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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