
What Do Fluctuations In The Pulse Rate Indicate?

Good day.
My question is about pulse rate.
I have a pulse rate of 75 in the mornings before I go to.office.
When I check the pulse in the evening, 6 pm to 7 pm while resting, it's between 80-85
Also noticed that immediately after getting up.from bed I the mornings pulse rate is 65
I started checking this during my last annual medical checkup.
My pressure is low in the mornings 75 /115 and high when I return home from office 84/130 but it becomes normal if I relax for.sometime.
My worry is about pulse rate going high in the evenings
Thank you
XXXX
The reading mentioned is perfectly Nomral . No need to worry at all.
Detailed Answer:
Hello XXXXXXX
I am Dr. Mody and I would be addressing your concern.
As I start I would like to reassure you that the reading you have described is perfectly withen nomral limits and you should not worry at all .
We have to understand and pulse and blood pressure are vitals of our body ,they are never static and changes according to the needs of our body .
Rather such change is a sign of healthy heart , it means our heart is able to adapt to need of our body .
In early morning when you just get up , the need of oxygen of the body is minimum and hence the pulse and blood pressure is on lower side , the the day starts active body movement, food and work stress of the day brings the pulse and blood pressure on a higher note ( the values you have mentioned in evening are also withen nomral limits ) which 2 old again come to basal when at night you relax.
Hoping I could help you resolve your doubt s.
Let me know if any clarification is needed.
Regards Dr Priyank Mody.


Thanks a lot for the reply, this gives a lot of relief to me.
I started observing the pulse rate and pressure etc . after a particular issue continue to have.
I do almost 45 minutes of walk every day in the morning without any difficulties and feel good about it.
But when I do exercise in the evening, - 5 pm 6 pm around, and and try to relax, a sudden fluttering feeling comes on my chest.
This happens just after I stop walking (in less than two minutes just after exercise).
It does not happen during exercise.
I don’t feel any pain or loss of breath, but the flattering literally frightens me.
The feeling lasts for lest XXXXXXX 2-3 seconds.
But the the panic I experience is very bad.
I also observe that the triggers are mainly when I try to talk after exercise, also while try to control breath after exercise.
This sometimes happens also when I talk to someone for a long time and when stop and relax.
Also if I suddenly get up from my seat while working.
I can say the frequency of such occurrence is once in 2 weeks or a once in a month.
Is there any tests to be taken for my issue so that I can get to know what exactly I am experiencing?
Although, it appears to be a silly issues for many of my friends, it really makes my anxious.
I did X_Ray, ECG and all annual checkups and everything came out fine.
Once again thanks for the advice and look forward to hearing from you
The symptoms are mostly not due to heart
Detailed Answer:
Hello XXXXXXX , I went through the information you have provided in detail .
If the reason of fluttering you describe would be heart , it should have been during the exercise and post that . Considering your age , base line nomral health evaluation , I don't forsee any cardiac cause for the same .
However just to be sure just see that 2 d echocardiography during health check was nomral.
If is very trouble some and occurs daily , a 24 hour holter is the best way to make sure the heart rhythm was nomral during the episode, again I don't see that is a absolute necessary test at this point of time .
I would suggest you take antacid , neksium 40 mg for atleast 3 weeks , any many times some reflux gastritis can cause similar symptoms.
Regards Dr Priyank Mody

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