Elevated Blood Pressure and Heart Rate: When to Seek Medical Help - Cardiology

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Both blood pressure and heart rate are elevated?


I previously had low blood pressure, around 100/50, with a heart rate of 60 to 80.
Recently, this week, my blood pressure has risen to 130/85, and my heart rate has increased to 110 to 130.
I feel uncomfortable and somewhat fatigued.
I'm unsure if I should seek medical attention.
Thank you for your response.

Ting, 30~39 year old female. Ask Date: 2018/06/30

Dr. He Dongjin reply Cardiology


Hello, have you been experiencing a lot of stress or any discomfort lately? It sounds like it may be caused by autonomic nervous system dysfunction.
I recommend monitoring your condition, and if there is no improvement, it would be advisable to visit a clinic for medical treatment and medication.
Changhua Hospital cares about your well-being.

Reply Date: 2018/06/30

More Info


Elevated blood pressure and heart rate can be concerning symptoms, especially if they deviate from your normal baseline. In your case, you mentioned that your blood pressure has increased from a low baseline of around 100/50 mmHg to 130/85 mmHg, and your heart rate has risen significantly to between 110 and 130 beats per minute. This change, combined with feelings of discomfort and fatigue, warrants careful consideration and potentially seeking medical attention.


Understanding Blood Pressure and Heart Rate
Blood pressure is measured in millimeters of mercury (mmHg) and is expressed as two numbers: systolic (the top number) and diastolic (the bottom number). A normal blood pressure reading is typically around 120/80 mmHg. Your recent reading of 130/85 mmHg indicates that you are in the "elevated" category, which means that while it is not classified as hypertension, it is higher than what is considered optimal.

Heart rate, measured in beats per minute (BPM), varies from person to person but is generally considered normal between 60 and 100 BPM at rest. A heart rate of 110 to 130 BPM is classified as tachycardia, which can be a response to various factors, including stress, anxiety, dehydration, or underlying medical conditions.


When to Seek Medical Help
Given your symptoms of discomfort and fatigue, it is advisable to consult a healthcare professional. Here are some specific indicators that suggest you should seek medical attention:
1. Persistent Symptoms: If your elevated heart rate and blood pressure persist, or if you experience additional symptoms such as chest pain, shortness of breath, dizziness, or fainting, you should seek immediate medical care.

2. Underlying Conditions: If you have any pre-existing health conditions, such as heart disease, diabetes, or thyroid disorders, it is crucial to discuss these changes with your doctor, as they may indicate a need for adjustments in your treatment plan.

3. Lifestyle Factors: Consider any recent changes in your lifestyle that could contribute to these symptoms. Increased stress, changes in diet, lack of sleep, or increased caffeine intake can all affect blood pressure and heart rate.

4. Monitoring: Keep a record of your blood pressure and heart rate readings over the next few days. This information can be valuable for your healthcare provider in assessing your condition.


Potential Causes of Elevated Blood Pressure and Heart Rate
Several factors can contribute to elevated blood pressure and heart rate, including:
- Anxiety and Stress: Emotional stress can lead to temporary increases in both blood pressure and heart rate.

- Dehydration: Insufficient fluid intake can cause your heart to work harder, leading to increased heart rate and blood pressure.

- Caffeine and Stimulants: Consumption of caffeine or other stimulants can raise heart rate and blood pressure.

- Physical Activity: If you have recently increased your level of physical activity, your heart rate may be elevated as your body adjusts.

- Medical Conditions: Conditions such as hyperthyroidism, anemia, or infections can also lead to elevated heart rate and blood pressure.


Conclusion
In summary, while your recent readings of 130/85 mmHg and a heart rate of 110-130 BPM are higher than your usual baseline, they are not immediately alarming but do require attention, especially given your symptoms of discomfort and fatigue. It is advisable to consult with a healthcare provider to discuss your symptoms, undergo further evaluation, and determine if any underlying conditions need to be addressed. Monitoring your blood pressure and heart rate regularly will also help you and your healthcare provider understand your health better.

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