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Query about palpitation due to blood pressure - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   I have 144/87 blood pressure with a resting pulse of 80. I'm 41, 6 feet and 230lbs. I am taking steps to lose weight (I'm not horribly out of shape) Is this something I can address with weight loss and exercise or should I seek to control this through medication? My blood pressure and pulse are notmally lower, but my heart seems to be pounding tonight for some reason...
Doctor :   Hi
User :hi
User :   Good evening doctor
User :   I have no underlying health issues, but I thought I would look into this
Doctor :   Ok, I shall address tonight's issue and blood pressure together
User :   sure
Doctor :   For tonight heart pounding, I suggest you take a blood pressure and pulse rate now
User :   I took it less than 5 mins ago with a blood pressure monitor
User :   77 the first time
User :   80 the second time
Doctor :   Ok
Doctor :   BP?
Doctor :   Is the above reading current one?
User :   ranges from 142/87 to 147/91
Doctor :   Ok that is fine
User :   yes
Doctor :   Normally men at age 40 and more, shall record a higher blood pressure, but does not mean that you should ignore it
Doctor :   It is always good to keep the blood pressure under 130/85mmHg
Doctor :   The best way of reducing these recording are
Doctor :   1) Reducing weight
Doctor :   2) Regular exercise
Doctor :   3) Diet with increased amount of vegetables and fruits, 6 servings per day
User :   is it realistic to drop the BP 20 points wiht this?
Doctor :   It is said that just by reducing weight the BP shall reduce by 12 to 15 mm Hg
Doctor :   With the above diet, it reduces further by 10mmHg
User :   excellent
Doctor :   Increase fibre intake
Doctor :   4) Reduce the amount of salt intake
Doctor :   to 2 to 4 gm per day
Doctor :   These above measures shoiuld reach your goal
Doctor :   and this should be carried life ling
Doctor :   long
User :   ok..thanks so much for this
Doctor :   Thank you
Doctor :   I hope I am clear
Doctor :   Bye for now
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