The pulse increase on standing up is normal. The heart has to pump against more gravity, so it speeds up to maintain your blood pressure so you don't feel faint.
Your hypertension is mild and with medication should not lead to a heart attack. If you didn't have the family history, you might not have even been put on medications. To work with the meds you've been given, try to lose weight and get some regular cardio exercise. That will significantly decrease your chances of heart disease and stroke.
Ulcerative colitis forum co-moderator
Moderate to severe left-sided UC diagnosed 2001. Flared for 5 years, finally in remission with Remicade since March 2006. Colazal, Remicade, Nature's Way Primadophilus Reuteri.
Avascular necrosis in both shoulders is my "forever" gift from steroids.
Chronic joint/connective tissue/muscle pain; TKR 05/09
"My life is an ongoing medical adventure"