Rapid Heartbeat: Causes and Concerns for Hypertension Patients

Rapid heartbeat

Hello, Doctor! I have hypertension, and when I wasn't on medication, I often experienced episodes of rapid heartbeat.
However, since starting medication, my blood pressure has been controlled around 120/80 or lower, and I hadn't had any rapid heartbeat episodes for a while.
Recently, though, I've suddenly experienced rapid heartbeats again, even when sitting quietly, with my heart rate often between 90-110 bpm.
At night, when lying in bed, I also feel a strong heartbeat, and sometimes I even experience chest tightness, chest pain, and shortness of breath.
I previously had an electrocardiogram that showed no issues.
I would like to ask if this could indicate a heart problem.
Below is the echocardiogram report I found in my health records:
Basic parameters:
LA 31 (19-40mm)
AO 24 (20-38mm)
LVPWd 9.31 (9-11mm)
IVSd 9.31 (7-11mm)
LVIDd 41.5 (37-53mm)
EF 67.3 (50-70 %)
Mitral E/A (cm/s): 82.9/73.2, E/A: 1.1
E/E`: 9.2
RVSP: 28 mmHg
Conclusions:
1.
Normal aortic valve without aortic regurgitation
2.
Normal mitral valve with mild mitral regurgitation
3.
Normal left ventricular size with preserved left ventricular systolic function
4.
No diastolic dysfunction
5.
Normal tricuspid valve with mild tricuspid regurgitation
6.
No pericardial effusion
Could you please help me interpret this? Additionally, what should I be aware of? Thank you.

SHUM, 20~29 year old female. Ask Date: 2022/08/18

Dr. He Dongjin reply Cardiology

Hello, the echocardiogram report did not show any significant abnormalities.
It is possible that some symptoms may be caused by autonomic nervous system dysfunction.
If you continue to feel unwell, medication can be used for management.
Changhua Hospital cares about your well-being.

Reply Date: 2022/08/18

More Info

Understanding rapid heartbeat, especially in the context of hypertension, is crucial for managing your health effectively. Your situation, characterized by high blood pressure and episodes of rapid heartbeat, raises several important considerations.

Firstly, it’s commendable that you have been able to control your blood pressure with medication, maintaining levels around 120/80 mmHg. However, the recent resurgence of rapid heartbeats, particularly when at rest, can be concerning. A resting heart rate of 90-110 beats per minute is indeed higher than the normal range (60-100 bpm), and it can be indicative of several underlying issues.

Potential Causes of Rapid Heartbeat
1. Anxiety and Stress: Emotional stress or anxiety can lead to increased heart rates. If you have been experiencing stress, it might be worth exploring relaxation techniques or speaking with a mental health professional.

2. Caffeine and Stimulants: Consumption of caffeine or other stimulants can elevate heart rates. If you consume coffee, tea, or energy drinks, consider reducing your intake to see if it helps.

3. Thyroid Issues: Hyperthyroidism, or an overactive thyroid, can cause an increased heart rate. It would be prudent to have your thyroid function tested, as this is a common cause of unexplained tachycardia.

4. Electrolyte Imbalances: Imbalances in electrolytes such as potassium, magnesium, and calcium can affect heart rhythm. Regular blood tests can help monitor these levels.

5. Medications: Some medications, including those for hypertension, can have side effects that include increased heart rate. Review your medications with your healthcare provider to ensure they are not contributing to the issue.

6. Heart Conditions: While your echocardiogram results indicate normal heart function, it’s essential to remain vigilant. Conditions such as atrial fibrillation or other arrhythmias can sometimes present with episodes of rapid heartbeat, even in patients with otherwise normal echocardiograms.

Interpretation of Your Echocardiogram
Your echocardiogram results show:
- Normal left atrial and ventricular sizes: This suggests that your heart chambers are functioning well.

- Mild mitral regurgitation (MR): This is a common finding and usually not significant unless it progresses.

- Preserved left ventricular systolic function: Indicates that your heart is pumping effectively.

- Normal diastolic function: Suggests that your heart is filling properly.

- Mild tricuspid regurgitation (TR): Similar to MR, this is often not a cause for concern unless symptomatic.

Recommendations
1. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur, their duration, and any associated factors (like stress or caffeine intake).

2. Consult a Cardiologist: Given your history of hypertension and recent symptoms, a follow-up with a cardiologist is advisable. They may recommend further testing, such as a Holter monitor, to assess your heart rhythm over a 24-hour period.

3. Lifestyle Modifications: Incorporate stress-reducing activities such as yoga, meditation, or regular exercise, which can also help manage blood pressure and heart rate.

4. Regular Check-ups: Continue regular follow-ups with your healthcare provider to monitor your blood pressure and heart health.

5. Emergency Symptoms: If you experience severe chest pain, shortness of breath, or fainting, seek immediate medical attention.

In summary, while your echocardiogram shows normal heart function, the symptoms you describe warrant further investigation. It’s essential to work closely with your healthcare provider to identify the underlying cause of your rapid heartbeat and ensure appropriate management.

Similar Q&A

Understanding Elevated Pulse Rates in Hypertensive Patients: Causes and Concerns

A pulse rate of 90 to 110 beats per minute can be attributed to various factors, especially considering your history of hypertension and the use of antihypertensive medication. Potential reasons for this elevated pulse rate may include anxiety, stress, physical activity, dehydrat...

Dr. Huang Guosheng reply Cardiology
The normal heart rate is 60 to 100 beats per minute. A pulse rate of 90 to 110 beats per minute is slightly elevated, which can be caused by factors such as stress, anxiety, hyperthyroidism, or intrinsic cardiac rhythm issues. If there is a history of hypertension, medications to...

Does High Blood Pressure Cause Rapid Heartbeat? When to Seek Medical Attention

Does high blood pressure cause an increased heart rate? I often feel like my heart rate exceeds 100 beats per minute. Could this be due to a lack of exercise? I am 168 cm tall and weigh 107 kg. I frequently experience a pounding heartbeat and sometimes have poor sleep. Should I g...

Dr. Chen Jili reply Cardiology
It is recommended that you consult a cardiologist. Wishing you good health. Thank you!

Understanding Rapid Heartbeat: Causes and Care for Your Health

Hello, doctor. My mother, who has high blood pressure, experienced a heart rate of over 130 beats per minute about two weeks ago. She went to the hospital for an injection and felt better after that, and she also received medication to take at home. However, in the past two days,...

Dr. He Dongjin reply Cardiology
Hello, rapid heartbeat may indicate arrhythmia. To determine the specific type of arrhythmia, an electrocardiogram (ECG) at that time may be necessary. It is recommended that you visit the cardiology outpatient department of the hospital for further consultation, along with the E...

Understanding Rapid Heartbeat: Causes and Solutions for High Blood Pressure

Hello, I have recently been experiencing high blood pressure at 144/98 and issues with obesity. Lately, I occasionally wake up feeling uncomfortable due to rapid heartbeats after sleeping, and I have been sweating profusely (the blanket is quite thick). I find it difficult to ret...

Dr. He Dongjin reply Cardiology
Hello, it seems that there is a case of overall endocrine dysfunction and mitral valve prolapse. It is recommended to undergo further examination and to take some medications as appropriate. Changhua Hospital is concerned about you.