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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High Blood Pressure And Tachycardia

Dear Doctors, First let me say thank you for this site. It is a relief to read your quick replies and I hope i may have an answer to my concerns soon. I am a 29 year old male, 6.0 ft tall and i believe in fairly good shape. My history is that i pre hypertension, have continues tachycardia (rest bpm 100 -107), palpitations and asthma. I have seen a cardiologist about the heart rate/high blood pressure. I have been prescribed a calcium channel blocker ( i dont handle beta blockers well) as well as diagnosed with MVP. The issue is as follows: I have noticed an alarming trend that after exercising my heart rate rises to 130bpm+ for a few hours, i feel extremely faint, and extremely tired (sometimes falling asleep without wanting too). I have also noticed sudden twinge like pain near my left breast (it doesnt feel like a muscle spasm) and headaches to the point of wanting to vomit. My cardiologist is booked for a month! Any ideas or recommendations would greatly be appreciated!
Fri, 10 Apr 2015
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Psychiatrist 's  Response
Hi welcome to hcm
I understand your query and concern.
Irregular heart beat in your case are suggestive of any arrhythmias of heart which means abnormal conduction abnormality of heart.I advise you to get an ECG,2 D Echo of your heart immediately to confirm the diagnosis.I also advise you to get lipid profile,complete blood picture,chest x ray immediately as a part of routine check up.Drugs like Amiodarone,Betaloc,Pantop 40 mg will be helpful in your case.Avoid stress and anxiety.Avoid smoking ,alcohol,fatty foods.Abnormal lipid profile if present in your case should be treated with atorvastatin.Monitor blood pressure and heart rate immediately.EP study and radiofrequency ablation will be the procedure of choice.Consult your cardiologist for expert management.
Post your further queries if any,
Thank you.
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Suggest Treatment For High Blood Pressure And Tachycardia

Hi welcome to hcm I understand your query and concern. Irregular heart beat in your case are suggestive of any arrhythmias of heart which means abnormal conduction abnormality of heart.I advise you to get an ECG,2 D Echo of your heart immediately to confirm the diagnosis.I also advise you to get lipid profile,complete blood picture,chest x ray immediately as a part of routine check up.Drugs like Amiodarone,Betaloc,Pantop 40 mg will be helpful in your case.Avoid stress and anxiety.Avoid smoking ,alcohol,fatty foods.Abnormal lipid profile if present in your case should be treated with atorvastatin.Monitor blood pressure and heart rate immediately.EP study and radiofrequency ablation will be the procedure of choice.Consult your cardiologist for expert management. Post your further queries if any, Thank you.