Heart Rate and Blood Pressure Changes in Older Adults - Cardiology

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Heart rate and blood pressure issues?


Hello, Doctor: My mother is 64 years old.
She has had low blood pressure in the past, so she hasn't paid much attention to changes in her blood pressure.
Recently, she has noticed her blood pressure is around 135, with a heart rate of about 92 beats per minute.
Is this heart rate normal? My mother has sleep disturbances and takes 1.5 tablets of "Rifuhuan" before bed.
Could this be related to her medication? She also consumes bird's nest; does this have any effect? Thank you for your time in answering these questions!

Ms. Lin, 40~49 year old female. Ask Date: 2011/12/09

Dr. He Dongjin reply Cardiology


Hello, based on the information you provided, both blood pressure and heart rate are within normal ranges, so there is no need to panic.
Regarding whether the heart rate is normal, in addition to the rhythm, regularity should also be considered.
You can measure the pulse at the wrist; if it is regular, there is likely no significant issue.
If there are any abnormalities or if you are unable to measure it, please visit a nearby cardiologist for an examination.
Changhua Hospital is here to assist you.

Reply Date: 2011/12/09

More Info


Understanding heart rate and blood pressure changes in older adults is crucial, especially as they can indicate underlying health issues or the effects of medications. In your mother's case, at 64 years old, a blood pressure reading of around 135 mmHg and a heart rate of approximately 92 beats per minute (bpm) can be considered within a normal range, but it does warrant further examination.

Firstly, let's discuss what constitutes a normal heart rate and blood pressure. For adults, a resting heart rate typically ranges from 60 to 100 bpm. A heart rate of 92 bpm is on the higher end of this spectrum, but it is not necessarily alarming, especially if it is consistent with her usual readings. Factors such as anxiety, physical activity, or even the time of day can influence heart rate.
Blood pressure readings can vary significantly throughout the day and can be influenced by various factors, including stress, hydration levels, and dietary intake. A reading of 135 mmHg for systolic pressure is considered elevated but not hypertensive. It is essential to monitor these readings over time to establish a baseline for her normal levels.

Regarding the medications your mother is taking, particularly "利福全" (Rifampicin), it is important to note that this medication is primarily used to treat bacterial infections, including tuberculosis. While it is not typically associated with significant cardiovascular effects, every individual reacts differently to medications. If your mother is experiencing changes in her heart rate or blood pressure after starting this medication, it would be prudent to discuss this with her healthcare provider.

Additionally, you mentioned that your mother has sleep disturbances and is taking a sleep aid. Sleep medications can sometimes lead to increased heart rates or fluctuations in blood pressure, particularly if they have sedative effects. It is essential to monitor how she feels after taking these medications and report any concerning symptoms to her doctor.

As for the consumption of燕窩 (bird's nest), while it is generally considered safe and is often consumed for its purported health benefits, it is essential to ensure that it does not interact with her medications. There is limited scientific evidence regarding its effects on blood pressure or heart rate, but any dietary supplement can potentially have an impact, especially in older adults with existing health conditions.

In summary, while your mother's heart rate and blood pressure readings are not immediately concerning, they should be monitored regularly. It is essential to keep track of any symptoms she experiences, particularly in relation to her medications. If her heart rate continues to be elevated or if she experiences symptoms like dizziness, palpitations, or shortness of breath, it would be wise to consult her healthcare provider for a thorough evaluation. Regular follow-ups and open communication with her healthcare team will help manage her health effectively as she navigates these changes.

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