Tachycardia
Hello, Doctor: I have some questions regarding my symptoms of tachycardia.
I have not yet seen a cardiologist, but my resting heart rate has been between 100 to 110 beats per minute.
Because of my rapid heartbeat, I measure my blood pressure morning and evening, which is approximately 140/90 with a pulse around 110.
The doctor prescribed me Concor 1.25 mg, one tablet in the morning and one in the evening, and Lisinopril 10 mg, half a tablet every morning.
During the winter, my heart rate and blood pressure were within normal limits.
However, over the past month, with the hot weather, my heart rate has dropped to about 56 to 65 beats per minute, and my blood pressure has changed to a systolic pressure around 100 and diastolic pressure around 60.
I would like to ask the doctor if I have hypertension in this situation.
Previously, when my heart rate was below 100, my blood pressure was in the normal range, but when my heart rate exceeded 100, my blood pressure would be elevated.
Does tachycardia affect blood pressure? If it does, does that mean I do not have hypertension? Should I stop taking Lisinopril? And if it is winter, should I continue taking the antihypertensive medication? Why is there such a significant difference in blood pressure between winter and summer when taking the same medication? Doctor, in my current situation, should I only take Concor and not the blood pressure medication since my blood pressure is currently low? I would appreciate your guidance.
Thank you.
Mr. Wang, 40~49 year old female. Ask Date: 2016/06/01
Dr. He Dongjin reply Cardiology
Hello, you should take 5 mg of Candesartan (康肯) every morning.
It should help manage your blood pressure, but it should not be too low.
Changhua Hospital cares about you.
Reply Date: 2016/06/01
More Info
Understanding the relationship between rapid heartbeat and blood pressure is crucial for managing cardiovascular health. Based on your description, it seems you are experiencing fluctuations in both heart rate and blood pressure, which can indeed be interconnected.
Firstly, a rapid heartbeat, or tachycardia, is typically defined as a resting heart rate exceeding 100 beats per minute. This condition can be caused by various factors, including anxiety, dehydration, fever, anemia, hyperthyroidism, or even heart conditions. When the heart beats faster, it can sometimes lead to an increase in blood pressure due to the heart working harder to pump blood. However, this is not always the case, as blood pressure can also be influenced by other factors such as blood volume, vascular resistance, and overall cardiovascular health.
In your case, you mentioned that your heart rate was consistently between 100-110 beats per minute, and your blood pressure readings were around 140/90 mmHg. These values indicate that you were experiencing elevated blood pressure, which is classified as stage 1 hypertension. The medications prescribed to you, such as Concor (Bisoprolol) and Lisinopril, are commonly used to manage high blood pressure and heart rate. Bisoprolol is a beta-blocker that helps to lower heart rate and reduce blood pressure, while Lisinopril is an ACE inhibitor that helps relax blood vessels.
You also noted that during the winter months, your heart rate and blood pressure were within normal ranges. This seasonal variation can occur due to several reasons. Cold weather can cause blood vessels to constrict, which may lead to higher blood pressure. Conversely, warmer weather can lead to vasodilation (widening of blood vessels), potentially lowering blood pressure. Additionally, physical activity levels, hydration status, and even dietary changes can vary with the seasons, further influencing blood pressure and heart rate.
Regarding your current situation, where your heart rate has decreased to 56-65 beats per minute and your blood pressure has dropped to around 100/60 mmHg, it is essential to consider a few points. A heart rate in the range of 56-65 beats per minute is generally considered bradycardia (slow heart rate), which can be normal for some individuals, especially if they are physically fit. However, if you are experiencing symptoms such as dizziness, fatigue, or fainting, it is crucial to consult with your healthcare provider.
As for your question about whether you have high blood pressure, it appears that your current readings indicate low blood pressure rather than hypertension. If your blood pressure consistently remains low and you are not experiencing any adverse symptoms, it may be appropriate to reassess your medication regimen. However, it is vital to do this under the guidance of your healthcare provider. They can help determine whether you should continue taking Lisinopril or adjust your treatment plan based on your current health status.
In conclusion, rapid heartbeat can influence blood pressure, but it is not the sole determinant. Seasonal changes, medication effects, and individual health factors all play significant roles in these fluctuations. It is essential to maintain regular follow-ups with your healthcare provider to monitor your heart rate and blood pressure, especially given the changes you have experienced. They can provide personalized advice on medication management and lifestyle modifications to help maintain optimal cardiovascular health.
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