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Pain near the collar bone, elevated blood pressure and high heart rate. Chances of heart problems?

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General & Family Physician
Practicing since : 2009
Answered : 983 Questions
hello sir\mam

I am healthy person not having any medical history but few some days i feel that my hart beat is increasing means when i go to sleep i can hear breath of the heart, when i measure i found that is 120 per mint , then i continuously watch and i found it will in the range of 110 -125 per minute
and i monitor the blood pressure also and i found it is not normal it is in the between of 130/85 to 150/95
and i feel the little bit pain in the left side near to coler bone and in the back side in the same direction of the coler bone
i want to know why it is happen and what u would suggest ....please provide your suggestion also
i am software engineer
Posted Sun, 6 May 2012 in Hypertension and Heart Disease
Answered by Dr. Aparna Kohli 5 hours later

Thank you for posting your query.

Given your history, a few possibilities need to be considered:

a. Ischemic heart disease which can cause chest pain ( and the pain near the collar bone you are currently experiencing), a fast heart beat ( due to an arrhythmia). This is a condition when blood flow to your heart muscle is decreased by a partial or complete blockage of an artery that carries blood to your heart. This reduces your heart's oxygen supply causing chest pain, shoulder or neck pain with shortness of breath.

b. Stress and anxiety.

I would suggest that you get yourself evaluated by your treating physician; certain investigations would be required, which would include:

a. An electrocardiogram
b. A treadmill test ( may or may not be done)
c. A blood glucose level
d. A lipid profile

As I believe that more information can help a physician help a patient better, I would be grateful if you can consider the following:

- Over how many months have these abnormal blood pressures been recorded?
- Have these readings been taken at home or by a physician?

If these readings have been taken by a physician over a period of months, then you are possibly suffering from hypertension or high blood pressure. For this, I would suggest the following:

a. Eat healthy balanced diet which should include fresh fruits and XXXXXXX leafy vegetables.
b. Avoid refined sugar, fried food and oil
c. Totally quit smoking if you currently smoke and avoid alcohol
d. Avoid high calorie junk foods such as salty processed foods, pickles, papad, burgers and pizzas.
e. Stay away from carbonated beverages.
f. Avoid stress, practice relaxation techniques like yoga and meditation, which will reduce your blood pressure.

Hope this answers your query, Please accept my answer if you have no follow-up queries.

Wish you Good Health.

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