Young and middle-aged adults with high blood pressure whose systolic blood pressure (top-number) rose more than 6.5 mm Hg upon standing were more likely to later have a heart attack, stroke, heart-related chest pain or other major heart disease-related event than those with lower systolic blood pressure in response to standing. The researchers highlight the importance of measuring standing blood pressure in young and middle-aged adults with hypertension, suggesting early treatment for those who have elevated blood pressure upon standing.