Should i be concerned about high pulse rate and BP?
Patient: My pulse has been running the last two weeks between 100-115 BPM. My BP has been running higher too. I feel out of breath and at times I feel the rapid beating. Is this anything to be concerned about? I am on Lisinopril now 10mg. But haven't seen much difference in the BP readings or the pulse reading Doctor: Hello. Thank you for your question and welcome to HCM. I understand your concern. There are a lot of physiological fluctuations of blood pressure and heart rate during a day. This comes from various physical, psychological and hormonal changes that happen in our organism in a day. Lisinopril is a drug from the angiotensinogen converting enzyme inhibitor (ACE-I) family, effective and safe in lowering the blood pressure, but does not exert any effect on the heart rate. If the blood pressure figures remain high, the it can be discussed to switch lisinopril with another drug or keep it and add a second blood pressure-lowering drug to your regimen. I would recommend a drug from the beta-blocker or calcium channel blocker (verapamil and diltiazem) family, because, besides having effects on lowering the blood pressure, they also have the feature of slowing the heart rate down and reduce the heart workload. You can discuss with your curing cardiologist, about the precise drug, dosage and frequency of usage. I hope I was helpful with my answer. Kind regards. Dr. Meriton