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Increased heart rate with history of high BP - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Heart Rate and Rhythm Disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   i have high blood pressure but ive dropped 20 pounds and now my pressure is low and my heart rate is high                                                            
Doctor :   Hi
Doctor :   I am Dr....
User :   hello
Doctor :   Let me read the query
User :   ok
Doctor :   What was your blood pressure recorded for the last three times
User :   122/62
User :   97/55
User :   129/64
Doctor :   Perfect
Doctor :   What is your age?
User :   31
Doctor :   when were you diagnosed to have high BP?
User :   iwhen i was 13
User :   i heart rate has been 100 each time
Doctor :   Are you on medication?
User :   3 of them
Doctor :   What are those
User :   123
User :   109
User :   102
User :   hctz 12.5mg
User :   fosinopril 20mg
User :   diltiazem 300 mg
Doctor :   Ok
User :   i feel fine
Doctor :   Are you taking the medication on time?
User :   just a high heart rate
Doctor :   without fail and very regular?
User :   same time evry day
User :   around a 100 all day
User :   the more weight i lose the higher it gets
Doctor :   What are you actively doing to lose weight?
User :   mostly just eating right
User :   started and hcg protocol
Doctor :   Low salt diet?
User :   yea
User :   proteins and veggies
Doctor :   Did you check your kidney function tests these days?
User :   low on carbs
User :   its been awhile
Doctor :   Did the doctor tell you to check them once every 6 months to 1 year?
User :   he suppose to check them at the end of the month
Doctor :   Ok
Doctor :   Do you calculate the HR with the self monitoring BP machine?
User :   yea
Doctor :   When was the recent visit to the Doctor? and did he write about high HR in his notes?
User :   emergency room told me to stop taking a couple of my meds to see how that worked
User :   heart rate was fine last time i seen him
User :   blood pressure was to
User :   but i weigh less now
Doctor :   What is your weight and height
User :   245
User :   6;1
User :   but its been years since i weighed 245
User :   usually im pushing 270
Doctor :   Ok, the goal of keeping the bl pressure on control is to lose weight with exercise and low salt intake
User :   ok
Doctor :   I am not much worried about your HR
Doctor :   I blame it on your self monitored machine
User :   im just worried about it getting to low
User :   it come from a nurse
User :   my sister in law
Doctor :   Do you mean the machine?
User :   yea
Doctor :   Self monitored machines give erratic reading some times
User :   its a nursing home issue
User :   where she works
Doctor :   and they should be checked manually
User :   ok
Doctor :   They are of much use
User :   should i go to the hospital
User :   i called
Doctor :   but one should not panic by the reading shown by the machine
Doctor :   So I wish you to confirm the heart rate
User :   they said to drop a couple of the meds
Doctor :   The medicines that you take esp diltiazem reduces the heart rate
Doctor :   so did you drop that medicine?
User :   well i tought about staying on that and dropping the other 2
User :   i havnt dropped anything yet
Doctor :   Since your BP is very much controlled, you can review these with the Doctor who treats you
Doctor :   He may consider
Doctor :   Same time he manually checks the HR
User :   ok
Doctor :   He should not be concerned too
Doctor :   about the high HR
User :   i was worried about my heart rate
Doctor :   Still I take it as not worrisome
Doctor :   I think you are concerned about the warning the machine gives after one's HR crosses the 90 mark
User :   i thought it might be trying to compensate for the low blood pressure
Doctor :   Yes the HR can rise to compensate for low BP, but there is no low BP recording
User :   97over 55 isnt low
Doctor :   You have good BP control
Doctor :   I would not consider a single reading and say that you have low BP
User :   ok
User :   how about losing weight to fsat
Doctor :   It is to be investigated if you lose more than 5 pounds a month
User :   i lost 17 pounds in 12 days
Doctor :   Yes
Doctor :   Then it should be investigated
Doctor :   in terms of Kidney function, Hormonal profile
Doctor :   Diet assessment
User :   i started an hcg protocol
User :   should i quit that
Doctor :   I never advice a person to lose more than 10 pounds a month
User :   ok
Doctor :   if they are trying to lose
Doctor :   I have little information about the HCG protocol
Doctor :   as I have not seen a patient who is doing it
User :   im dropping almost2 pounds a day
User :   i thought it was a littlee to fast
Doctor :   Since I have not seen a person who is on HCG protocol and lack of clinical experience I cannot comment on it properly
User :   ok
User :   i was just worried about the heart rate
User :   because sometimes it is way up
Doctor :   Yes it is a usual finding to have high HR
Doctor :   in a person who is losing weight
User :   ok
User :   i thank you
Doctor :   If the HR crosses 120 mark, it is better considered a check
User :   only hit 123 once today
Doctor :   Please see the Doctor to check manually
User :   i will
Doctor :   or even your sister in law to check manually
Doctor :   as she is a RN
User :   thats my time and i thank you
User :   yes
Doctor :   Repeat the manual checks for three times
User :   ok
Doctor :   before you confirm you have high HR
Doctor :   Do not panic
User :   ok
Doctor :   as it raised the HR
User :   ok
User :   thanks
Doctor :   Bye
User :   bye
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