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Why is my pulse rate so high?

Wednesday, 09 August 2006
Answered by: Dr. D.D.K. Rolston
Consultant Physician,
Cleveland Clinic Foundation,
Cleveland, USA
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Q. I am 28 years old. I got married 6 months back. I take non-vegetarian food but do not smoke or drink. Neither do I have any addiction. For the last 3 months, I have routinely got my blood pressure (systolic/diastolic/pulse) checked and found that – systolic: 100-115; diastolic: 65-75 and pulse rate: 100-110. I feel that my pulse rate is quite high from normal. These readings were taken when I was calm. Why is the pulse rate so high? What regulations or medicines should I take to make my pulse level drop to the normal level? Is there a possibility of any disease? I feel fine otherwise.

A.  Your blood pressure is normal but as pointed out by you your pulse rate is not normal. It certainly is reassuring that you feel well. Nevertheless, I recommend you see a physician so that a determination can be made if the heart rate is regular (which it normally should be) or irregular. Once that determination has been made several medical conditions need to be excluded. I have listed some of these below: 1. Hyperthyroidism - overactive thyroid - this is a fairly common condition and its presence can be detected by examination and blood tests. 2. Anxiety - this is self explanatory 3. Pheochromocytoma - this gives rise to episodic rapid heart beat and is a tumour of the adrenal gland - rare 4. Anaemia - if your haemoglobin is low. 5. Atrial fibrillation - is irregular heart rate because the atrial chambers of the heart are not beating regularly. 6. Exposure to stimulants (nicotine, caffeine) or illicit drugs.

A.  Your blood pressure is normal but as pointed out by you your pulse rate is not normal. It certainly is reassuring that you feel well. Nevertheless, I recommend you see a physician so that a determination can be made if the heart rate is regular (which it normally should be) or irregular. Once that determination has been made several medical conditions need to be excluded. I have listed some of these below: 1. Hyperthyroidism - overactive thyroid - this is a fairly common condition and its presence can be detected by examination and blood tests. 2. Anxiety - this is self explanatory 3. Pheochromocytoma - this gives rise to episodic rapid heart beat and is a tumour of the adrenal gland - rare 4. Anaemia - if your haemoglobin is low. 5. Atrial fibrillation - is irregular heart rate because the atrial chambers of the heart are not beating regularly. 6. Exposure to stimulants (nicotine, caffeine) or illicit drugs.

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