pressure and rapid pulse?
Question: Dear Doctor. I beg you to give me a plausible answer as a pair of cardiologists completely confused me. I am 24 years old. in the spring of that year saw the instability of the pressure rose to 140/95 in the morning (usually it was 120/80 110/70), fatigue, headaches with pressure, and the feeling of heaviness in my heart. examined the kidneys (ultrasound) – normal, UZDG vessels of the neck and head in the norm, in general, all examinations were normal. Optic fundus relatively normal. Parents – high blood pressure suffer from age 35. (счас 55). Last year I did RCHA AVURT, initially had sinus tachycardia, I explain that since being established sinus node. счас feel in terms of heart pah pah excellent, no paroxysms. Overall feeling unstable. My head aches, pressure jumps. Cardiologist advised decides to start non-drug hypertension – swimming, limit salt and t d, and under pressure to take Capoten under the tongue at a dose of 12.5 to 25 mg depending on the figures. Recently the condition (3-5 times in the last month) when the eyes dull and point pressure 150-100,165-100, sick, throw it in the heat to cold and reduced pressure kapotenom. crises stoped only magnesium intravenously. Did hell and Holter monitoring. Results of Holter: daytime average heart rate 94 (min 60), night 70 (min 60), with loads of 120 (min. 95). extrasystoles and arrhythmias no circadian index of 132%, the overall average heart rate 84 beats / min, tolerance to stress is high variability in rhythm is preserved, the ratio of high-and low-frequency components of a balanced, the load did not lead to the appearance of ischemic ECG changes. Work hard, stressful, often at the monitor and on the road, load large (bag over his shoulder at least), emotionally unstable. He came to the district cardiologist who said, 'Drink from Concor otherwise frustrate frequent pulse rhythm "(?????), betablokatory it besides that I can not stand at all! (Up RCHA to prevent paroxysms that not only tried Inderal, Locri, sotaleks, Concor, which is what all even min. doz – decrease in heart rate to 45-50 bpm. min (1,25 Concor was) and bronchospasm. I went to a second cardiologist frightened (PhD resublikansky Cardio Ufa) that assessed Holter said that curtail normal pulse is not necessary, but simply to drink valerian, saying that the days off pulse is good (I myself have noted, too, but when calm and at home, closed, positive emotions and pulse about 70-75 times) and the pressure is advised to adjust Lozapom 50 mg / d. e. my questions. 1. Can a rapid pulse to disrupt the rhythm?? harmful if sinus tachycardia? yes and what if the slow path in the heart was giving AVURT removed, no paroxysms and no worries in my heart. 2. Do I have to drink if beta-blockers and a rapid pulse of at least one evening, getting back to normal (for the hell of a monitor 63 and above depending on the action and loads) 3. Should I start treatment of hypertension, or to wait a while LOZAPOM crises began to appear already, and the pressure prevents work. 4. is it possible to swim. 5. what is the pulse rate at rest for my age alone? and if it is a load of A in the normal rest a bad thing??
Answer: Does the fact these recommendations for medicinal effects (http://doktor. ru / qa / davlenie / article. html? id = 51966, incl. autotraining!)? 165-100 did not require intravenous administration of magnesium; hypertensive crisis such states can not be called (unfortunately, the pulse rate during an attack is not specified). Capoten is in the doses and 50 mg, takes effect within an hour, how much time waiting before calling an ambulance? Valeryanku drink? That is, before answering the first three questions I want to understand whether you comply with previous recommendations. You can swim and you have advised. Holter showed that "the ratio of high-and low-frequency components of a balanced"; normal values of pulse from 55 to 90.
