I've been on lisinipril for several years now. I've noticed
This morning it was 174/84 Pulse of 68.
My pulse is normally in the mid- to high 80's. And, the lisinipril has been controlling the HBP.
Wasn't sure if I should be immediately concerned with this change. I do have a regular Dr appt scheduled for the 18th.
I would explain as follows:
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I passed carefully through your question and would explain that these changes in your heart rate are not related to Lisinopril.
You should know that Lisinopril acts mainly on the blood pressure values, but it does not have any effects on the heart rate.
As your blood pressure values are above the normal ranges, it seems that Lisinopril is not very successful in controlling high blood pressure values.
The sharp pain in the shoulders, which is triggered by physical activity seems to be related to a musculo-skeletal pain.
Gastro-esophageal reflux can not be excluded either.
For this reason, I would recommend performing a chest X ray study and a cervico-thoracic spine X ray study.
In the meantime, I would recommend taking acetaminophen and an anti-acid or PPI (omeprazole) to help reduce the pain.
There is no reason to panic about any heart attack, because your symptoms are not typical of this disorder.
Anyway, an exercise cardiac stress test would help exclude any cardiac issues and put your mind to peace.
Hope to have been helpful!
Wishing good health,
Dr. Ilir Sharka, Cardiologist