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Experiencing high heart rate. Reaon? Cure? - Online Doctor Chats

Date : 26-Mar-2013
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:I m 31 years old
User:i am in fix and is healty so far
User:i have been experincing high heart rate since last 15 days
User:i had high colestrol also since last 2 years but under control without medicine
Doctor:Did you happen to have any chest pain, dizziness, loss of conciousness like issues ?
User:ya i have frequest chest pains but it get over after passing GAS
User:the pulse is around 90
User:and lower BP is around 90
User:upper is ok, 120
Doctor:Do u feel them, even when you are sleeping ? I mean the palpitations ?
User:this high BP and pulse rate has been detected in last 30 days only. I had bad stomach and been to doc
Doctor:Your BP is fine , and the heart rate is within acceptable limits
User:so he measured my BP and discovered that lower BP was high
Doctor:if the HR is above 100, then it would be abnorma
User:lower BP around 90 is ok?
User:once (lower BP) it was discovered 97
Doctor:it is just above the range, normally it should be less , than 89 mmg
Doctor:if above 90 +, then it could be a diastolic hypertension
User:is it a beginning of hypertension? I m just 31?
Doctor:in some cases of stress or anxiety, it can be elevated
Doctor:yes, it seems so , that way
User:how can i prevnt it from becoming a permanenet problme?
Doctor:But, you will need to monitor your BP regularly, and also maintian a good diet ( low salt , less than 2 gms per day)
User:ya my salt intake is very low.. i never put extra salt
User:what do u suggest in diet
Doctor:Regular exercises , like cardio and Breathing exercises (Pranayama) will be very helpful
Doctor:they will help to reduce your stress and anxiety levels
Doctor:trying to have at least relaxation time during the day will help to reduce the blood pressure
Doctor:when you are stressed, or anxious , taking short naps of 5-10 mins will also help
User:the challenge is I am night shift for last 4 months
User:and will be in night shift for next 6 months
User:9 PM to 6.30 AM
Doctor:yes, elevated BP is common in people who work at night, as the chage in sleep patterns
User:so the chances of having it converted in to permanent BP issue is high?
Doctor:it will help you very much
Doctor:u need not worry about that , practice pranayama and breathing exercises regulary
Doctor:you can also check the following site
User:what did u mean by
User:"Do u feel them, even when you are sleeping ? I mean the palpitations ? XXXXXXX
Doctor:this will help you get more info on diet for lowering blood pressure
Doctor:In case, u have high heart beats, even when u sleep, it could be a sign of hyperthyroidism
User:yes i have notcied it while sleepinng also
User:what is hyperthyroidism
User:before you asnwer this
User:plz tell me the regular hear beat for different age group
User:my wife is 26, she has a pulse of 65, i measured it last nigfht
Doctor:Hyperthyroidism is a condition, where there is increases thyroid hormone levels, which cause excessive work on the heart , and cause such symptoms
Doctor:the normal heart rate for adults should be below 100, at any time
Doctor:in some cases, like while exercising, its normal for HR to increase upto 150
Doctor:But during sleep, the heart rate can come down to 60 per min
User:but i have read on internet that at my age it should be around 70?
Doctor:bUT at any point of time, it should never become less than 40 per min,
Doctor:the heart rate does not stay the same all the time
Doctor:it is not like a computer, to give u a exact rate
Doctor:it will vary as per the body needs
User:if it is more than 90 for continous 2 weeks, is that also ok?
Doctor:when u are anxious or stressed, it increases
Doctor:when you are at rest, or sleeping it should be less
User:if it is more than 90 for continous 2 weeks, is that also ok?
Doctor:in case, you are very anxious and conscious about checking the heart rate, then your heart rate can be high, which i suspect in your case
Doctor:Yes, any heart rate less than 100, at any point of time, is always acceptable and is not abnormal
User:the reason is: i never used to feel that it is running high
User:but now these days I can feel it
Doctor:yes, you feel that way, as you are anxious and conscious about it
Doctor:when u understand if it is normal, then your anxiety will subside and you will feel ok
User:now last question
Doctor:In case, you have symptoms like weight loss, excessive sweating, swelling in the neck (above XXXXXXX apple), etc, it would mean, signs of hyper thyroidism
Doctor:In such a case, you should get a EKG, and a Thyroid function test, to rule out the condition
User:EKG or ECG?
Doctor:Both are the same , EKG is the Latin form of ECG
User:oh ok
User:my last EGC was done in AUG 2011 as a free health checkup, and it was ok, even TMT was done for free, it was also ok
Doctor:Then it is ok
User:do u think there is a need to repeat?
Doctor:But a Thyroid function test is required, if you have other symptoms that i mentioned , no need to do a ECG or Treadmill test
User:what is the test name?
Doctor:This is a panel of test called thyroid function test, the cost is usually less than 600 to 1000 INR
User:thank u so much but for telling the fact about less than 100, i was worried after reading various internet formuns
User:last question
Doctor:You are very welcome
Doctor:The internet is a source of too much or trouble and anxiety, for most people who are not able to analyse it
User:i m very paranoid about health issues as i have seen young deaths of my near and dear ones due to heart porblems
User:to be very XXXXXXX , my LIPID Profile was on higher side sicne last 3 years
User:i have been it controlling it via diet and excersie
User:but it keeps varying.. but doc has not given any medicine as they say excersie can control it
User:but i m worried, I get frequent chest pain, at the same place where the heart beats
Doctor:yes, you are still young and you do not have any conditions like Diabetes, etc
User:doc says its a gastitc
Doctor:hence there is no need to be on medications so soon
Doctor:proper diet, weight loss, and good exercise will be enough
User:but now a days I can feel that even if there is no gas feeling, I still feel the pain
Doctor:it is probably due to gastritis and anxiety
User:i am just worried how can I rule out any blokage in my heart?
User:LIPID being high for 3 years
Doctor:changing your diet, avoiding spicy and fat XXXXXXX foods should prevent gastritis
Doctor:Your ECG has been fine , thats the proof that there is no blocks in the heart
Doctor:In case, you are so worried , you can get a CT angiography of the heart
User:but ECG also sufficient to predict no blockages?
Doctor:this will completely give anatomical details and will help u become confident about your health
User:what is this and how and hwere I can get it done?
Doctor:Yes, in case you had blocks, then the ECG will show changes
Doctor:You can get at any major hospitals like Apollo
Doctor:OR Escorts in Delhi
User:i have not told anything to my family as there are already not doing well
User:do u have any idea about its cost and time?
User:do i need to accopmany anyone?
Doctor:U need not bother to tell them either , as I am sure, you are completely fine
Doctor:the cost may be less than 5000 INR , and you can just go alone too
User:any risk?
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