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My heart rate regularly runs 105-110 beats per minute. I

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Posted on Tue, 12 Mar 2019
Question: My heart rate regularly runs 105-110 beats per minute. I am a 69 year old male. I have a pacemaker. But, I never took heart medicine until after my last knee replacement surgery. The surgery resulted in anemia which the doctor said would go away. It did not. I presently take diltiazem er 240 and losartan 50mg. My bp is ok..around 130/75. My pulse runs high. I went to the gym today. I hit 140 with moderate walking. My doctor says not to worry about my heart rate. The info I read says high pulse wears down the heart. Should I press my doc to re-address this situation?
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Answered by Dr. Ilir Sharka (35 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I passed carefully through your question and would explain that a mean heart rate of 105-110bpm in a patient who has a pacemaker, shows that this is the heart's own rhythm and this is not related to the device.

There are many causes which could lead to a higher mean heart rate including: chronic anemia, thyroid gland dysfunction, electrolyte imbalance, etc.

For this reason, I recommend checking again your complete blood count, your thyroid hormone levels and blood electrolytes.

Treatment of anemia is necessary, if it is still present as you refer.

It is also important discussing with your doctor if the heart rhythm is regular (normal sinus tachycardia) or irregular.

In case of normal sinus rhythm, there is nothing to worry about.

Hope to have been helpful!

I remain at your disposal for any further questions whenever you need!

Wishing all the best,

Dr. Ilir Sharka, Cardiologist


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ilir Sharka (42 minutes later)
Did I get the right information from you that said as long as my heart was in normal rhythmn, heart rate is of no concern? If there is, howver, a cxoncern: Is there a medication to lower the heart rate. Also, I need to have a medication with minimal sexual side effects as blood pressure medication can make this aspect of my life difficult.
Thank you.
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Follow up: Dr. Ilir Sharka (2 hours later)
Did I get the right information from you that said as long as my heart is in normal rhythmn, heart rate is of no concern? If there is, howver, a concern: Is there a medication to lower the heart rate. Also, I need to have a medication with minimal sexual side effects as blood pressure medication can make this aspect of my life difficult.
Thank you.
doctor
Answered by Dr. Ilir Sharka (8 hours later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

Let me explain that the first issue to clarify is the nature of your heart rhythm. If it is normal sinus rhythm, then your increased heart rate is an expression of sinus tachycardia.

In such case, the reasons of your heart rate at 105-110bpm, could be related to several causes like mild heart failure, anemia, thyroid gland dysfunction, obesity, electrolyte imbalance, pulmonary dysfunction, anxiety, persistent systemic inflammation, etc..

Otherwise, if the heart rhythm becomes irregular, then cardiac arrhythmia should be sought.

That's why it is important to review ECG recordings first.

Regarding your other concern or potential sexual adverse effects of your therapy, now it is proved that uncontrolled hypertension is worse than a carefully balanced anti-hypertensive therapy.

Your actual therapy seems to be in the safer part for such purpose.

Hope to have clarified some of your uncertainties!

Wishing all the best,

Dr. Ilir Sharka


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 7538 Questions

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My heart rate regularly runs 105-110 beats per minute. I

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome to Ask a Doctor service! I passed carefully through your question and would explain that a mean heart rate of 105-110bpm in a patient who has a pacemaker, shows that this is the heart's own rhythm and this is not related to the device. There are many causes which could lead to a higher mean heart rate including: chronic anemia, thyroid gland dysfunction, electrolyte imbalance, etc. For this reason, I recommend checking again your complete blood count, your thyroid hormone levels and blood electrolytes. Treatment of anemia is necessary, if it is still present as you refer. It is also important discussing with your doctor if the heart rhythm is regular (normal sinus tachycardia) or irregular. In case of normal sinus rhythm, there is nothing to worry about. Hope to have been helpful! I remain at your disposal for any further questions whenever you need! Wishing all the best, Dr. Ilir Sharka, Cardiologist