Tachycardia: Blood Pressure and Heart Rate Concerns - Cardiology

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Issues related to tachycardia?


Hello Doctor, I measured my blood pressure while sitting calmly and resting for five minutes, and I did this three times.
My blood pressure was around 137/66, and my heart rate was about 85 beats per minute.
I would like to know if this is considered high blood pressure.
Additionally, since I am going to enlist in the military, I do not want this to affect my physical evaluation.
Instead, I would like to ask if you could provide a certificate to inform the medical officer about my elevated heart rate.
Is that possible? Thank you!

peter, 20~29 year old female. Ask Date: 2007/01/10

Dr. He Dongjin reply Cardiology


Normal blood pressure and heart rate do not warrant the issuance of a medical certificate.
Thank you.

Reply Date: 2007/01/10

More Info


When interpreting your blood pressure and heart rate readings, it's essential to understand the context of these measurements. Your recorded blood pressure of approximately 137/66 mmHg indicates that your systolic pressure (the first number) is elevated, while your diastolic pressure (the second number) is within a normal range. According to the American Heart Association, a systolic reading of 130-139 mmHg is classified as Stage 1 Hypertension. However, your diastolic reading of 66 mmHg is considered normal, which suggests that your overall cardiovascular risk may not be significantly elevated based solely on these numbers.

Your heart rate of around 85 beats per minute (bpm) is within the normal resting range, which typically falls between 60 and 100 bpm. However, if you are experiencing symptoms such as palpitations or a sensation of your heart racing, it may warrant further investigation. Factors such as anxiety, caffeine intake, dehydration, or even physical conditioning can influence heart rate and blood pressure.

Regarding your concern about military service, it is crucial to communicate openly with your healthcare provider. If you believe that your heart rate is consistently elevated or if you have experienced symptoms that could indicate an underlying issue, it is advisable to seek a thorough evaluation from a cardiologist. They can perform additional tests, such as an electrocardiogram (ECG) or echocardiogram, to assess your heart's function and rule out any potential problems.

If you are seeking a medical certificate to inform military officials about your heart rate, it is possible for your doctor to provide documentation based on their assessment. However, this will depend on the findings from your evaluation. If your heart rate is deemed to be within normal limits and there are no concerning symptoms or underlying conditions, your doctor may not find it necessary to provide such a certificate.

In summary, while your blood pressure and heart rate readings are noteworthy, they do not immediately indicate a severe health concern. However, if you have ongoing symptoms or concerns about your cardiovascular health, it is essential to pursue further evaluation. Maintaining a healthy lifestyle, including regular exercise, a balanced diet, and managing stress, can also contribute positively to your overall heart health. If you have any further questions or concerns, please do not hesitate to reach out to your healthcare provider for personalized advice and guidance.

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