wide range heart rate and bp, need to worry?

[mam360]

lately i have passed out at home, i have hade 3 ekg's with rate of 51, 54, and 62.  but it has also ranged up to in the 90's ( i check it at home)  My Bp has been as low as 69/42 up to 160's over 100's. I do have 3 cardio tests sxcheduled plus a holter monitor on nov 10 and 11, 2008  .  any ideas or opinions?

Mary

[Jerry_NJ]

Responding to your question about my monitor numbers.  I had a 24/7 monitor on for at least 20 days (don't remember exactly how long) and it was in part because my ER put me on heavy dosage of Rythmol SR (425 mg twice a day).  All that came of that was confirmation that I am in AFib all the time and I didn't have any negative effects from thr Rythmol, nor any good effects.  I was also taking 200 mg Metoprolo ER to hold my HR down in the 80s or so.  The HR did, via my own monitoring, get down to low 70s at rest, but I had to get up REAL slowly or get dizzy.  I have gone down to 100 mg Metoprolo and 0 mg Rythmol as my HR isn't as wild as it had been and the Rythmol wasn't doing any good.  My BP is typically 120/65 or thereabouts.  I think it would run closer to 135/75 if I wasn't on Metoprolo for HR control.  

I'm trying the addition of fish oil, omega 3, and my try cutting back on Metoprolo to 50 mg per day.  I haven't discussed this last idea yet with my doctor.  I'll wait a few days to see if I can detect any changes.

[Me967]

Hi.  I also have had a lot of issues with a BP and HR that fluctuates alot from week to week and sometimes within a day.  One time it will be 105/65 HR 75 and the next can be 150/100 HR 130.  In all reality the numbers wouldn't bother me if it wasn't for all of the symptoms that go along with it.  

I'm guessing you will probably get an echo and a stress test.  Do you have the chest pains, SOB, back pains, lightheaded, etc.?  

I just hope they find out an answer for you.  Please keep us posted and Best Wishes on feeling better.  Amy

[mam360]

Hello,
The holter monitor only measures the HR.  All these  numbers were taken at rest either laying or sitting so that is why Dr. said they are not normal. Why did you undergo longterm monitoring and what did they find? I do have a left kidney that is nonfunctioning
with chronic hydronephrosis. The cardio guy doesn't know if that is a factor yet .
One previous urologists said the kidney must go and doing research now, it would appear that can cause heart problems. I am just learning this on my own but having a hard time getting a doctor to say anything.

Maryr

[Jerry_NJ]

Most of the HR numbers you quote look good to me.  The 69/42 BP looks troublesome and is low enough to cause one to pass out, I believe.  At least if standing when the BP is that low.  The high of 160/100s is also troublesome in my view, is that at rest, or are you exercising?

You're doing the right thing to get checked out.  The holter will just give HR, right?  I have undergone long term 24/7 monitoring and in my case if was just HR, no BP.

Best,
Jerry