Hi Thank U. My Top (s) # Has Been 180's

Posted on Sat, 27 Oct 2018

Question: Hi thank U. My top (s) # has been 180's after walking fast, or doing
Work around yard by lower heart rate never raises above 87
.....I am concerned over this. Do U have suggestions. T U
Should I see dr. , I struggle with my breathing when this happens
i check my BP each day, several times when this happens

Answered by Dr. Ilir Sharka (35 minutes later)

Brief Answer:
I would recommend performing some tests:

Detailed Answer:
Hello!

Welcome and thank you for asking on Ask a Doctor service!

I understand your concern and would explain that it is quite normal to have a higher heart rate during physical activity.

Anyway, considering the fact that you have extreme shortness of breath during these episodes, I would recommend consulting with your attending physician for a physical exam and some tests:

- a resting ECG and a cardiac ultrasound
- complete blood count for anaemia
- blood electrolytes for possible imbalances
- a chest X-ray study and pulmonary function tests to investigate for possible lung disorder.

An exercise cardiac stress test would help investigate for possible coronary artery disease which could trigger this clinical situation.

You should discuss with your doctor on the above tests.

Hope you will find this answer helpful!

Wishing good health,

Dr.Iliri

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng