Changes in Systolic and Diastolic Blood Pressure After Exercise

Jul 15, 2024 Source: Cainiu Health
Disease description:

I experienced chest tightness and dizziness after exercising and am concerned that it may be related to my blood pressure. Therefore, I would like to know how systolic and diastolic blood pressure change after exercise.

Doctor's answer (1)
Dr. Wang Xin
After exercise, blood pressure typically undergoes specific changes. Specifically, systolic blood pressure, which is the highest pressure exerted on the walls of the arteries when the heart contracts, rises significantly. This is primarily due to increased sympathetic nervous system activity during exercise, which raises the heart rate and cardiac output, thereby increasing systolic blood pressure. On the other hand, diastolic blood pressure, which is the lowest pressure in the arteries when the heart is at rest between beats, may decrease. This occurs because exercise promotes blood vessel dilation and increases vascular elasticity, reducing peripheral vascular resistance and subsequently lowering diastolic blood pressure. However, these changes are considered normal physiological responses and generally return to baseline levels after a period of rest. If blood pressure remains elevated for a prolonged period after exercise or if symptoms of physical discomfort occur, prompt medical attention is advised to rule out potential health issues. Furthermore, individuals with hypertension should consult a physician and establish an appropriate level of exercise intensity before engaging in physical activity, to avoid increasing the burden on the cardiovascular system.