Low Blood Pressure and Heart Symptoms in Teens

Not sure if it's anemia?

Hello, during a recent health check-up, my blood pressure was 87/65.
I'm wondering if that's a bit low? I measured my heart rate, and it seems fairly normal.
I've been experiencing palpitations since middle school.
I read in some books that it's not a concern, but now that I'm in my senior year of high school, I often feel discomfort in my chest, and I frequently have headaches and dizziness.
I hope to inquire about my health status so it won't affect my exams.
Thank you! ^^

chili, 10~19 year old female. Ask Date: 2003/10/07

Dr. Zhong Yuxun reply Cardiology

Hello Chilly,
At 17 years old, your systolic blood pressure of 87 mmHg is considered normal.
It is advisable to measure it again when you have the opportunity! Young people often experience palpitations, chest tightness, or discomfort, which are commonly related to autonomic nervous system dysregulation.
Factors contributing to autonomic dysregulation include high stress, numerous worries, and insomnia.
It is best to consult a cardiologist for an examination.
If it is indeed autonomic nervous system dysregulation, regular exercise is recommended.

Sincerely,
Dr.
Chung Yu-Chuan, Director of Cardiology, Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2003/10/07

More Info

Low blood pressure, or hypotension, can be a concern, especially in teenagers who are experiencing symptoms such as palpitations, chest discomfort, headaches, and dizziness. Your reported blood pressure of 87/65 mmHg is indeed on the lower side, particularly for someone your age. While some individuals may naturally have lower blood pressure without any adverse effects, it is essential to consider the context of your symptoms and overall health.

In teenagers, low blood pressure can occur for various reasons, including dehydration, prolonged bed rest, certain medications, or even hormonal changes during puberty. It can also be influenced by lifestyle factors such as diet, physical activity, and stress levels. Given that you are in your final year of high school, the stress of exams and studying can contribute to both physical and emotional symptoms, including anxiety, which may manifest as palpitations and chest discomfort.

The symptoms you describe—frequent heart palpitations and chest discomfort—are not uncommon in adolescents, especially those who may be experiencing anxiety or stress. However, it is crucial to differentiate between anxiety-related symptoms and potential cardiac issues. While your heart rate appears to be normal, the presence of persistent symptoms warrants further evaluation.

Chest pain in teenagers can be caused by various factors, including musculoskeletal issues, anxiety, or even gastrointestinal problems. However, it is essential to rule out any cardiac concerns, especially if the symptoms are new or have changed in intensity. A thorough evaluation by a healthcare professional, including a physical examination and possibly an electrocardiogram (ECG), can help determine if there are any underlying heart conditions that need to be addressed.

In your case, since you have been experiencing these symptoms consistently, it would be advisable to consult a healthcare provider. They may recommend further tests, such as an echocardiogram or a Holter monitor, to assess your heart's function and rhythm over a more extended period. This can help identify any irregularities that may not be apparent during a standard examination.

Additionally, managing stress and anxiety is crucial, especially during this demanding time in your academic life. Techniques such as mindfulness, regular physical activity, and adequate hydration can be beneficial. If anxiety is a significant factor, discussing this with a counselor or psychologist may also provide you with strategies to cope with stress and reduce physical symptoms.

In summary, while low blood pressure and the symptoms you are experiencing can be concerning, they are not uncommon in teenagers. However, it is essential to seek medical advice to rule out any serious conditions and to receive appropriate guidance on managing your symptoms effectively. Taking proactive steps now can help ensure that your health does not interfere with your studies and overall well-being.

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