Does anyone have recurring high blood pressure with high heart rate?

Posted by jwillits8 @jwillits8, Jun 11, 2023

My doctor keeps increasing my blood pressure meds for high blood pressure and high heart rate. When my blood pressure spikes, I feel dizzy and off balance like I could have a stroke.
Any recommendations as tests I should have? I have these episodes when I’m feeling really great.

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Profile picture for bbsimmons @bbsimmons

Am unsure if there is a connection- but about an hour or so after taking my once daily 4mg of blood pressure med, my heart rate suddenly increases (without exercise,) and I feel like I need to sit down. I have never fainted, and when I take deep breaths, it resumes to normal beats per min.
My Dr. thinks that with my age ( 84), the pill lowers my blood pressure too fast, and my heat reacts to this...so she suggested I take my pill at night.
...but I am wondering if anyone else has had this symptom?
(I've had two Cardio workups in the past two years---perfectly normal with no afib, etc. But I get these
episodes now almost daily.) thanks for any suggestions/comments

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@bbsimmons , have you worn a heart monitor for 2 weeks?

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Thanks so much for your reply.
I Am doing the 14 day monitor again starting this week. I did it last year and it showed no afib. I asked to repeat it now. But I have noticed that since decreasing last month from 4mg to 2 mg of blood pressure meds, my episodes have greatly decreased. Is it possible the dosage was too high is my question.
Again, thanks so much. B

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Profile picture for bbsimmons @bbsimmons

Thanks so much for your reply.
I Am doing the 14 day monitor again starting this week. I did it last year and it showed no afib. I asked to repeat it now. But I have noticed that since decreasing last month from 4mg to 2 mg of blood pressure meds, my episodes have greatly decreased. Is it possible the dosage was too high is my question.
Again, thanks so much. B

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@bbsimmons or did your health improve and you didn’t require such a high dose as the reason for lowering it? What was your medication and was it your only one for hypertension?

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Hello and thanks for your reply...
My health has not changed, it is good...but the fact that the episodes started about one hour after taking the 4 mg of Coversyl, led me to ask my Dr. about the possibility of trying a lower dose after noting that my BP readings were almost normal in the mornings before taking the pill... I actually have no idea if the episodes are even linked to blood pressure, but I assume it's a good way to start exploring the situation. From what I can determine, the feeling of increased heart rate, and immediate need to sit down has basically stopped since lowering the dose. However, I can get back to you after doing the 14 day monitor, and should have more information.
Thanks again, B.

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Profile picture for bbsimmons @bbsimmons

Hello and thanks for your reply...
My health has not changed, it is good...but the fact that the episodes started about one hour after taking the 4 mg of Coversyl, led me to ask my Dr. about the possibility of trying a lower dose after noting that my BP readings were almost normal in the mornings before taking the pill... I actually have no idea if the episodes are even linked to blood pressure, but I assume it's a good way to start exploring the situation. From what I can determine, the feeling of increased heart rate, and immediate need to sit down has basically stopped since lowering the dose. However, I can get back to you after doing the 14 day monitor, and should have more information.
Thanks again, B.

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@bbsimmons, from what I'm reading, Coversyl is a drug that works on high blood pressure but does not help with heart rate. I have labile hypertension, not your problem, and I take a Beta Blocker (Carvedilol) among the 3 meds to help with my tendency toward palpitations (racing heartbeat). It works well. Not sure this is helpful.

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Profile picture for jwillits8 @jwillits8

@johnbishop
Thank you for replying
I have spoken to my Dr more than once about possible kidney issue
I had a scan that showed a cyst on kidney but dr wasn’t concerned. I’ve mentioned adrenal glands also to no avail. I’m in a small town but not far from Madison Wi University clinics. I have had low potassium and sodium levels. I’m going to ask for a referral to Madison for aldostronism/cyst on kidney/adrenal glands and cardio.

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@jwillits8 if you have traditional Medicare you don’t need a referral, but it can help facilitate things at a university facility.

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Profile picture for jenatsky @jenatsky

@jwillits8 if you have traditional Medicare you don’t need a referral, but it can help facilitate things at a university facility.

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@jenatsky I have Medicare and BCBS supplement that says I don’t need a referral, but clinics always want one.

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Profile picture for jwillits8 @jwillits8

@jenatsky I have Medicare and BCBS supplement that says I don’t need a referral, but clinics always want one.

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@jwillits8 what you can do without a referral is go to the emergency room. With the symptoms you’re having and your medical history this would be more appropriate than an urgent care center.

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Years ago, I began having episodes of spiking blood pressure occurring after taking a medication. My doctor at the time had raised the dosage of thyroid medication (Synthroid) that I was taking and it caused my blood pressure to spike very high within 1 to 2 hours of taking it. The pressure readings stayed high for about an hour or so, then would go back to normal. I notified my doctor and he assured me that it should NOT be caused by the higher dose of Synthroid. Even though it was very unsettling, I kept taking the higher dosage for about a week but carefully documented it every time it happened so that I could show my doctor. He could not explain why it was happening but also could not deny what was shown in the documentation. He put me back on the lower dosage and I never had another episode. Since that time, I have found a new doctor who is more careful about adjusting my thyroid meds, raising the dosage in smaller increments.

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