Fluctuations of heartrate

[hankstar]

Thanks for taking my questions.

My questions are . My average heartrate during the morning and afternoon are between 85 to 105 bpm. It usually rises right after
eating.
From around 5 pm My average heartrate is around 80 bpm and at night it averages between 54 and 62 bpm. I take Cozaar 50mg daily
for borderline hypertension, which I would say contolls my B/P quite well . Again my B/P during the day averages between 125/85 to 120/80, but at night my B/P averages around 110/70.
I suffer from ankylosing spondylitis, which is usually worse in the morning, Do you think this disease might actually contribute to the these fluctuations in heartrate and B/P.
  I had an Echo done two and a half years, which showed marginal concentric LVH, which the doctor said was probably due to mild hypertenion, measurements on diastole measured between 10mm to 12mm, I understand the normal range is 8mm to 11mm, Would you suggest another echo at this time or do you think it can wait a bit longer> I had an ECG in  Feb this year which was normal.
I do suffer from PVCs , but since I stopped taking atenolol, the PVC are few and far between thank goodness. It slowed my heartrate but aggravated the PVCs. Do you think that beta blockers can aggravate PVCs in some persons, while helping others?
And last but not least, Are you aware of data or studies that show or suggest that people who usually complain of PVC , Pacs and palpitaions are usually shown to actually have stronger and healthier hearts than average?

Thanks in Advance,
     hank.

[another housewife]

I am a 26 yr old female that has been experiencing heart palpitations since I had my first child which was 7 yrs ago.  They seemed to get worse when I was pregnant but now I've had them a couple of times when I'm not.  I am a smoker, but not a heavy one.  I smoke less then a pack of ultra lights a day.  I have 3 children of my own and a stepdaughter on the weekends.  I don't get out of the house without them, so doctors seem to think I have anxiety.  I have had the echocardiogram and worn holter monitors and nothing is wrong.  If anyone has any ideas on what causes these or how to help please comment.  I like the idea that palpitations could mean you ahve a stronger heart then normal, it makes my fear of heart attacks less.

[Kandace]

I am 32 years old I have had heart palpitations for over 3 years now. I have had the heart monitiors and now recently had an echo done and at the end of the month i am to have yet another halter monitor. My heartrate always runs fast between 82 and 98 bpm. I was mowing the grass the other day and my heartrate went up to 152bpm. That scared me, I was also jumping on a trampoline for about 5 minutes and it went up to 132 bpm.  Is this normal? i am a fairly active person, I dont feel as though my heartrate should rise to that extream. my palpitaions get worse when i have my period. I do smoke about 3/4 a pack a day. my doctor told me about the effects that caffine has on the palpitations and i have really cut back to almost nothing and still have seen no change in them or my heartrate. Am I at risk for a heart attac when my heart rate goes up that high? and with having palpitaions>?

[Clemmie]

In regaurd to a fast heart rate or pluse rate if you are losing alot blood due to a heavy monthly period you may be very low in iron directed to women only .   I know  I had this problem which has been corrected with iron tablets prescribed only by my doctor.                                                                                                                                                 Diane

[jaz5802]

My sister is a RN.  She says when you eat, the heart pumps blood to the stomach for digestion.  This is normal and does in fact tend to increase your heart rate.

I used to get a very rapid heart rate after eating certain meals. I have read that this can occur when you have a food sensitivity.

Just something to think about.

Beth

[sheryl1945]

Hi...Regarding your heart rate increasing after you eat...I'm 57 years old and my heart rate always increases after I eat.  Don't know why (I never asked my doctor) but I think this is pretty normal.

[CCF-M.D.-KE]

Dear Hankstar,

Good to hear from you. Routine exercise will result in an overall lowering of the heart rate. As a result of your ankylosing spondylitis are you able to exercise? The heart rates you describe are not outside of the normal range.

An echocardiogram done every 2 to 3 years is probably reasonable for you unless you develop new symptoms, in which case it should be done sooner.

Beta blockers are usually the first line of therapy in people with PVCs. There are some rare cases where slowing the heart rate may predispose one to ventricular beats. I do not know if this particular condition applies to you.

I am not aware of any data suggesting that people with PVCs, PACs and palpitations are healthier than average. In the setting of a structurally normal  heart these findings do not worsen one's long term prognosis. Hope things are going well.

Thanks for your question,

CCF-MD-KE