
High BP With High Cholesterol. Taking Novartis. Why I Am Getting Slow Heart Rate?

Regards
XXXXXXX
Welcome to Health Care Magic
Anxiety (Panic) and Obesity could cause high BP.
Exercise, Weight reduction and Anxiolytic drugs (Ativan) reduce the pressure.
Don’t worry – No need for concern about the pulse pressure. If the ECHOcardiography and TMT (Exercise ECG) are normal, heart disease is unlikely to be responsible. It is from increased volume of pumping from exercise and overweight. There is no basic problem of the heart now and in the future too, in XXXXXXX Allah.
The heart rate is a bit low. No need to anything. Just observe. Repeat the ambulatory monitoring (Holter) after one year – earlier, if symptomatic.
Allergy to Penicillin before is unlikely to have disappeared now.
Reduce your weight further / Keep your cholesterol lower
Take care
Salaamthak
God bless
Good luck


One time my bp was 160 over 70 difference of 90 ( pulse pressure) but did not last long then it was back to normal and I guess this could be the cause Of panic or anxiety.Usually pulse pressure 65 or even 70 , should I be worry?
Is there any medication to increase only the diastolic or medication that lower only the systolic so with time my arteries would not be damaged or Steffens.
ECHOcardiography and TMT (Exercise ECG) are normal.I did 2 treadmill tests in 2 months apart , all normal but the 1st stress test showed exaggerated bp 200/70 after aproxemetly 6 or 7 minutes of test but the second one days back was normal.
My only concern is I feel my pulse going slow and when I check sure enough it is 57 or 59 but most of the time it's 60 and above while resting. Is this ok? And what should I do about it? And one thing worth mentioning is each time my diastolic is low or in another word when my pulse pressure is high I find the pulse rate low as well.
What is your recommendation.
Thank in advance.
God bless you.
Transient elevation is from stress and no need to worry.
Both volume and arterial stiffness contribute to the raise.
It is common for exaggerated BP response to occur from anxiety in first test.
It is blunted by regular exercise and repeat test.
When the rate is slow, there is more time for the ventricles to fill more and pump more – Systolic is up, Diastolic is down and the pulse pressure wider. Normal and expected.
There is no specific treatment approved to avoid arterial thickening.
Folic acid / Anti-oxidants are sometimes given – not proved definitely.
General measures help – weight a bit less than normal range / Low cholesterol – LDL (100 or less - 70 is ideal) and high HDL (no drugs / life style changes) / no smoking
Holter monitoring later will help to analyse the rate.
Regards
All the best

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
