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What Does My Lipid Profile Test Report Indicate?
Question: Hi, I am hypertension patient & BP is well controlled with medication ( avg BP 115/74) but I am having anxiety problem & any small problem/changes in my body leads to think me that this something to do with my heart or BP & suddenly I stressed out BP goes & pulse goes high & after sometime when I calm down all goes normal again. Presently I am taking telmisartan + Hydrochlorothiazide & beta blocker & for anxiety clonazepam .5 + Escitalopram 10. I have done my ecg 2 times in last 6 months which is absolutely normal. My lipid profile is total 215, ldl - 131 Hdl- 50. My present concern is my pulse rate which was used to be at in 70s but since last 10 days it has increased like just after waking up 75-85 during day to day normal activity lower 90s after lunch 95-110 again come back to lower 90s post 3-4 hour of lunch. My BMI is 28. Please advice whether it is just stress / anxiety & how can I brought down my pulse. Please help.
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank your for asking on HCM!
Regarding your concern, I would explain that your actual heart rate values are perfectly.
The fact that your heart rate increases after lunch, may be related to the abdominal distension and postprandial hypotension, leading to reflexive tachycardia.
But, these changes do not indicate any serious medical disorder.
I would just recommend avoiding large meals and try to eat more frequently and in small portions. This would help avoid these troubles.
Regarding the spikes in your blood pressure during anxiety, you should know that this is a normal reaction from the activation of the sympathetic nervous system, causing a load of adrenaline and noradrenaline in your blood, leading to an increased heart rate and blood pressure. This happens in every normal person, and no treatment is needed if your mean blood pressure values are within the normal ranges most of the time.
So, to conclude, I would just recommend performing a new ECG, just to exclude QT prolongation (which is a known adverse effect of escitalopram) and some other blood lab tests to exclude other metabolic causes that may trigger your troubles:
- thyroid hormone levels for thyroid dysfunction
- complete blood count for anemia
- blood electrolytes for possible imbalance.
If these tests result normal, there is nothing to worry about. Just follow the above recommended tips on eating.
It is also important avoiding caffeine and alcohol intake.
Hope to have been helpful!
Feel free to ask me again whenever you need!
Kind regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank your for asking on HCM!
Regarding your concern, I would explain that your actual heart rate values are perfectly.
The fact that your heart rate increases after lunch, may be related to the abdominal distension and postprandial hypotension, leading to reflexive tachycardia.
But, these changes do not indicate any serious medical disorder.
I would just recommend avoiding large meals and try to eat more frequently and in small portions. This would help avoid these troubles.
Regarding the spikes in your blood pressure during anxiety, you should know that this is a normal reaction from the activation of the sympathetic nervous system, causing a load of adrenaline and noradrenaline in your blood, leading to an increased heart rate and blood pressure. This happens in every normal person, and no treatment is needed if your mean blood pressure values are within the normal ranges most of the time.
So, to conclude, I would just recommend performing a new ECG, just to exclude QT prolongation (which is a known adverse effect of escitalopram) and some other blood lab tests to exclude other metabolic causes that may trigger your troubles:
- thyroid hormone levels for thyroid dysfunction
- complete blood count for anemia
- blood electrolytes for possible imbalance.
If these tests result normal, there is nothing to worry about. Just follow the above recommended tips on eating.
It is also important avoiding caffeine and alcohol intake.
Hope to have been helpful!
Feel free to ask me again whenever you need!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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