What causes heart palpitations after working throughout the day?

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Posted on Fri, 19 Jun 2015 in Hypertension and Heart Disease
Question: My BP is normally 100s/70s. But when i am working all day (i work at an office with patients) i feel my heart starting to palpate or beat fast or something. When i check my BP when this occurs it is 90/50s and HR is 80-100s. Is that normal?
doctor
Answered by Dr. Prasad 5 hours later
Brief Answer:
It isn't normal...

Detailed Answer:
Hi,

Normal blood pressure has a wide range and there are good number of people who live quite normally with low BP numbers. However when someone has symptoms associated with low BP numbers, it isn't considered normal.

I understand the low numbers are only occasional, perhaps related to specific task. But considering the fact you develop palpitation along with low BP, I think it is time we should evaluate you. I would order for a base line EKG and echocardiogram. Further investigations such as blood test, holter / event monitoring and electrophysiological studies may be considered after a cardiologist examination.

Please talk to your local healthcare provider and ask for a cardiology referral.

Hope this helped. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prasad 35 minutes later
Thank you so much for your thorough explanation. About 6mo ago I was having some severe chest pain and I had an EKG (with no significant findings) and they placed me on a holter monitor (they said everything was fine, besides some small/common palpatations). Would these tests show anything new in 6mo? Can BP dropping be related to me being on my feet all day or stress?
doctor
Answered by Dr. Prasad 51 minutes later
Brief Answer:
Less likely to change...

Detailed Answer:
Hi,

Unless and until the palpitation are felt differently over the last 6 months, the features are less likely to change from your last (6 months old) EKG. I am glad a holter also had no alarming features. I don't think an echocardiogram was done. Did you?

Yes, BP number are affected by posture as well as stressors. Though I don't find strong evidence on literature, I commonly see people with anemia, under nutrition, low weight / short stature as well as lack of sleep having below normal BP reading. If you are one of these, perhaps you should try and rectify it.

Since you have had couple of heart test earlier, my concerns have reduced. But if the palpitations are currently severe and affecting your daily routine, it is advisable to get the missing echocardiogram and repeat EKG to be on a safer side.

Hope you feel better now. Feel free to ask for clarifications if any.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prasad 3 minutes later
Thank you for your time!!!
doctor
Answered by Dr. Prasad 19 minutes later
Brief Answer:
Welcome...

Detailed Answer:
I hope I was able to help you. If you have no more questions, please close this discussion. Your review will be appreciated.

God Bless!!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prasad

General & Family Physician

Practicing since :2005

Answered : 3356 Questions

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