Question 1

I've been experiencing something concerning that Id like some input on. So, last week, I had this issue but after taking some medication, it seemed to go away. However, Ive been noticing that whenever I lift weights around 25kg, I get this tight feeling in my chest. Along with that, my heart seems to race really fast. When I used my mobile to check my heart rate, the numbers were all over the place  like 104, 96, 87, 45, and 79  which seemed off. At first, I thought maybe the phone sensor was acting up, but it reads other people's heart rates accurately. In the mornings, my heart rate seems stable, usually between 65 and 76, but it gets weird in the afternoon and evening. Ive had an ECG, 2D echo, and blood tests done, and my doctor says everything is normal with my heart. Is it possible for there to be issues even if those tests show normal results? I'd appreciate any insight.

Accepted Answer

Based on your symptoms, it sounds like you may be experiencing episodes of arrhythmia, which are abnormalities in the heart's rhythm. One common type of arrhythmia is atrial fibrillation, which can cause symptoms like fast or irregular heartbeats. I recommend discussing with your doctor about the possibility of wearing a Holter monitor for 24-48 hours to capture your heart's rhythm during your daily activities. This can help in identifying any intermittent arrhythmias that may not be captured during a standard ECG. In terms of management, if significant arrhythmias are detected, your doctor may prescribe medications such as beta-blockers or anti-arrhythmic drugs to help control your heart rate and rhythm. Lifestyle modifications such as reducing stress, avoiding stimulants like caffeine, and maintaining a healthy weight can also be beneficial. It's important to follow up with your doctor regularly and keep track of your symptoms. If you experience any chest pain, severe shortness of breath, fainting, or dizziness, seek immediate medical attention.

Question 2

I've noticed my blood pressure is usually around 10462 during the day, but when I'm resting or sleeping, it drops into the 9050s range. I've been keeping an eye on it for about a month and the pattern seems pretty consistent. I had an echocardiogram earlier this year, and it showed I have a diastolic relaxation abnormality. I'm wondering if this could be causing my low blood pressure? Could it lead to more heart-related complications, or is it normal for blood pressure to drop like this at night? I've been feeling really fatigued and low on energy no matter how much I sleep, and it's a bit worrying. What do you think?

Accepted Answer

Low blood pressure during rest or sleep can be influenced by various factors, including underlying conditions such as diastolic dysfunction. In your case, the diastolic relaxation abnormality noted in your echocardiography may contribute to the lower blood pressure readings, especially during periods of rest. This can potentially lead to symptoms of fatigue and lack of energy. To address this issue, it is important to manage the underlying diastolic dysfunction. In addition, ensuring an adequate intake of fluids and electrolytes can help stabilize blood pressure. If symptoms persist, medications such as Midodrine or Fludrocortisone may be prescribed to raise blood pressure levels, especially during periods of rest or sleep. However, it is crucial to consult with your healthcare provider for a proper evaluation and personalized treatment plan.

Question 3

I'm staying home due to the lockdown and have been checking my BP and heart pulse at home for the past four days. My BP is 105 over 572, and my heart pulse rate is 49. Should I be worried, and are there any precautions or steps I can take here at home?

Accepted Answer

Your BP is 10557 and your heart pulse rate is 49. Given your low blood pressure and heart rate, here are some precautions you can take at home: 1. Stay well-hydrated by drinking an adequate amount of water. 2. Avoid sudden changes in position to prevent dizziness or fainting. 3. Consume a balanced diet rich in nutrients, including foods high in iron. 4. Engage in light physical activities to improve circulation. 5. Monitor your symptoms regularly and seek medical attention if you experience any concerning symptoms. 6. Consider consulting with a healthcare professional for further evaluation and management. 7. Ensure you are getting enough rest and sleep to support your overall health.

It is better advised to check the blood presssure with the mercury appartus rather than digital bp machine for accurate bp measurement results..

More Cardiology Health Queries

I'm staying home due to the lockdown and have been checking my BP and heart pulse at home for the past four days. My BP is 105 over 572, and my heart pulse rate is 49. Should I be worried, and are there any precautions or steps I can take here at home?

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