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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Increase In Resting Pulse Rate?

I normally have a resting pulse of 80 bpm (i was also told i have tachycardia when i stand) today my resting pulse is 57 bpm. I havent really been eating much lately could this be having an effect on my pulse? (i have also begun to have irregular periods and cold hands and feet and sometimes light headedness when i stand)
Fri, 18 Sep 2015
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Cardiologist 's  Response
Hello!

Thank you for asking on HCM!

I understand your concern, and would explain that your low pulse rate is not related to eating.

The light headedness and tachycardia when you stand seem to be related to an orthostatic hypotension or a postural tachycardia syndrome.

Are you taking any medications lately? (These symptoms may be related to drug adverse effects too.)

I recommend consulting with your attending physician for a careful physical examination, a resting ECG, a chest x ray, a head up tilt test (to confirm the above diagnosis) and some blood lab tests:

- complete blood count
- PCR, sedimentation rate
- thyroid hormone levels
- blood electrolytes
- fasting glucose
- immunological tests (anti ganglionary antibodies), in case of confirmation of postural tachycardia by head up tilt test.

Regarding your period irregularity, I recommend consulting with your gynecologist for a physical examination, an ultrasound and sex hormone blood levels (to exclude possible hormonal imbalance).

Hope to have been helpful!

Best regards,

Dr. Iliri
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What Causes Increase In Resting Pulse Rate?

Hello! Thank you for asking on HCM! I understand your concern, and would explain that your low pulse rate is not related to eating. The light headedness and tachycardia when you stand seem to be related to an orthostatic hypotension or a postural tachycardia syndrome. Are you taking any medications lately? (These symptoms may be related to drug adverse effects too.) I recommend consulting with your attending physician for a careful physical examination, a resting ECG, a chest x ray, a head up tilt test (to confirm the above diagnosis) and some blood lab tests: - complete blood count - PCR, sedimentation rate - thyroid hormone levels - blood electrolytes - fasting glucose - immunological tests (anti ganglionary antibodies), in case of confirmation of postural tachycardia by head up tilt test. Regarding your period irregularity, I recommend consulting with your gynecologist for a physical examination, an ultrasound and sex hormone blood levels (to exclude possible hormonal imbalance). Hope to have been helpful! Best regards, Dr. Iliri