apollo
  • Female
  • 28 Years
  • 29/01/2025

I'm really worried because my heart rate has been staying between 100 and 130 for the past three months. Just a few days ago, I started feeling pain in my chest and arm. What should I do?

Doctor 1

Answered by 1 Apollo Doctors

Your symptoms of a persistently high heart rate along with chest and arm pain are concerning for a possible cardiac issue. It is important to seek immediate medical attention for further evaluation and treatment. In the meantime, you can take Aspirin 325mg immediately to help reduce the risk of blood clot formation. But, please do not delay seeking medical help.

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really stressed about my recent health issues. My blood pressure was 190100 two weeks ago, and I've been on medication since then. I've checked a couple of times after starting the meds, and my bp was 15090 and another time 17090. It's worrying me, and to top it off, I've been getting random pains in my left neck and shoulder, which makes sleeping hard. The cardiologist said my ECG and echo are normal. My cholesterol is fine, but I'm low on vitamin D and B12, so I'm taking supplements. Also just found out my blood sugar is high, so I'm on meds for that too. One doctor mentioned that the medicine might be causing the pain and that it might take weeks for my bp to stabilize. Is that true? Would love some insight into this.

It is common for blood pressure levels to take some time to stabilize after starting medication. In your case, since your initial blood pressure reading was high at 190100, it may take a few weeks for the medication to fully lower your blood pressure to a normal range. The random pains in your left neck and shoulder could be related to muscle tension or other factors, but it's good that you have already consulted a cardiologist who found your ECG and echo to be normal. Regarding your vitamin deficiencies and high blood sugar, it's important to continue taking your supplements and medication as prescribed. For high blood pressure, it's essential to follow your doctor's advice and medication regimen consistently. One commonly prescribed medication for high blood pressure is Losartan, typically starting at a dosage of 50mg once daily. It's crucial to monitor your blood pressure regularly and report any persistent symptoms or concerns to your healthcare provider for further evaluation and management.

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I'm noticing that my heart rate is going above 100-115 from time to time. My blood pressure is normal, but my hemoglobin level is 10.8. About a month ago, I had an ECG done, and it showed sinus tachycardia and IRBBB. But I'm still experiencing a heart rate over 100-115. Should I be worried about this? What might be causing it?

Based on your symptoms and previous ECG findings, you may benefit from taking a beta-blocker medication to help control your heart rate. I recommend you take Metoprolol (brand name: Lopressor) at a starting dose of 25mg twice daily. This medication can help regulate your heart rate and improve your symptoms. However, it is important to consult with your healthcare provider for proper evaluation and monitoring.

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I'm taking 40 mg of Inderal daily since August 2019, but I switched to 20 mg last month. My pulse seems okay now. I also have thyroid issues, but they're under control at the moment. Could you guide me on how to safely stop taking Inderal?

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