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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tachycardia While On Blood Pressure Medications?

Hi there, I am a 32 year old female and smoker. I take meds for blood pressure and concor to control my heart rate as my heart used to try and run away and i am on HRT. The last couple of weeks i have been getting tachycardia again and i will feel sick to my stomach like i want to vomit and also get pain down my arm and sometimes under my arm and underneath right breast (very seldom it will migrate and feel like it s in my collarbone). I also find that sometimes i struggle ever so slightly to take proper breaths... not really short of breath or can t breath but like i am breathing through cottonwool sort of. I don t know if it s just anxiety or if it s something more serious? I feel like i m taking meds for tachycardia and bloodpressure already so surely I shouldn t still be having issues? Whenever this happens i feel like i am getting hot flashes and then all of a sudden i will feel incredibly cold. Thank you
Mon, 13 Apr 2015
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Psychiatrist 's  Response
Hi welcome to hcm
I understand your query and concern.
Your symptoms are suggestive of Sinus tachycardia that can be due to stress and anxiety.I advise you to get an ECG,2 D Echo,lipid profile,chest x ray,CBC to rule out any cardiac pathology.Tachycardia is when heart beats > 100/min (Normal range being 60-100).So your heart rate is in the higher note.It should be evaluated and treated immediately or else it will lead to Arrhythmias of heart.Drugs like Metoprolol will be helpful in your case.Depending on your blood workup you need to use lipid lowering drugs,anti hypertensives..Avoid stress and anxiety.Restrict fatty foods.Exercise regularly.Consult your cardiologist for expert management.
Post your further queries if any,
Thank you.
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What Causes Tachycardia While On Blood Pressure Medications?

Hi welcome to hcm I understand your query and concern. Your symptoms are suggestive of Sinus tachycardia that can be due to stress and anxiety.I advise you to get an ECG,2 D Echo,lipid profile,chest x ray,CBC to rule out any cardiac pathology.Tachycardia is when heart beats 100/min (Normal range being 60-100).So your heart rate is in the higher note.It should be evaluated and treated immediately or else it will lead to Arrhythmias of heart.Drugs like Metoprolol will be helpful in your case.Depending on your blood workup you need to use lipid lowering drugs,anti hypertensives..Avoid stress and anxiety.Restrict fatty foods.Exercise regularly.Consult your cardiologist for expert management. Post your further queries if any, Thank you.