Heart rate issues
Hello Doctor, during winter my heart rate is around 60 or even lower, but in summer it rises to over 80.
I would like to know if this is a natural phenomenon caused by changes in basal body temperature.
Additionally, whenever I feel my heart racing, I check my blood pressure.
The first reading often shows elevated levels, sometimes over 140 or even 150, accompanied by feelings of anxiety and shortness of breath.
However, after taking several readings, it usually returns to below 120.
I am concerned whether temporary anxiety causing high blood pressure could damage the inner walls of my blood vessels and lead to chronic harm.
Since I tend to get anxious about blood pressure readings, should I try to avoid checking it frequently? I have also consulted a psychiatrist and am taking medication, which has helped reduce my anxiety and prevent feelings of panic and trembling.
Thank you, Doctor!
Chen, 20~29 year old female. Ask Date: 2020/06/04
Dr. He Dongjin reply Cardiology
Hello, whether it's 60 or even lower, or in the summer when it's in the 80s, these are all within the normal range.
There's no need to worry.
It's normal for the first spike to return to below 120.
This will not damage the inner walls of your blood vessels or cause chronic harm.
You can rest assured.
Changhua Hospital cares about you.
Reply Date: 2020/06/04
More Info
Seasonal variations in heart rate and blood pressure are indeed common and can be attributed to several physiological and environmental factors. Your observation of a lower heart rate in winter (around 60 beats per minute) and a higher rate in summer (around 80 beats per minute) is generally considered a normal physiological response. During colder months, the body tends to conserve heat, which can lead to a lower heart rate. Conversely, in warmer weather, the body requires more energy to maintain a stable internal temperature, which can elevate heart rate.
Additionally, factors such as humidity, physical activity levels, and even emotional states can influence heart rate and blood pressure. For instance, during the summer, people often engage in more outdoor activities, which can naturally increase heart rate.
Regarding your concern about blood pressure spikes when you feel anxious, it’s important to understand that temporary increases in blood pressure due to stress or anxiety are common and typically not harmful in the short term. The body’s fight-or-flight response can cause a temporary rise in blood pressure, which usually normalizes once the stressor is removed. The fact that your blood pressure returns to around 120/80 after a while indicates that your body is managing these fluctuations well.
As for the concern about whether temporary spikes in blood pressure can cause chronic damage to blood vessels, the answer is generally no. Chronic high blood pressure (hypertension) is what leads to long-term damage to blood vessels and organs. Occasional spikes due to anxiety or stress are not likely to cause significant harm, especially if your baseline blood pressure is within a normal range. However, it’s essential to manage anxiety effectively, as chronic stress can contribute to long-term health issues, including hypertension.
If you find that measuring your blood pressure causes you anxiety, it might be beneficial to reduce the frequency of measurements or to practice relaxation techniques before taking your readings. Techniques such as deep breathing, mindfulness, or even engaging in a calming activity can help lower anxiety levels before measuring your blood pressure.
You mentioned that you have sought help from a mental health professional and are taking medication to manage anxiety, which is a positive step. It’s crucial to continue working with your healthcare provider to find the right balance in managing both your physical and mental health.
In summary, seasonal variations in heart rate and blood pressure are typically normal physiological responses. Temporary increases in blood pressure due to anxiety are common and usually not harmful. However, managing anxiety is essential for overall health. If you continue to experience significant anxiety related to blood pressure monitoring, consider discussing this with your healthcare provider for further strategies to manage both your anxiety and blood pressure effectively.
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