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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain. Fluctuating BP Levels. Any Suggestions?

I have been monitoring my BP and pulse over the last 10 days. I had some chest pain but my doctor thought it was just muscular as it hurt when pressure was applied. I am not happy as I just don't feel "right". Anyway I decided to monitor my BP and pulse more to put my mind at rest but my average BP is 109 over 69 with occasional peaks up and down, but my pulse is an average of 54 and has been as low as 43. I am not an athlete but a 49yr old female who exercises by walking the dog. My BMI is 25. Does this sound right to you?
Mon, 6 May 2013
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Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

The blood pressure is alright - in lower ranges...

The pulse rate is slow - you need further investigation...THE FIRST STEP IS TO SEE A CARDIOLOGIST / Slow heart beats need to be DOCUMENTED by ElectroCardioGram (EKG).
Standard ECG records the electrical activity of the heart, for a few seconds. It can detect the event occurring during that time only. If the episode occurs randomly or precipitated by a specific activity, one needs Holter or event monitor. Holter records for days; Event monitor for weeks / Holter records continuously / Event monitor only at certain times .
Pain on pressure points to local problem...However, heart problem may co-exist!
ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots...
      TMT (Treadmill exercise ECG) is done to exclude Ischemia (reduced blood flow).
      LABORATORY work-up is routine - like blood counts, sugar, urea, electrolytes (potassium in particular), thyroid (over-active) and so on.
Your Internist shall suggest based on the situation.
Risk of heart problem in post menopausal women is same as men...

Take care
Wishing speedy recovery
God bless
Good luck
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Chest Pain. Fluctuating BP Levels. Any Suggestions?

Hi friend, Welcome to Health Care Magic The blood pressure is alright - in lower ranges... The pulse rate is slow - you need further investigation...THE FIRST STEP IS TO SEE A CARDIOLOGIST / Slow heart beats need to be DOCUMENTED by ElectroCardioGram (EKG). Standard ECG records the electrical activity of the heart, for a few seconds. It can detect the event occurring during that time only. If the episode occurs randomly or precipitated by a specific activity, one needs Holter or event monitor. Holter records for days; Event monitor for weeks / Holter records continuously / Event monitor only at certain times . Pain on pressure points to local problem...However, heart problem may co-exist! ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots... TMT (Treadmill exercise ECG) is done to exclude Ischemia (reduced blood flow). LABORATORY work-up is routine - like blood counts, sugar, urea, electrolytes (potassium in particular), thyroid (over-active) and so on. Your Internist shall suggest based on the situation. Risk of heart problem in post menopausal women is same as men... Take care Wishing speedy recovery God bless Good luck