Should I see my doctor?? and what can be done?
Sitting BP: 97/74 HR 89
Standing BP: 95/79 HR 123
When doing cardio last week my heart rate stayed between 149 and 189. After stopping my HR jumped to 230, and stayed around that for 30 minutes. Also, everytime I get out of the shower its about 123. If I go up the stairs carrying something heavy its about 165.
Could this be due to my asthma medications? I was on advair, but I had to stop since it made my asthma much worse. Its stayed pretty high ever since then, and everytime I take my rescue inhealer I feel my heart race.
Answer:
At this point your heart is having an inappropriately fast response to exercise for reasons that are not clear. It could be as simple as a thyroid problem or anemia or more complicated, like a heart arrhythmia or a blood clot in your lung. The good news is this is not happening randomly - rather in response to exercise.
I would not try taking any supplements until more is known.
I would visit my primary medical provider to initiate a basic work-up. He/she may think a referral to a cardiologist is appropriate if an obvious cause is not apparent.
A cardiologist might do specialized studies that may shed some light on this matter such as a holter monitor (essentially an EKG for 24 hours) and/or a treadmill stress test.
In short, you are right to be wondering what is happening. It is important to arrive at an answer. I would not be overly concerned at this point, but I would refrain from heavy exercise. If you have sudden shortness of breath, chest pain, perfuse sweating, near fainting or fainting, then I would go to the emergency room immediately.
I hope this helps. Good luck.
Addendum: While your problem COULD be cardiomyopathy and is on the list to be checked (eventually), there are other things on the list as well. Start with your primary medical provider to rule those things out. If he/she is not able to establish an answer, a referral to a cardiologist is appropriate - he/she will do an echocardiogram. It makes no sense to start with relatively rare diagnoses and work backwards.
I would be concerned. See your doctor. He will no doubt get an EKG to look at the electrical activity of the heart. He will have questions to see if you have symptoms concerning for heart disease, or dehydration, considering your blood pressure changes when you're standing. He might ask you to wear a cardiac monitor to catch some of these anomalies.
See a cardiologist tomorrow---have your general practioner get you in on a quick case referal.
You need this looked at quickly. It could well be the medication, the asthma, and the inhaler but you need to have an expert check you out now.
oo, that would make me start looking into things i would check with your doctor, idk, some people just have high hr, my mom has real low HR, its normal for her, a doctor will know for sure though! But 230 WAY high, never should be that high, that would make me nervous!! Good luck!!
If your heart rate jumps from 45 to 123 just by standing up or slowly walking about, I can understand your concern that you have a serious problem.
Your "asthma" may be misdiagnosed, with an underlying heart problem causing fluid to backup in your lungs. (It seems like asthma, but it is a completely different problem.) This may be particularly true if asthma medications do not appear to help you.
Find a way to get to a cardiologist for a full work-up. If you have an HMO like many Americans, get a referral from your PCP. If your PCP won't provide a referral, find a new one who will. You need an ECG and an echocardiogram, IMO, to see what your heart is doing. The ECG will check your heart's electrical activity (a good measure of the timing of the heart). The echocardiogram can assess how well the heart is pumping and if you have any valve problems.
Good luck!
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