Tachycardia hypertension palpitations.

Dear All,

I am 26 years, white, male, overweight. I rarely drink alcohol and rarely smoke. I have a high blood pressure (up to 100/140), when in bed it is 75/120.

Since December 2002, something happened. After smoking (approx a pack a day) and lots of coffee, one evening I felt a heart pain and my pulse run very fast (more than 150 beats in bed) and then changed to a very slow one (less than 60 beats per minute) just after seconds, when I was in bed.
Now (stopped smoking and coffee), sometimes, I continue to experience this sensation, especially when I change my position. Example: in bed my rate is 70 beats. In the moment I get up it decreases to 55-60, and then 10-20 seconds after it rushes to 90/100. I also sometimes feel palpitations, which are very unpleasant. My blood pressure also changes, even if I am in bed. Sometimes I feel pain in the chest area as well.

EKG is normal, normal results on the step test, blood tests show low level of cholesterol, normal level of thyroid gland. The holters revealed that I have a sinusal tachycardia (avg heartbeat rate for a 24 hrs of 89) and there are extrasystoles present, but that was it.

1) Please tell me what it might be? When I change position I feel like my heart will stop, my pulse changes significantly (first down then up) and I experience a periods of extrasystoles. I did not have such problems before.

2) Can tachycardia happen because I am overweight?

3) What futher tests should I do?

4) Any connection to stones in the gall bladder (I have stones)?



Thank you very much
Sincerely,
Peter

[Cleveland Clinic]

Peter. Thank you for the post.

I'm not sure what to make of all of your symptoms. Truly if all you had were sinus tachycardia and "extrasystoles" then most of your symptoms are probably related somewhat to your weight and a certain degree of deconditioning.

I would be interested to see you actually use a heart rate monitor and bood pressure measurement to acurately plot out what your heart rate and pressure do when you stand.. Usually when you stand you should have a relatively rapid increase in your basal heart rate and a slight increase in your blood pressure. Some peopl have faulty systems that control their heart rate and blood pressures. I doubt this is the case with you still becuase even in those situations heart rate tends to increase, out of proportion to others.

If you do any furter test, it would be to document the above closely.  

Tachycardia can easily happen becuase you are overweight. It is a sign of deconditioning.

There is no connection between gallstones.

hope this is a start

[Keizer Soze]

Thanks a lot!

I hope I do not really bad problems. In this respect I started loosing weight. I will definitely measure my pulse and pressure when I change position.

Your oppinion (I perfectly understand that it cannot substitute a real medical examination performed in your clinic), coincides with the oppinions of three other cardiologists.
I am just afraid that I can have problems with the electrical wiring of the heart.

Thanks again,

Have a nice day!

Peter

[tessa0825]

Im confused about the numbers you report on your BP readings...Ive had HBP for 31 yrs and Ive never seen numbers look like that....Are you sure you dont have them reversed? How can the bottom number be higher than the top number? Seems like your blood would be flowing backwards if those numbers were correct.....Tessa