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What Causes Fast Heart Beats When Bending Down In A High BP Patient?
Question: lately I get where my hearts beats funny and it scares me. now when I bend on
very to pick something up it also happens. I do have high blood pressure but it is under control with medications
very to pick something up it also happens. I do have high blood pressure but it is under control with medications
Brief Answer:
My answer as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I carefully passed through your question and would explain that this symptomatology could be related to different causes:
- Gastro-esophageal reflux or hiatal hernia. The fact that these symptoms are exacerbated by bending over, could indicate possible gastro-esophageal reflux.
- Anxiety could also mimic this situation.
- Cardiac arrhythmia can not be excluded either. It is important studying your cardiac structure and function in order to exclude this possible disorder.
I would also like to explain that it is quite normal to have some palpitations during physical activity (including bending over) and emotional stress. They are related to the activation of the sympathetic nervous system, leading to a load of chatecholamines (adrenaline and noradrenaline) in your blood, thus causing an increased heart rate and even ectopic heart beats (which you perceive like palpitations of skipped heart beats).
I would recommend consulting with your attending physician and performing some tests to investigate for the possible causes:
- a chest X ray study
- a resting ECG and cardiac ultrasound to examine your cardiac function and structure
- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during a prolonged time and exclude possible cardiac arrhythmia
- some lab blood tests (complete blood count, blood electrolytes, kidney and liver function tests, thyroid hormone levels)
- A fibrogastroscopy may be needed if suspicions of gastro-esophageal or hiatal hernia are raised.
You should discuss with your doctor on the above issues.
Hope to have been helpful!
I am at your disposal whenever you will have any other uncertainties.
Best wishes,
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I carefully passed through your question and would explain that this symptomatology could be related to different causes:
- Gastro-esophageal reflux or hiatal hernia. The fact that these symptoms are exacerbated by bending over, could indicate possible gastro-esophageal reflux.
- Anxiety could also mimic this situation.
- Cardiac arrhythmia can not be excluded either. It is important studying your cardiac structure and function in order to exclude this possible disorder.
I would also like to explain that it is quite normal to have some palpitations during physical activity (including bending over) and emotional stress. They are related to the activation of the sympathetic nervous system, leading to a load of chatecholamines (adrenaline and noradrenaline) in your blood, thus causing an increased heart rate and even ectopic heart beats (which you perceive like palpitations of skipped heart beats).
I would recommend consulting with your attending physician and performing some tests to investigate for the possible causes:
- a chest X ray study
- a resting ECG and cardiac ultrasound to examine your cardiac function and structure
- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during a prolonged time and exclude possible cardiac arrhythmia
- some lab blood tests (complete blood count, blood electrolytes, kidney and liver function tests, thyroid hormone levels)
- A fibrogastroscopy may be needed if suspicions of gastro-esophageal or hiatal hernia are raised.
You should discuss with your doctor on the above issues.
Hope to have been helpful!
I am at your disposal whenever you will have any other uncertainties.
Best wishes,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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