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Having heart palpitations and blood pressure 107/70. Normal?

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May 2014
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I have been having heart palpitations these past 2 days and my blood pressure was 155/95. I was placed on blood pressure medication to help with the palpitations and blood pressure and today my pressure is 107/70, is this normal?
Posted Wed, 10 Jul 2013 in Hypertension and Heart Disease
 
 
Answered by Dr. Vivek Chail 2 hours later
Hello XXXXX,
Thanks for writing in.

This is Dr Vivek answering to your question.

From information provided I understand that you are a 20 years old lady.

You've said that recently you had experienced heart palpitations and got your blood pressure checked and that was recorded as 155/ 95 mm Hg.
After having taken blood pressure medication it came back to 107/ 70 mm Hg indeed. Other than above you had blood workup and Chest x XXXXXXX both of which were normal.

High blood pressure is any value above 140/ 90 mm Hg recorded on your arm. This must be recorded at rest when you are relaxed mentally and not involved in vigorous physical activity for at least 30 minutes before recording. The recording must be taken at approximately the same time of the day, in the same position, with the same machine and preferably by the same nurse or doctor.

If all the serial recordings show above 140/ 90 mm Hg, then you are diagnosed to be hypertensive and probably need to have dietary modification (no extra salt in diet) and take anti hypertensive medications.

A blood pressure of 107/ 70 mm Hg is surely normal. However, you have not mentioned the medication and dosage prescribed which you are taking at the moment.

If you are confirmed hypertensive, it is necessary to find out probable causes for it especially because of your young age.

Here is some additional information that may benefit you:

Family history is important if any person is diagnosed as hypertensive at 20 years of age as in your case.

Chest x XXXXXXX and blood tests are important and I'm glad you've got them done and that they are normal.

Electrocardiogram (ECG) can be done to find and rhythmic problems in your heart beat and its pattern. If abnormal, an echocardiography is to be done.

Ultrasound Doppler of kidneys and adrenal glands is done in many young patients with hypertension. This is to know if the cause of hypertension is in the arteries supplying the kidneys (renal artery hypertension) or there is anything wrong with adrenal glands.

If you still get palpitations and anxiety and are not clinically hypertensive, a consultation with a psychiatrist would be helpful.

Hope your questions have been answered. Further questions are welcome.

If you do not have any questions, I request you to please close this thread and post a feedback.

Wishing you good health.

Regards,
Dr Vivek

Above answer was peer-reviewed by
 
Follow-up: Having heart palpitations and blood pressure 107/70. Normal? 10 hours later
I had a ECG done and it came back normal. The medication I was put on is Metoprolol er succinate 25MG.

I may want to mentioned that I started to feel sick after I had a jog in the afternoon that day. My symptoms were dizziness, a headache, nauseous, and weak. A few hours later is when I started to feel my heart beating faster when I was sitting down. I then decided to go get checked with my doctor and she did a ECG and it came back normal and when I was on my way to get my medication my heart started pounded faster and my hands were shaking. At the hospital I had a ECG done again, blood work, and x-rays and everything came back normal. The doctor diagnosed me with palpitations and he said the cause could have been because of a panic attack or stress.
 
 
Answered by Dr. Vivek Chail 7 hours later
Hello XXXXX,
Thanks for writing in again.

Glad to know that you have got ECG done twice and on both occasions, they are normal.
This means that your heart beat rhythm is normal.

Your doctor is right in diagnosing you with palpitations due to underlying stress or anxiety. Further prescribing you Metoprolol succinate 25 mg (extended release) is also a very good decision. You have been given optimum and very safe dosage. It is given in hypertension and other heart disorders and in patients having social anxiety and stress as well. Pharmacologically Metoprolol is a selective beta 1 receptor blocker.

It’s nice to know that you have responded to the given medication. Please follow up with your doctor regularly regarding the continuation of medication.

Hope your questions have been answered.
Further questions welcome.

If you do not have any questions, I request you to please close this thread and post a feedback.

Wishing you good health.

Regards,
Dr Vivek
Above answer was peer-reviewed by
 
Follow-up: Having heart palpitations and blood pressure 107/70. Normal? 57 minutes later
One more question. Is it normal for me to still feel tired?
 
 
Answered by Dr. Vivek Chail 30 minutes later
Hello XXXXX,

Thanks for writing in again.

When we talk about tiredness being normal or abnormal, there are many things to be considered. After doing unaccustomed physical or mental activity for about a day, it's natural for one to feel tired. This tiredness is explainable and will last for probably for the next day or two. This is a normal adaptation by the human body.

If there is unaccustomed physical or mental activity more frequently, let us say on a daily basis, then the body gets little time to rejuvenate and the person goes into a state of chronic tiredness which can get abnormal.

Apart from being due to purely exertion (physical and/ or mental), tiredness can also be a symptom on a medical condition which needs to be treated. Some of the medical conditions predisposing to tiredness are anemia, thyroid disorders, anxiety, diabetes, to name a few.

I suggest that you have a discussion with your doctor if you feel that your tiredness is abnormal and they will surely investigate you further if necessary.

I hope your question has been answered.
Further questions welcome.

If you do not have any questions, I request you to please close this thread and post a feedback.

Wishing you good health.

Regards,
Dr Vivek
Above answer was peer-reviewed by
 
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