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My resting heart rate is 46-54 most mornings with blood

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Posted on Mon, 25 Feb 2019
Question: My resting heart rate is 46-54 most mornings with blood pressure generally 130/80 or a little higher
This evening bp is 125/78 with resting pulse 88-98
Do have myocardiopathy, ejection fraction usually 50 or little lower or higher
63 years old and do exercise 3 x per week usually 20 -25 min cardio and 60 min stretching and light lifting
Heart rate and bp bounce all around , pretty inconsistent
doctor
Answered by Dr. Robert Galamaga (1 hour later)
Brief Answer:
Considerations

Detailed Answer:
Hello and thanks for sending the query.

It appears that your blood pressure is close to baseline but your pulse is running quite a bit higher than usual. This can be for a number of reasons when we think about what can raise the heart rate - this includes stress, caffeine, certain foods or beverages depending on content, irregular heart rhythm or some other issue affecting your heart's ability to efficiently pump.

These are all questions which would be best and definitively answered with a comprehensive in person evaluation with a primary physician. In a short visit with a skilled exam - certain things may be quickly ruled out. Lab tests can tell if there is a problem with electrolytes, kidney or other organ function including thyroid. In addition a quick EKG can tell us if the rhythm of your heart is normal.

Lastly if no other reason for elevated rate is found then your doctor may consider sending you for an echocardiogram which as you know - will measure efficiency of heart function - this is somewhat subjective but is fairly adequate when assessing ejection fraction. A MUGA scan would be more precise in assessing ejection fraction but again this would be at the discretion of your primary doctor - MUGA is usually reserved when more precise ejection fraction results are needed.

i hope you found this information to be helpful.


I wish you all the best and continued good health.

Sincerely,

Dr. Galamaga
Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Robert Galamaga

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Practicing since :2002

Answered : 2638 Questions

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My resting heart rate is 46-54 most mornings with blood

Brief Answer: Considerations Detailed Answer: Hello and thanks for sending the query. It appears that your blood pressure is close to baseline but your pulse is running quite a bit higher than usual. This can be for a number of reasons when we think about what can raise the heart rate - this includes stress, caffeine, certain foods or beverages depending on content, irregular heart rhythm or some other issue affecting your heart's ability to efficiently pump. These are all questions which would be best and definitively answered with a comprehensive in person evaluation with a primary physician. In a short visit with a skilled exam - certain things may be quickly ruled out. Lab tests can tell if there is a problem with electrolytes, kidney or other organ function including thyroid. In addition a quick EKG can tell us if the rhythm of your heart is normal. Lastly if no other reason for elevated rate is found then your doctor may consider sending you for an echocardiogram which as you know - will measure efficiency of heart function - this is somewhat subjective but is fairly adequate when assessing ejection fraction. A MUGA scan would be more precise in assessing ejection fraction but again this would be at the discretion of your primary doctor - MUGA is usually reserved when more precise ejection fraction results are needed. i hope you found this information to be helpful. I wish you all the best and continued good health. Sincerely, Dr. Galamaga