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Hello Tigerfan,
The best way for a patient with HCV to reduce their portal pressures is to treat the HCV.
In the liver HCV causes both fibrosis and necroinflammation. You could thing of the necroinflammation as like blowing up balloons in a fibrous 3D mesh. This blocks the veins. If you treat the HCV the necroinflammation subsides so the balloons shrink and even though the fibrosis persists (it regresses slowly) there is a near instant improvement in liver stiffness measurements which reflect this.
As far as your BP goes this does not relate to you liver. Your kidneys control it.
The reason your BP is lower post exercise is that you open up the vascular beds in your muscles, this reduces vascular resistance, and in turn the BP falls. As the vascular beds close down your peripheral resistance rises and your BP goes up.
We know that patients with a BP persistently over 160/90 die quicker from heart disease and stroke. If this is you then you should:
1) As a 1 off get check for renal artery stenosis (Ultrasound)
2) Suck it up and take an ACE inhibitor or ACE Receptor Blocker (AR
– both of these will drop you BP without impacting on your athletic performance.95% of all hypertension (high BP) is called “essential” which means we don’t know what causes it. We do however know how to fix it, and we also know that fixing it translates into less heart attacks and strokes.
