels higher than this are considered a hypertensive urgency and should be evaluated by a doctor.

High blood pressure together with a headache, weakness, chest pain, or shortness of breath can be a serious emergency that requires immediate medical care, so if that occurs, please go to the ER.

Higher BP in the morning can be a sign that you are at higher risk for blood clotting, heart attack, stroke, or cardiovascular disease. It may also lead to changes in the brain.

If you notice a consistent pattern of having higher blood pressures in the morning, your physician will want to set a plan to address it to protect your long-term health and decrease possible complications down the road.

You may be at higher risk for morning hypertension if you take certain medications, have uncontrolled hypertension, or have an abnormal sleep pattern. This can happen due to untreated sleep apnea, diabetes, or as a result of night shift work.

Other risk factors include:

Your blood pressure is regulated as part of your circadian rhythm, so if your sleep patterns are off balance, it can lead to changes in your normal blood pressure. Stress and anxiety can also worsen this effect, especially if those are chronic issues for you.

Symptoms of high blood pressure in the morning include consistent readings that are higher than 120/80 within a few hours of waking up.

If your healthcare provider has asked you to monitor blood pressure at home, or you are doing it proactively, let your provider know if your morning readings tend to be high.

Your doctor may diagnose you with high blood pressure if your readings are 130/80 or higher at any time of the day on at least two separate readings a month apart.

If your levels are higher than 120/80 but lower than 130/80, your health care provider may tell you that you have elevated blood pressure, or pre-hypertension, and you may need to monitor your levels more closely.

You may have temporary increases in blood pressure, including an occasional morning BP surge. Your doctor will be looking for a consistent pattern of fluctuations that are outside of the normal range.

High morning blood pressure is treated similarly to general hypertension. If you are already on blood pressure medication, your doctor may adjust your dosage to help prevent a morning surge.

If you do not already take BP medication, your doctor may prescribe something to keep your levels more balanced.

You cannot always prevent high blood pressure, but healthy lifestyle adjustments can help. Getting regular physical activity, adequate sleep, avoiding excessive intake of alcohol, and not smoking all support healthy blood pressure.

Eating a diet that is lower in sodium and staying properly hydrated may also help.

You should see a doctor if your morning blood pressure readings are higher than 120/80 or you have other concerns about stress, lifestyle, or other factors that could be influencing your blood pressure.

Untreated high blood pressure may lead to harmful effects on your long-term health.

K Health offers affordable and convenient access to highly qualified doctors to treat and manage high blood pressure, as long as you are not having a hypertensive crisis.

You can meet with your K Health doctor from the comfort of your own home via the K Health app, all while knowing that you’re getting individualized and expert care.

The pound force (symbolized lbf or lb-f) is a unit of force according to the Imperial and US customary systems of units. Often it is called just pounds, especially when the surrounding context implies a quantity of force. Even though pound-force is closely related to the respective pound, which is a unit of mass, it is considered best practice to use the pound-force name.

Pound force is defined as the force of gravity on the earth's surface upon a mass equal to one avoirdupois pound. Its equivalence to the respective metric unit, the Newton is: 1 lbf = 4.4482216152605 N. The above definition depends on the earth's gravitational acceleration g, which varies from place to place, but is conventionally averaged to g ≈ 32.1740 ft/s2, at sea level.

The relationship between pound force (lbf) and other units of force are shown in the following table:

A quick example how to use the above table is given here. Assuming, you need to find the relationship between Kilo-newton (kN) and pound force (lbf), the following equation is derived from the table: 1 KN = 222.81 lbf.

Newton is a unit of force according to the SI system of units. It is a derived unit, based on the kilogram , a unit of mass, the metre , a unit of length and the second , a unit of time. It is defined as the force required to accelerate a mass equal to 1 Kg by 1 m/s2, according to the Newton's second law of motion:

F = m a

where F the force, m the mass and a the acceleration.

The relationship between Newton and other units of force is shown in the following table:

A quick guide how to use the above table is given here. Assuming, you need to find the relationship between Meganewtons (MN) and Newtons (N), the following equation is derived from the table: 1MN = 106 N.

For example to convert 100 lbf to N we have: 100x4.4482216152605 ≈ 444.8 N

For example to convert 1000 N to lbf we have: 1000/4.4482216152605 ≈ 224.8 lbf

Do you find it difficult to distinguish between mass and weight? In everyday practice these two quantities are sometimes confused as identical, and most of times, we are used to overcome it, without severe implications. But, when the time comes to perform a calculation, employing either weights or masses, or both of them, it is important to distinguish between the two and to correlate one with the other.

Mass is a fundamental property of matter, that practically describes the resistance of an object to change its current rate of movement. The more mass an object has, the harder it should be to make it accelerate, or turn, or force it to stop, if it is already moving. Also, the mass describes how strongly an object can pull other objects through gravity and similarly, how strongly it is affected by other objects gravitational fields. A given object has the same mass, either on Earth's surface, or on Mars or wherever it is placed in the universe (theory of relativity aside).

Weight is a force. It is the force that Earth's gravity applies to an object with a given mass. Therefore, it is a quantity related to the mass, but it is also related to gravitational field around the object, which varies from one location to another. Therefore, a given object would have different weights if placed at sea level or on top of a mountain. Most scales actually measure weight, instead of mass. As a result, a bag of apples, weighed by the same scale, will be slightly heavier at sea level, where the gravity is stronger, compared to a ski resort in Alps, where gravity is weaker, potentially saving you a penny or two. That is unless, the store owner, takes measures and calibrates the scale appropriately for his altitude. This example demonstrates that the weight of an object is not a universal property, even though we are used to treat it so, for convenience in our everyday transactions.

We can easily derive the weight of an object, knowing its mass and vice-versa. From the Newton's 2nd law of motion, the force exerted to an object is directly proportional to its mass and its acceleration. In that case, the acceleration is the earth's gravitational acceleration g. As indicated above, the value of g depends on the altitude above sea level as well on the geographic latitude. Using its conventional value, which is g ≈ 9.80665 m/s2 (corresponding to 45° latitude, at sea-level) we find that 1 kg of mass is pulled by earth, with a force equal to:

Reversely, 1 Newton is the weight at sea level of a mass equal to:

In imperial units, the conventional value of Earth's gravity is g ≈ 32.1740 ft/s2. Thus, the weight of a mass equal to 1 pound is found as:

By definition though, the weight of 1 lb of mass, at sea level, is exactly 1 lbf. Therefore, from the last expression we get the equivalence of lbf to lb.ft/s2, which is:

And reversely:

In the following table some typical force values in N are converted to lbf:

In the following table some typical force values in lbf are converted to N:

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