I had an exercise stress test, which came back normal, and an echocardiogram. Overall the echo was fine. My EF was 53% and and the summary said I had sinus tachycardia. In addition, the results stated that I have borderline global hypokinesis. The size of my left ventricle is normal, but it isn't moving optimally (left ventricular systolic function is borderline reduced). I have always had high blood pressure readings, generally over 130 and in the upper 80s, sometimes over 140. As such my cardiologist has put me on 10mg of ramipril.
Now, my blood pressure is always below 120/80. I had a follow-up with my cardiologist this week and mentioned that a couple of times after jogging the irregular heart rate detector on my Omron BP 710 blood pressure monitor flashed.
"An irregular heartbeat rhythm is defined as a rhythm that is more than 25% slower or 25% faster from the average rhythm detected while the monitor is measuring the systolic and diastolic blood pressure."
I also mentioned some mild dizziness after I stop jogging. He didn't seem to be bothered by either and told me to drink lots of water. I also asked him if I should worry about pushing it while I exercise, and he said, "no."
However, this morning I was checking my blood pressure (109/64, pulse 81) and the irregular heart rate symbol came on - I had just woken up.I did some jumping jacks, checked it again (142/81 pulse 102), and the irregular heart rate symbol came on, again. I checked my BP five minutes later, 118/71, pulse 72, and no symbol. I have also noticed that when I first start jogging I can hear my heart pounding in my head, but it goes away.
I'm a little worried, and I am contemplating calling my cardiologist back and seeing what he thinks about me wearing a Holter monitor. Is it possible that the Ramipril is lowering my blood pressure to much and that is causing an arrhythmia? Is it the hypokinesis? Should I just relax and listen to my cardiologist?