Asked for Male | 21 Years
Why is my heart rate high with stabilized blood pressure?
Patient's Query
Patient Medical Summary Patient Profile: Age: 21 years old. Initial Presentation: Diagnosed with hypertension with a blood pressure (BP) reading of 153/110 mmHg. Diagnostic Tests Conducted: Thyroid Function Test: Normal. Ultrasound of Renal Arteries: Normal. Ecg .showed posdible ventricular hypertrophy Normal fbp. Urinalysis: Normal. Lipid Profile: Serum Cholesterol was elevated at 5.49 mmol/L. All other parameters were within normal limits. Current Treatment & Progress: I have been on anti-hypertensive medication [ Amlodipine. Telmisartan and hydrochlorothaizide in combination and artovastatin. for one month. My current BP readings have improved to an average of 133/88 mmHg. Current Concerns: Still my local doctor do not understand what is the cause of hypertension Tachycardia: Despite the decrease in blood pressure, my heart rate has increased significantly, averaging 110 bpm even at rest. Chest Discomfort: I am experiencing mild chest pains/discomfort associated with this high heart rate. Clinical Query: I am concerned about why my heart rate remains so high (compensating) when my blood pressure is stabilizing. My local doctors have yet to identify the specific cause for this persistent high heart rate and the initial hypertension at my young age.
Answered by Dr. Bhaskar Semitha
Regarding your elevated heart rate, there could be a few reasons for this. Sometimes, when the body is adjusting to new blood pressure levels, the heart rate can take some time to catch up. In fact, factors like stress, anxiety, caffeine intake, or even thyroid issues can also play a role. I recommend discussing these possibilities with your cardiologist. They might want to do further tests or adjust your current medications to help regulate your heart rate better. Also, in the meantime, try to practice some relaxation techniques to help manage your heart rate and chest discomfort. It's important to keep an open line of communication with your cardiologist to address all your concerns thoroughly.

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