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Low BP, High Pulse Rate...
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Brian K
medicine forum beginner


Joined: 25 May 2005
Posts: 20

PostPosted: Thu Jun 02, 2005 4:59 pm    Post subject: Re: Low BP, High Pulse Rate... Reply with quote

Id.rather.not.say wrote:
Quote:
Hi, Brian. I'm late in replying to this, but should you ever discover
the nature of the changes in your heart rate and other conditions,
please do let us know here.

Absolutely.

Quote:
I am 57. As with your experience, I too went to the ER last December after
experiencing a sudden increase in heart rate. You do not mention arrythmia
[sp], but in my case I had that too, and was diagnosed with atrial fibrillation.
My potassium level was low [take hydrochlorothiazide for blood pressure, and
am assuming this is the cause, as I otherwise maintain a very healthful diet].

I've had that heart flutter skipped beat feeling every once in a
while for at least 20 years now, which I understood to be arrhythmia,
but not the type to worry about. Now of course it may be more
pertinent. I do get these sometimes during my tachycardia too, but
it's so commonplace and occurs so infrequently, I don't ever give
it much thought. But I'm sure going to bring it up when I see the
cardiologist today.

Quote:
As with you when I feel most vulnerable to an onset of my disorder I
get a panicky feeling--and what feels like a surge of adrenalin; also I do
have occasional bouts of tinnitus. And since the start of this
hellish little syndrome I have noticed a significant increase in feeling
gassy--never used to burp/belch but nowadays no matter what I eat I shortly
thereafter seem to generate a lot of stomach gas [as well as the other].
No headaches; no increased sweating; no chest pain; no tremors.

I've experienced being gassy during these episodes too.

Quote:
Most interestingly to me, I too have experienced the tinglies vis-a-vis the
small finger and one next to it, more noticeably in my left hand, which
has experienced some weakness and loss of feeling--I have had an initial
consultation with a neurologist, but no actual cause has yet been identified.

I'm getting more sure my numbness-tingling is due to aggravating that
old traumatic shoulder injury (which I probably need corrective surgery
for) by slinging several grocery bags full of juice and water bottles a
few days ago. But, as I'm having "heart trouble" right now, I
can't afford to totally dismiss this as a heart related problem.
Could even be the two factors working in tandem.

Quote:
Also, in this same time period, I have recently experienced very high
intra-ocular pressure in one eye, plus inflammation in both eyes [have seen an
ophthalmologist for this and am prescribed a steroid and beta blocker and
xalatan for the eyes].

That I haven't experienced.

Quote:
Also, I experienced what was diagnosed generally as benign paroxysmal positional
vertigo, where you wake up one morning and the whole room is spinning fast
around you.

I haven't experienced any noticeable dizziness or equilibrium
problems either.

Quote:
It is my contention, despite the fact that no doctors as yet are interested in
tying these things together, that all of these conditions, having their onset
within weeks/months of each other, must somehow be related to one systemic
dysfunction.

Sounds like a complicated condition, more so than mine.

Quote:
Best regards, hope you get a diagnosis soon,

Ditto.

Quote:
until then I can certainly relate to the distress of your symptoms.

Misery loves company, I'll be sure to keep in touch. Best to you.

Quote:
In article <1117124802.458546.100150@g44g2000cwa.googlegroups.com>, Brian K
says...
Another problem I've been having is tinnitus, which some say is related
to the kidneys.
What I don't have in relation to the symptoms of pheochromocytoma
are; No severe headaches, no excess sweating (my hot flashes only cause
a thin layer perspiration briefly). I have had that anxiety (feelings of
impending death) at times. However yesterday all day while my heart was doing
anywhere from 110 to 120, I felt quite composed. I was feeling cautious about
over exerting myself, but other than that I felt pretty normal going about my
daily business. No nervous shaking (tremors), I'm steady as a rock.
No pain in the lower chest or upper abdomen, except that I've been a
bit gassy. Any chest or abdominal discomfort has been quickly relieved
by a belch or breaking wind. No nausea. And definitely no weight loss
what so ever. I'm 6 feet tall and weigh about 240, which
unfortunately has been the norm for many long years.
Racing heart (tachycardia and palpitations) and hot flashes or heat
intolerance with mild anxiety at best are the only symptoms which seem
to apply to my current situation. Also, I should mention that I've
sensed a very slight tingling in both hands along the sides of the
hands extending into my pinkies. This sensation is equal in both hands.
Thank you again,
Brian
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Id.rather.not.say
medicine forum beginner


Joined: 01 Jun 2005
Posts: 1

PostPosted: Wed Jun 01, 2005 8:31 pm    Post subject: Re: Low BP, High Pulse Rate... Reply with quote

Hi, Brian. I'm late in replying to this, but should you ever discover
the nature of the changes in your heart rate and other conditions,
please do let us know here.

I am 57. As with your experience, I too went to the ER last December after
experiencing a sudden increase in heart rate. You do not mention arrythmia
[sp], but in my case I had that too, and was diagnosed with atrial fibrillation.
My potassium level was low [take hydrochlorothiazide for blood pressure, and
am assuming this is the cause, as I otherwise maintain a very healthful diet].

As with you when I feel most vulnerable to an onset of my disorder I
get a panicky feeling--and what feels like a surge of adrenalin; also I do
have occasional bouts of tinnitus. And since the start of this
hellish little syndrome I have noticed a significant increase in feeling
gassy--never used to burp/belch but nowadays no matter what I eat I shortly
thereafter seem to generate a lot of stomach gas [as well as the other].
No headaches; no increased sweating; no chest pain; no tremors.

Most interestingly to me, I too have experienced the tinglies vis-a-vis the
small finger and one next to it, more noticeably in my left hand, which
has experienced some weakness and loss of feeling--I have had an initial
consultation with a neurologist, but no actual cause has yet been identified.

Also, in this same time period, I have recently experienced very high
intra-ocular pressure in one eye, plus inflammation in both eyes [have seen an
ophthalmologist for this and am prescribed a steroid and beta blocker and
xalatan for the eyes].

Also, I experienced what was diagnosed generally as benign paroxysmal positional
vertigo, where you wake up one morning and the whole room is spinning fast
around you.

It is my contention, despite the fact that no doctors as yet are interested in
tying these things together, that all of these conditions, having their onset
within weeks/months of each other, must somehow be related to one systemic
dysfunction.


Best regards, hope you get a diagnosis soon,
until then I can certainly relate to the distress of your symptoms.

In article <1117124802.458546.100150@g44g2000cwa.googlegroups.com>, Brian K
says...
Quote:
Another problem I've been having is tinnitus, which some say is related
to the kidneys.
What I don't have in relation to the symptoms of pheochromocytoma
are; No severe headaches, no excess sweating (my hot flashes only cause
a thin layer perspiration briefly). I have had that anxiety (feelings of
impending death) at times. However yesterday all day while my heart was doing
anywhere from 110 to 120, I felt quite composed. I was feeling cautious about
over exerting myself, but other than that I felt pretty normal going about my
daily business. No nervous shaking (tremors), I'm steady as a rock.
No pain in the lower chest or upper abdomen, except that I've been a
bit gassy. Any chest or abdominal discomfort has been quickly relieved
by a belch or breaking wind. No nausea. And definitely no weight loss
what so ever. I'm 6 feet tall and weigh about 240, which
unfortunately has been the norm for many long years.
Racing heart (tachycardia and palpitations) and hot flashes or heat
intolerance with mild anxiety at best are the only symptoms which seem
to apply to my current situation. Also, I should mention that I've
sensed a very slight tingling in both hands along the sides of the
hands extending into my pinkies. This sensation is equal in both hands.
Thank you again,
Brian
Back to top
Brian K
medicine forum beginner


Joined: 25 May 2005
Posts: 20

PostPosted: Fri May 27, 2005 1:48 pm    Post subject: Re: Low BP, High Pulse Rate... Reply with quote

elgoog wrote:
Quote:
Brian K wrote:
"elgoog" bjdefend-newsgro...@yahoo.com

"Without a diagnosis, none that are safe. I think you've already
learned
to be careful of the advice you may receive. It's an interesting
problem and I'll give it some thought..."

I appreciate that very much.

"I doubt it would help your specific problem, but it wouldn't hurt to

look into breathing exercises, yoga (stretches only) and meditation.
You might also take a look at what you are eating. It may not help the
specific problem, but it may help you to feel better and cope with this

period while looking for a diagnosis."

Here's an interesting matter regarding diet: My brother who is 6
years older, called me up the day after the first time I ended up in
the ER with a pseudo-heartattack and told me that he had gone through
the vary same routine. He said anecdotally, that he was wondering if
someone was slipping cocaine into his food or something. He went on to
blame the whole problem on sodium and told me that he had restricted
himself to 500mg of sodium a day. He also said he cut out all types of
stimulants; Coffee, cola, tea, "Red Bull" et al. Now, I for some
time also cut way down on the sodium by avoiding any sort of prepared
foods and only eating fresh meats and vegetables that I prepared
myself. However, seeing as I'm on what's supposed to be a really
good blood pressure medication; Avalide 300/12.5 and my BP had been low
to acceptable, and my heart rate had been an average of 80 for several
weeks, I've reverted to eating more prepared foods and consuming
caffeinated beverages at times. Could it be that I'm so sodium and
caffeine intolerant that this finally caught up with me and, BOOM in
one day my heart rate goes sky high and I'm back to the ER again? It
does seem that my heart rate may be gradually tapering off now that
I'm back on an exclusive diet of fresh meats and vegetables with no
sort of seasonings containing sodium.

But then again, maybe my heart rate may be tapering down only because
my thyroid, or my possible pheochromocytoma, or whatever, is settling
back down irregardless of my diet, for the time being.

May 26, 2005 12:45pm: BP 129/80 - Pulse 100.

There were free chilidogs, chips and cola being offered at work today,
I decided not to take any chances :0

Thanks again,
Brian

I think that 500mg sodium per day might be a little too restrictive.
The RDA for most adults is 2400mg sodium. A low sodium diet of <1500mg
may help control hypertension. I suspect your brother meant to say
1500mg per day. Salt occurs naturally in some quantity in just about
everything we eat.

No, he meant 500mg. But knowing him he's probably setting the bar extra
low, knowing that he'll likely exceed whatever bar he sets. So in
reality he's probably taking in more than 500.

Quote:
It might be advisable to avoid caffeine and other stimulants - those
energy drinks, and some supposedly healthful drinks can pack a whollop.
If you are taking herbal supplements or energy drinks, some of these
may have an adverse reaction with your medication. If you are taking
anything including "natural" products, you can discuss it with your
pharmacist.

I avoid that stuff like the plague. The only thing I take to stay
pumped up is a big 'ol daily multi vitamin. I also take extra B12,
zinc and magnesium for BP and tinnitus. But that is it.

Quote:
In particular, Tylenol, Motrin, Aleve may cause an adverse reaction
when taken with Avalide.

I only take one of those 81mg aspirins a day, nothing else.

Quote:
In addition, there are many more over the counter drugs that while
maybe not having an adverse interaction with Avalide should still be
avoided due to your BP, e.g. many antihistamines. Do you have
allergies, what do you take?

I have mild hay fever allergies, but I don't take anything for them.
Right now I have a low grade cold, but I'm not planning to take
anything for that either.

Quote:
Even though you are on a BP medication, you should still think about
better eating habits and exercise. The DASH eating plan has been
clinically proven to reduce BP in many cases eliminating the need for
BP medication altogether - you might want to look into it,

Oh, I'm definitely back on the better diet wagon, but I haven't
checked into any particular subscribed diet plans. Right now I'm just
back to making my own food from fresh ingredients. Restaurant and fast
food is always going to be loaded with sodium for flavor. Packaged
foods are always loaded with sodium based preservatives.

The thing is, that my BP readings have been good to excellent for weeks
now. Like I said,(and hence the title of this thread; Low BP, High
Pulse Rate) during my sky high pulse rate attack my BP was very low.
That's what concerns me. My high pulse rates were supposed to be due
to high blood pressure. If I have a pulse of 120 and my BP is only
something like 136/80, then it seems to be a foregone conclusion that
my high pulse rate is due to something other than just high blood
pressure. Up till May 23 after weeks of taking Avalide my pulse rate
was an average of 80. Then all of a sudden it went bananas again. The
25th it stayed at 120 for a long period of time. Yesterday the 26th it
was down to 90. Today the 27th it's starting to race again. I'm seeing
a board certified cardiologist June 2nd (and I plan on asking him to
test for pheochromocytoma as Dr. Chung recommended) and I've got a
thyroid test in the works. And my GP is referring my to another
cardiologist to be fitted with a 30 day monitor to check for things
like super ventricular tachycardia. I guess that's about all I can do
for the time being...

Quote:
http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/

At least, eat more fruit and veggies.

I am now. And I drink gallons of orange, grape and cranberry juice. And
lots of water too.

Quote:
I don't think that your symptoms would normally be associated with
caffeine/sodium intolerance.

Well, as mom would say "they aren't helping any".

Quote:
Chili dogs would be like little torpedoes of death for me - but, they
do sound good.

Tell me about it.

> -elgoog
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elgoog
medicine forum Guru


Joined: 28 Apr 2005
Posts: 412

PostPosted: Thu May 26, 2005 7:39 pm    Post subject: Re: Low BP, High Pulse Rate... Reply with quote

Brian K wrote:
Quote:
"elgoog" bjdefend-newsgro...@yahoo.com

"Without a diagnosis, none that are safe. I think you've already
learned
to be careful of the advice you may receive. It's an interesting
problem and I'll give it some thought..."

I appreciate that very much.

"I doubt it would help your specific problem, but it wouldn't hurt to

look into breathing exercises, yoga (stretches only) and meditation.
You might also take a look at what you are eating. It may not help the
specific problem, but it may help you to feel better and cope with this

period while looking for a diagnosis."

Here's an interesting matter regarding diet: My brother who is 6
years older, called me up the day after the first time I ended up in
the ER with a pseudo-heartattack and told me that he had gone through
the vary same routine. He said anecdotally, that he was wondering if
someone was slipping cocaine into his food or something. He went on to
blame the whole problem on sodium and told me that he had restricted
himself to 500mg of sodium a day. He also said he cut out all types of
stimulants; Coffee, cola, tea, "Red Bull" et al. Now, I for some
time also cut way down on the sodium by avoiding any sort of prepared
foods and only eating fresh meats and vegetables that I prepared
myself. However, seeing as I'm on what's supposed to be a really
good blood pressure medication; Avalide 300/12.5 and my BP had been low
to acceptable, and my heart rate had been an average of 80 for several
weeks, I've reverted to eating more prepared foods and consuming
caffeinated beverages at times. Could it be that I'm so sodium and
caffeine intolerant that this finally caught up with me and, BOOM in
one day my heart rate goes sky high and I'm back to the ER again? It
does seem that my heart rate may be gradually tapering off now that
I'm back on an exclusive diet of fresh meats and vegetables with no
sort of seasonings containing sodium.

But then again, maybe my heart rate may be tapering down only because
my thyroid, or my possible pheochromocytoma, or whatever, is settling
back down irregardless of my diet, for the time being.

May 26, 2005 12:45pm: BP 129/80 - Pulse 100.

There were free chilidogs, chips and cola being offered at work today,
I decided not to take any chances :0

Thanks again,
Brian

I think that 500mg sodium per day might be a little too restrictive.
The RDA for most adults is 2400mg sodium. A low sodium diet of <1500mg
may help control hypertension. I suspect your brother meant to say
<1500mg per day. Salt occurs naturally in some quantity in just about
everything we eat.

It might be advisable to avoid caffeine and other stimulants - those
energy drinks, and some supposedly healthful drinks can pack a whollop.
If you are taking herbal supplements or energy drinks, some of these
may have an adverse reaction with your medication. If you are taking
anything including "natural" products, you can discuss it with your
pharmacist.

In particular, Tylenol, Motrin, Aleve may cause an adverse reaction
when taken with Avalide.

In addition, there are many more over the counter drugs that while
maybe not having an adverse interaction with Avalide should still be
avoided due to your BP, e.g. many antihistamines. Do you have
allergies, what do you take?

Even though you are on a BP medication, you should still think about
better eating habits and exercise. The DASH eating plan has been
clinically proven to reduce BP in many cases eliminating the need for
BP medication altogether - you might want to look into it,
http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/

At least, eat more fruit and veggies.

I don't think that your symptoms would normally be associated with
caffeine/sodium intolerance.

Chili dogs would be like little torpedoes of death for me - but, they
do sound good.

-elgoog
Back to top
Brian K
medicine forum beginner


Joined: 25 May 2005
Posts: 20

PostPosted: Thu May 26, 2005 6:54 pm    Post subject: Re: Low BP, High Pulse Rate... Reply with quote

"elgoog" bjdefend-newsgro...@yahoo.com

"Without a diagnosis, none that are safe. I think you've already
learned
to be careful of the advice you may receive. It's an interesting
problem and I'll give it some thought..."

I appreciate that very much.

"I doubt it would help your specific problem, but it wouldn't hurt to

look into breathing exercises, yoga (stretches only) and meditation.
You might also take a look at what you are eating. It may not help the
specific problem, but it may help you to feel better and cope with this

period while looking for a diagnosis."

Here's an interesting matter regarding diet: My brother who is 6
years older, called me up the day after the first time I ended up in
the ER with a pseudo-heartattack and told me that he had gone through
the vary same routine. He said anecdotally, that he was wondering if
someone was slipping cocaine into his food or something. He went on to
blame the whole problem on sodium and told me that he had restricted
himself to 500mg of sodium a day. He also said he cut out all types of
stimulants; Coffee, cola, tea, "Red Bull" et al. Now, I for some
time also cut way down on the sodium by avoiding any sort of prepared
foods and only eating fresh meats and vegetables that I prepared
myself. However, seeing as I'm on what's supposed to be a really
good blood pressure medication; Avalide 300/12.5 and my BP had been low
to acceptable, and my heart rate had been an average of 80 for several
weeks, I've reverted to eating more prepared foods and consuming
caffeinated beverages at times. Could it be that I'm so sodium and
caffeine intolerant that this finally caught up with me and, BOOM in
one day my heart rate goes sky high and I'm back to the ER again? It
does seem that my heart rate may be gradually tapering off now that
I'm back on an exclusive diet of fresh meats and vegetables with no
sort of seasonings containing sodium.

But then again, maybe my heart rate may be tapering down only because
my thyroid, or my possible pheochromocytoma, or whatever, is settling
back down irregardless of my diet, for the time being.

May 26, 2005 12:45pm: BP 129/80 - Pulse 100.

There were free chilidogs, chips and cola being offered at work today,
I decided not to take any chances :0

Thanks again,
Brian
Back to top
elgoog
medicine forum Guru


Joined: 28 Apr 2005
Posts: 412

PostPosted: Thu May 26, 2005 6:32 pm    Post subject: Re: Low BP, High Pulse Rate... Reply with quote

Brian K wrote:
Quote:
"elgoog" <bjdefend-newsgro...@yahoo.com> wrote:

Brian,
You may want to consider,
http://www.google.com/search?hl=en&q=%22Andrew+B.+Chung%22

Thank you for the links.

When you find a diagnosis, will you let us know?

Yes, and I hope it's sometime this year Smile. My current GP suggested my
trying Zoloft of all things yesterday (he's already got me on Xanax,
which I very rarely feel the urge to use.) I'm going back today to try
and hammer into his head that I'm not under stress or having any
emotional problems. Sure, I'm a little perturbed with my current
medical situation, but otherwise I'm composed, happy, in a good mood
and I sleep like a log.
He says doesn't want to put me on beta blockers because it effects
sexual performance. Thing is, A: I'm not in a relationship right now,
and B: It's doubtful I'd feel up to the task when my heart is doing up
to 120 at rest.

Anyone know of any quick fix heart rate lowering medications, for when
I get those (non anxiety related) 120+ surges?

Wish you the best,
-elgoog

Thank you,
Brain

Brian,

This may interest you, avalide can cause anxiety and rapid heartbeat:

"Avalide is unlikely to produce side effects, and if any do occur they
are usually mild and temporary. Nevertheless, be sure to report all
side effects to your doctor as soon as possible. Only your doctor can
determine if it is safe for you to continue taking Avalide.


More common side effects may include:
Dizziness, fatigue, influenza, muscle and bone pain, nausea, swelling
due to water retention, vomiting

Less common side effects may include:
Abdominal pain, abnormal urination, allergy, anxiety, chest pain,
cough, diarrhea, dizziness when standing up, headache, hives,
indigestion and heartburn, jaundice (yellow skin or eyes), muscle
cramps, nervousness, rapid heartbeat, rash, runny nose, sinus
abnormality, sore throat, swelling in the mouth or face, upper
respiratory infection, urinary tract infection" -
http://www.pdrhealth.com/drug_info/rxdrugprofiles/drugs/ava1542.shtml

Maybe you should discuss an alternative treatment plan.

-elgoog
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elgoog
medicine forum Guru


Joined: 28 Apr 2005
Posts: 412

PostPosted: Thu May 26, 2005 3:44 pm    Post subject: Re: Low BP, High Pulse Rate... Reply with quote

Brian K wrote:
Quote:
"elgoog" <bjdefend-newsgro...@yahoo.com> wrote:

Brian,
You may want to consider,
http://www.google.com/search?hl=en&q=%22Andrew+B.+Chung%22

Thank you for the links.

When you find a diagnosis, will you let us know?

Yes, and I hope it's sometime this year Smile. My current GP suggested my
trying Zoloft of all things yesterday (he's already got me on Xanax,
which I very rarely feel the urge to use.) I'm going back today to try
and hammer into his head that I'm not under stress or having any
emotional problems. Sure, I'm a little perturbed with my current
medical situation, but otherwise I'm composed, happy, in a good mood
and I sleep like a log.
He says doesn't want to put me on beta blockers because it effects
sexual performance. Thing is, A: I'm not in a relationship right now,
and B: It's doubtful I'd feel up to the task when my heart is doing up
to 120 at rest.

Anyone know of any quick fix heart rate lowering medications, for when
I get those (non anxiety related) 120+ surges?

Without a diagnosis, none that are safe. I think you've already learned
to be careful of the advice you may receive. It's an interesting
problem and I'll give it some thought...

I doubt it would help your specific problem, but it wouldn't hurt to
look into breathing exercises, yoga (stretches only) and meditation.
You might also take a look at what you are eating. It may not help the
specific problem, but it may help you to feel better and cope with this
period while looking for a diagnosis.

-elgoog
Back to top
Brian K
medicine forum beginner


Joined: 25 May 2005
Posts: 20

PostPosted: Thu May 26, 2005 3:27 pm    Post subject: Re: Low BP, High Pulse Rate... Reply with quote

"elgoog" <bjdefend-newsgro...@yahoo.com> wrote:

Brian,
You may want to consider,
http://www.google.com/search?hl=en&q=%22Andrew+B.+Chung%22

Thank you for the links.

Quote:
When you find a diagnosis, will you let us know?

Yes, and I hope it's sometime this year Smile. My current GP suggested my
trying Zoloft of all things yesterday (he's already got me on Xanax,
which I very rarely feel the urge to use.) I'm going back today to try
and hammer into his head that I'm not under stress or having any
emotional problems. Sure, I'm a little perturbed with my current
medical situation, but otherwise I'm composed, happy, in a good mood
and I sleep like a log.
He says doesn't want to put me on beta blockers because it effects
sexual performance. Thing is, A: I'm not in a relationship right now,
and B: It's doubtful I'd feel up to the task when my heart is doing up
to 120 at rest.

Anyone know of any quick fix heart rate lowering medications, for when
I get those (non anxiety related) 120+ surges?

Wish you the best,
-elgoog

Thank you,
Brain
Back to top
Brian K
medicine forum beginner


Joined: 25 May 2005
Posts: 20

PostPosted: Thu May 26, 2005 2:26 pm    Post subject: Re: Low BP, High Pulse Rate... Reply with quote

Quote:
Would suggest you ask your doctor(s) to consider the possible diagnosis
of pheochromocytoma.

A possible brain stem tumor huh, I'll have that looked into. Any chance

it could be something simpler such a thyroid problem?
---
Whoops!, should have done a little more research, I saw the word
"medulla" and jumped to a conclusion. I see now it's located in/on
the kidneys.
Another problem I've been having is tinnitus, which some say is related
to the kidneys.

What I don't have in relation to the symptoms of pheochromocytoma
are; No severe headaches, no excess sweating (my hot flashes only cause
a thin layer perspiration briefly).
I have had that anxiety (feelings of impending death) at times. However
yesterday all day while my heart was doing anywhere from 110 to 120, I
felt quite composed. I was feeling cautious about over exerting myself,
but other than that I felt pretty normal going about my daily business.
No nervous shaking (tremors), I'm steady as a rock.
No pain in the lower chest or upper abdomen, except that I've been a
bit gassy. Any chest or abdominal discomfort has been quickly relieved
by a belch or breaking wind. No nausea. And definitely no weight loss
what so ever. I'm 6 feet tall and weigh about 240, which
unfortunately has been the norm for many long years.
Racing heart (tachycardia and palpitations) and hot flashes or heat
intolerance with mild anxiety at best are the only symptoms which seem
to apply to my current situation. Also, I should mention that I've
sensed a very slight tingling in both hands along the sides of the
hands extending into my pinkies. This sensation is equal in both hands.

Thank you again,
Brian
Back to top
elgoog
medicine forum Guru


Joined: 28 Apr 2005
Posts: 412

PostPosted: Thu May 26, 2005 1:55 pm    Post subject: Re: Low BP, High Pulse Rate... Reply with quote

Brian K wrote:
Quote:
Andrew B. Chung, MD/PhD wrote:
Brian K wrote:

I'm a 43 year old male, non smoker, non drinker currently on a low
sodium and little to no caffeine (or other stimulant) diet.

History:
In Oct 2004 I woke up thinking that I was having a heart attack.
I was taken to the ER and they put me through the whole 9 yards
checking my heart and all my test results came out negative. The only
thing that stood out was that my pulse rate was above 100, my BP was
too high and my potassium level was a little low.
I started seeing a GP who finally put me on Avalide 300/12.5, which
brought my BP way down. A lot of the time as low as 115/70 and usually
never higher than 138/80. My pulse rate has been an average of 84
(it's as low as 72 whenever I test myself right after waking up in
the morning).
Between Oct 2004 and May 2005 I've had about 4 milder (anxiety?)
attacks like the one which sent me to the ER, but I was able to was
quell these attacks with a Xanax. My pulse rate didn't get below 100,
but I still calmed down enough to go back to sleep. The next day after
these attacks, my pulse rate was back to an average of 84.

Current situation:
May 23, 2005 I began having that anxiety attack feeling again in the
middle of the day, so I took a Xanax which this time didn't seem to
help any. My pulse rate got higher and higher as my BP got lower and
lower. At the point where my BP was 108/62 and my pulse rate was 140, I
decided to go back to the ER. By the time they had me on a monitor, my
pulse rate was about 120, but at one point surged to 148. It then
finally stabilized to about 112. I was discharged after having been in
the ER about 6 hours and my pulse rate had finally dropped to 98. (I
had an EKG, blood work and chest x-ray again, all negative of course).
Yesterday I got my thyroid checked (at my request) and my GP has
scheduled me to see a cardiologist to get a 30 day heart monitor to
check for possible Superventricular Tachycardia et al.

Right now, two days after, I feel calm and relaxed, my BP is 138/84,
but my pulse rate is 103. Also, I'm experiencing hot flashes (like a
woman does during menopause). Any opinions or recommendations would be
greatly appreciated.

Would suggest you ask your doctor(s) to consider the possible diagnosis
of pheochromocytoma.


A possible brain stem tumor huh, I'll have that looked into. Any chance
it could be something simpler such a thyroid problem?

Thank's again,
Brian

Brian,
You may want to consider,
http://www.google.com/search?hl=en&q=%22Andrew+B.+Chung%22

When you find a diagnosis, will you let us know?

Wish you the best,
-elgoog
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Brian K
medicine forum beginner


Joined: 25 May 2005
Posts: 20

PostPosted: Thu May 26, 2005 1:32 pm    Post subject: Re: Low BP, High Pulse Rate... Reply with quote

Andrew B. Chung, MD/PhD wrote:
Quote:
Brian K wrote:

I'm a 43 year old male, non smoker, non drinker currently on a low
sodium and little to no caffeine (or other stimulant) diet.

History:
In Oct 2004 I woke up thinking that I was having a heart attack.
I was taken to the ER and they put me through the whole 9 yards
checking my heart and all my test results came out negative. The only
thing that stood out was that my pulse rate was above 100, my BP was
too high and my potassium level was a little low.
I started seeing a GP who finally put me on Avalide 300/12.5, which
brought my BP way down. A lot of the time as low as 115/70 and usually
never higher than 138/80. My pulse rate has been an average of 84
(it's as low as 72 whenever I test myself right after waking up in
the morning).
Between Oct 2004 and May 2005 I've had about 4 milder (anxiety?)
attacks like the one which sent me to the ER, but I was able to was
quell these attacks with a Xanax. My pulse rate didn't get below 100,
but I still calmed down enough to go back to sleep. The next day after
these attacks, my pulse rate was back to an average of 84.

Current situation:
May 23, 2005 I began having that anxiety attack feeling again in the
middle of the day, so I took a Xanax which this time didn't seem to
help any. My pulse rate got higher and higher as my BP got lower and
lower. At the point where my BP was 108/62 and my pulse rate was 140, I
decided to go back to the ER. By the time they had me on a monitor, my
pulse rate was about 120, but at one point surged to 148. It then
finally stabilized to about 112. I was discharged after having been in
the ER about 6 hours and my pulse rate had finally dropped to 98. (I
had an EKG, blood work and chest x-ray again, all negative of course).
Yesterday I got my thyroid checked (at my request) and my GP has
scheduled me to see a cardiologist to get a 30 day heart monitor to
check for possible Superventricular Tachycardia et al.

Right now, two days after, I feel calm and relaxed, my BP is 138/84,
but my pulse rate is 103. Also, I'm experiencing hot flashes (like a
woman does during menopause). Any opinions or recommendations would be
greatly appreciated.

Would suggest you ask your doctor(s) to consider the possible diagnosis
of pheochromocytoma.


A possible brain stem tumor huh, I'll have that looked into. Any chance
it could be something simpler such a thyroid problem?

Thank's again,
Brian
Back to top
Andrew B. Chung, MD/PhD
medicine forum Guru


Joined: 25 Mar 2005
Posts: 8540

PostPosted: Thu May 26, 2005 11:02 am    Post subject: Re: Low BP, High Pulse Rate... Reply with quote

Brian K wrote:
Quote:

I'm a 43 year old male, non smoker, non drinker currently on a low
sodium and little to no caffeine (or other stimulant) diet.

History:
In Oct 2004 I woke up thinking that I was having a heart attack.
I was taken to the ER and they put me through the whole 9 yards
checking my heart and all my test results came out negative. The only
thing that stood out was that my pulse rate was above 100, my BP was
too high and my potassium level was a little low.
I started seeing a GP who finally put me on Avalide 300/12.5, which
brought my BP way down. A lot of the time as low as 115/70 and usually
never higher than 138/80. My pulse rate has been an average of 84
(it's as low as 72 whenever I test myself right after waking up in
the morning).
Between Oct 2004 and May 2005 I've had about 4 milder (anxiety?)
attacks like the one which sent me to the ER, but I was able to was
quell these attacks with a Xanax. My pulse rate didn't get below 100,
but I still calmed down enough to go back to sleep. The next day after
these attacks, my pulse rate was back to an average of 84.

Current situation:
May 23, 2005 I began having that anxiety attack feeling again in the
middle of the day, so I took a Xanax which this time didn't seem to
help any. My pulse rate got higher and higher as my BP got lower and
lower. At the point where my BP was 108/62 and my pulse rate was 140, I
decided to go back to the ER. By the time they had me on a monitor, my
pulse rate was about 120, but at one point surged to 148. It then
finally stabilized to about 112. I was discharged after having been in
the ER about 6 hours and my pulse rate had finally dropped to 98. (I
had an EKG, blood work and chest x-ray again, all negative of course).
Yesterday I got my thyroid checked (at my request) and my GP has
scheduled me to see a cardiologist to get a 30 day heart monitor to
check for possible Superventricular Tachycardia et al.

Right now, two days after, I feel calm and relaxed, my BP is 138/84,
but my pulse rate is 103. Also, I'm experiencing hot flashes (like a
woman does during menopause). Any opinions or recommendations would be
greatly appreciated.

Would suggest you ask your doctor(s) to consider the possible diagnosis
of pheochromocytoma.

Quote:
Thank you,

You are welcome, Brian :-)


In Christ's love and service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
Suggested Reading:
(1) http://makeashorterlink.com/?G1D5217EA
(2) http://makeashorterlink.com/?W13A4250B
(3) http://makeashorterlink.com/?X1C62661A
(4) http://makeashorterlink.com/?U1E13130A
(5) http://makeashorterlink.com/?K6F72510A
(6) http://makeashorterlink.com/?I24E5151A
(7) http://makeashorterlink.com/?I22222129
Back to top
Brian K
medicine forum beginner


Joined: 25 May 2005
Posts: 20

PostPosted: Wed May 25, 2005 2:35 pm    Post subject: Low BP, High Pulse Rate... Reply with quote

I'm a 43 year old male, non smoker, non drinker currently on a low
sodium and little to no caffeine (or other stimulant) diet.

History:
In Oct 2004 I woke up thinking that I was having a heart attack.
I was taken to the ER and they put me through the whole 9 yards
checking my heart and all my test results came out negative. The only
thing that stood out was that my pulse rate was above 100, my BP was
too high and my potassium level was a little low.
I started seeing a GP who finally put me on Avalide 300/12.5, which
brought my BP way down. A lot of the time as low as 115/70 and usually
never higher than 138/80. My pulse rate has been an average of 84
(it's as low as 72 whenever I test myself right after waking up in
the morning).
Between Oct 2004 and May 2005 I've had about 4 milder (anxiety?)
attacks like the one which sent me to the ER, but I was able to was
quell these attacks with a Xanax. My pulse rate didn't get below 100,
but I still calmed down enough to go back to sleep. The next day after
these attacks, my pulse rate was back to an average of 84.

Current situation:
May 23, 2005 I began having that anxiety attack feeling again in the
middle of the day, so I took a Xanax which this time didn't seem to
help any. My pulse rate got higher and higher as my BP got lower and
lower. At the point where my BP was 108/62 and my pulse rate was 140, I
decided to go back to the ER. By the time they had me on a monitor, my
pulse rate was about 120, but at one point surged to 148. It then
finally stabilized to about 112. I was discharged after having been in
the ER about 6 hours and my pulse rate had finally dropped to 98. (I
had an EKG, blood work and chest x-ray again, all negative of course).
Yesterday I got my thyroid checked (at my request) and my GP has
scheduled me to see a cardiologist to get a 30 day heart monitor to
check for possible Superventricular Tachycardia et al.

Right now, two days after, I feel calm and relaxed, my BP is 138/84,
but my pulse rate is 103. Also, I'm experiencing hot flashes (like a
woman does during menopause). Any opinions or recommendations would be
greatly appreciated.

Thank you,
Brian
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