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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Does My Heart Rate Increase Upon Standing And Walking?

Hello, I am a 24 year old female and lately I noticed my heart rate increases a lot when standing up or walking casually. When I am laying down my heart rate is around 65 bpm and when I stand up and start walking around the house it goes to 150-160 bpm. When I go out and walk for about 10 mins I start getting really sweaty and feel hot, and sometimes I m completely out of breath. Ive been told couple years ago by my GP that my blood pressure drops when I stand up. Could this be heart failure, or Postural Orthostatic Tachycardia Syndrome? Also in the past year I ve been very sedentary because of my college work, with most days not leaving the house or only walking for shorts periods of time. Is it something wrong with my heart or I m just very unfit, due to a very inactive lifestyle for the past year?
Thu, 23 Aug 2018
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Cardiologist 's  Response
Hello!

I passed carefully through your question and would explain that your symptoms could be related to orthostatic hypotension or intolerance.

Postural tachycardia syndrome is not usually associated to drop in blood pressure values.

Coming to this point, I would recommend performing a Head Up Tilt test to investigate for orthostatic intolerance.

Some other blood lab tests (complete blood count, PCR, ESR, blood electrolytes, thyroid hormone levels) are necessary too.

Hope to have been helpful!

I remain at your disposal for any further questions, whenever you need!

Kind regards,

Dr. Iliri
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Why Does My Heart Rate Increase Upon Standing And Walking?

Hello! I passed carefully through your question and would explain that your symptoms could be related to orthostatic hypotension or intolerance. Postural tachycardia syndrome is not usually associated to drop in blood pressure values. Coming to this point, I would recommend performing a Head Up Tilt test to investigate for orthostatic intolerance. Some other blood lab tests (complete blood count, PCR, ESR, blood electrolytes, thyroid hormone levels) are necessary too. Hope to have been helpful! I remain at your disposal for any further questions, whenever you need! Kind regards, Dr. Iliri