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Suggest Treatment For High Pulse Rate

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Posted on Mon, 5 Dec 2016
Question: My pulse is always high 85-95! I exercise daily but it never comes down .. Is this dangerous..if I take a blood pressure pill to lower my pulse them my blood pressure goes too low.. What should I do
doctor
Answered by Dr. Ilir Sharka (4 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that this heart rate is not dangerous and can be quite normal, as long as you do not have any symptoms like shortness of breath or palpitations.

Anyway, I would recommend performing some tests to investigate for the possible underlying causes:

- a resting ECG and a cardiac ultrasound
- complete blood count for anemia
- thyroid hormone levels for possible thyroid dysfunction
- blood electrolytes for possible electrolyte imbalance.

Anyway, if you do not have any troubles and all the above tests result normal, there is no need to take medication to lower your heart rate.

Hope to have been helpful!

Kind regards,

Dr. Iliri


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ilir Sharka (4 hours later)
Thank you for your response.. I have always had a high pulse rate..in college when I would get tested they thought I was in bad athletic shape.. I have always exercised walking biking.. But it never seems to go down. In the morning it wil go down to 62 but as soon as I get up and get working it jumps to 90! I have had the blood tests all good..ekg is alright..the holter monitor was ok..I have not had an echo in 3 years but last one was good except for slight mitral valve prolapse.. Would that cause the high pulse. My new young doctor I saw yesterday was concerned..she scared me telling me I will wear my heart out if I do not get it under control..does it cause a shorter lifespan? I want to keep exercising is this safe? I do wake up with the occasional palpitations but I am going through menopause..I sometimes wake up with my heart pounding but this is pretty rare..please help me lower my heart rate..thanks so much!
doctor
Answered by Dr. Ilir Sharka (14 hours later)
Brief Answer:
My opinion as follows:

Detailed Answer:
Hello!

Thank you for the additional information.

Coming to this point, as all your performed cardiac and blood lab tests result normal there is nothing to worry about.

Regarding the slight mitral valve prolapse, it is not a concerning issue, but it is known to cause increased heart rate and even ectopic heart beats and palpitations.

Coming to this point, I would recommend starting low doses of betablockers like bisoprolol or metoprolol, etc..

You should discuss with your doctor on the above issues.

But do not worry about any shorter lifespan, because you can have a normal life just like other healthy individuals.

Regarding physical activity, I would recommend continue being active as you have done until now. Nothing bad is going to happen! So relax!

Hope you will find this answer helpful!

Wishing all the best,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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Suggest Treatment For High Pulse Rate

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that this heart rate is not dangerous and can be quite normal, as long as you do not have any symptoms like shortness of breath or palpitations. Anyway, I would recommend performing some tests to investigate for the possible underlying causes: - a resting ECG and a cardiac ultrasound - complete blood count for anemia - thyroid hormone levels for possible thyroid dysfunction - blood electrolytes for possible electrolyte imbalance. Anyway, if you do not have any troubles and all the above tests result normal, there is no need to take medication to lower your heart rate. Hope to have been helpful! Kind regards, Dr. Iliri