Irregular Heartbeats: Causes and Concerns for Your Health - Cardiology

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Arrhythmia


Hello Doctor: My mother is 55 years old and slightly overweight.
She visited a clinic due to a cold.
That morning, she felt some tightness in her chest.
The clinic doctor measured her blood pressure and found it to be somewhat elevated, around 150.
The doctor mentioned that there was a concern for arrhythmia (she had just walked briskly into the examination room, had breakfast, and drank coffee).
After returning home, she felt a bit anxious and experienced dizziness and cold sweats, but after lying down and resting, everything returned to normal.
A few days later, she visited another clinic, where the doctor indicated that there was no arrhythmia, just a slightly elevated heart rate, but still within the range of 60-100 beats per minute.
However, her blood pressure remained elevated, so she was prescribed Concor 5 for treatment.
My mother has been regularly monitoring her blood pressure, which is around 120-130, and her heart rate has stabilized between 60-70 beats per minute while consistently taking her medication.
The previous symptoms of chest tightness, dizziness, and cold sweats have not recurred.
I would like to ask the doctor: Was this situation caused by her elevated blood pressure at that time, or is there a genuine concern for arrhythmia or heart-related issues?

KK, 20~29 year old female. Ask Date: 2005/12/23

Dr. Chen Guifeng reply Cardiology


There are many causes of arrhythmia, most of which are due to external stress or anxiety.
High blood pressure does not necessarily indicate hypertension; it requires long-term monitoring of blood pressure to determine if it is hypertension.

Reply Date: 2005/12/23

More Info


Understanding irregular heartbeats and their implications for health is crucial, especially in the context of your mother’s recent experiences. Based on the information you've provided, it seems that your mother has had a series of symptoms that could be attributed to a variety of factors, including anxiety, transient hypertension, and possibly benign heart rhythm variations.

Firstly, it’s important to clarify what constitutes an irregular heartbeat, or arrhythmia. Arrhythmias can manifest in various forms, from benign palpitations to more serious conditions that may require medical intervention. In your mother’s case, the initial assessment indicated a potential issue with heart rhythm, particularly after she experienced elevated blood pressure and symptoms like dizziness and cold sweats. These symptoms can indeed be alarming and often lead to increased anxiety, which can exacerbate the perception of heart-related issues.

The elevated blood pressure reading of 150 mmHg could have been a temporary response to several factors, including physical exertion (having just run into the clinic), recent caffeine intake, and possibly anxiety about her health. High blood pressure can lead to symptoms such as chest tightness and dizziness, particularly if it is significantly elevated. It’s also worth noting that blood pressure can fluctuate throughout the day and can be influenced by stress, activity level, and even hydration status.

The subsequent visit to another clinic, where the doctor noted that there was no arrhythmia but rather a slightly elevated heart rate, suggests that the initial concern may have been more related to the situational context rather than a chronic heart condition. A resting heart rate of 60-100 beats per minute is generally considered normal, and the fact that her heart rate stabilized between 60-70 beats per minute after starting medication is reassuring.

The medication prescribed, Concor (bisoprolol), is a beta-blocker that helps manage heart rate and blood pressure. It can be particularly effective in reducing symptoms of anxiety and physical manifestations of stress, such as palpitations. The fact that your mother has been able to maintain her blood pressure within a more normal range (120-130 mmHg) and has not experienced the previous symptoms of chest tightness or dizziness is a positive sign.

In summary, while your mother’s initial symptoms could have been related to a temporary spike in blood pressure and anxiety, the follow-up assessments indicate that her heart rhythm is likely normal. It’s essential to continue monitoring her blood pressure and heart rate, especially since she has a history of elevated blood pressure. Regular follow-ups with her healthcare provider are crucial to ensure that her condition remains stable and to adjust her treatment plan as necessary.

Additionally, lifestyle modifications can play a significant role in managing blood pressure and overall heart health. Encouraging your mother to maintain a balanced diet, engage in regular physical activity, manage stress through relaxation techniques, and limit caffeine intake can contribute positively to her cardiovascular health.
If any new symptoms arise or if there are concerns about her heart health, it is always advisable to seek medical attention promptly. Regular check-ups and open communication with her healthcare provider will help ensure that any potential issues are addressed early on.

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