[Karen W. (OP)]

I am supposed to keep it 60 or under and I seem to be failing..

I walked from my bed to my living room and it shot up to 64 where

I immediately felt horrible and and the pain became terrible...

I took the nitro it fixed it, but not before it escalated to 74

upon resting on the couch!

So how do I keep it down below 60 without staying in bed all the time?

All I have to do is move from bed and it goes up fast!

Any tips will be most helpful and welcome!

[Tony Dubois]

I'm not sure you can do much in terms of controlling your BP when you move. However, I have heard that pranayama (sort of an advanced yogic breathing technique) can help you regulate your BP. But be advised, you need to do your research and preferably, train with a reliable guru. But it definitely is worth a shot. Good luck.

[hamdani yusuf]

If you regularly train cardio with optimum duration and intensity, your resting heart rate will be lower because you would have better circulatory system and oxygen absorption in your blood.

[Bored chemist]

Even resting in bed I think my heart rate is above 60.
Keeping it below 60 seems a difficult target.

[Ophiolite]

1. Carefully select your parents.
2. Eat healthy.
3. Exercise regularly.
4. Relax.
5. Avoid paranoia. (Why do you think 64 is a problem? Plenty of people would kill for a resting pulse of 64.)

[alancalverd]

The best way to reduce heart rate is to get fit, stay fit, and don't worry about your heart rate.

"White coat hypertension" is a known problem: heart rate and blood pressure rise every time a doctor asks a question or suggests a test, which is why these simple tests are (or should be) always repeated 2 or 3 times, by someone else, without comment.

60 bpm resting heart rate is classed as "athletic" for women over 50 yrs, and "excellent" for all women. I would be very surprised, given your medical history as published on this forum, if you could manage less than 65 without medication.

[wolfekeeper]

Are beta-blockers applicable?

[mrsmith2211]

I was into heavy tae kwan do and yoga, I can intentionally get down to 45, and lower blood pressure from 135 over 90 to 118 over 70, but one has to be i good shape to do this. If you are not willing to do exercise, proper diet,training and exercise I fear meds are your only choice, but a bad choice.

[wolfekeeper]

I believe that exercise is not currently an option for her.

[alancalverd]

As you can guess from her need to stay below 60!

Old Chinese saying: "Exercise good for you? You drive your car faster, it last longer?"