Hi Jbug. If you are having a problem with your heart rate or your blood pressure while standing it doesn't have anything to do with Vertigo(virtigo has to do with the ears, when they are dirty and nothing to do with your vitals) When your blood pressure changes from a sitting to a standing position it creates a lot of different problems. It puts stress on your heart(which can cause atrial fibrilation) and eventually cause blood clots(which is life threatening) ....Don't take any chances. Has the doctor put you on any blood thinners? If he has then you probably know about this stuff. Good luck to you my friend and keep us posted.-k-