What causes high blood pressure with high pulse rate?
Patient: My 46 year old male friend has been feeling unwell, his blood pressure is quite high and is heart beat is very high, some readings have been 91 and above. I would be very grateful for some advice about how normal this is, he is asthmatic and takes medication, his breathing is very hard, but not like an astma attack, the slightest thing makes him breathless, he takes other medication like co codomol and amitriptyline, he has had pain in his stomach right by the rib cage that it is thought might be an ulcer. but we are quite concerned about the heart beat, sometimes it has been very fast and it is pssible to hear a ticking fluttering type noise, very clearly. please any advice would be a help. Thanks Doctor: Hello,  It is necessary for performing some tests in order to investigate for the possible causes underlying tachycardia and high blood pressure values:   - a resting ECG and cardiac ultrasound - complete blood count for anaemia - thyroid hormone levels for thyroid gland dysfunction - kidney and liver function tests - PCR and ESR for inflammation - blood electrolytes for possible imbalance.   Increasing the doses of anti-hypertensive drugs may be needed, in case all the above tests result normal. You should discuss with his doctor on the above tests.   Hope I have answered your query. Let me know if I can assist you further.  Take care  Regards, Dr Ilir Sharka, Cardiologist