FROM OUR EXPERTS
I have high blood pressure, but I do not know the cause. I have been feeling like my heart is pumping way too hard sometimes for no reason. My heart rate is normal most of the time, but the actual beats feel forceful. This is a good question. I have many patients who are aware of their heart beat. This is often called feeling “palpitations.” There are many causes of such palpitations and an evaluation by a doctor is important. This will usually include an ECG and sometimes a monitor to take home to record an episode of palpitations as it occurs. If a concerning heart rhythm, or arrhythmia , is identified a cardiologist should be consulted for further diagnosis and treatment. However, most of the time palpitations are easily treated. Some of the at home treatments for palpitations I discuss with my patients include: Adequate hydration: If you are dehydrated the body will respond with an increased heart rate – which can feel like a forceful beating Avoidance of caffein...
The big news announced yesterday was that people older than 60 can now have higher blood pressure before their doctors will tell them to take drugs to bring it down. But the guidelines for those of us who have diabetes remain the same.
An expert panel says in its new guidelines that people over 60 need to keep their blood pressure below 150/90 rather than the 140/90 level as previously recommended. And people with diabetes of any age still need to keep it below 140/90.
The expert panel of 17 academics reported its findings in JAMA , the Journal of the American Medical Association after reviewing the evidence for the last five years. The full-text of its report, “2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults,” is free online .
The goal for people with diabetes, 140/90, means a systolic blood pressure of no more than 140 millimeters of mercury, abbreviated as mmHG. This systolic pressure shows the pressure on our blood vessels whe...
One of the most common symptoms of anxiety is an acute awareness of one’s own heartbeat. These heartbeats, or palpitations, may involve a sense of the heart beating rapidly, often accompanied by abnormal rhythms. Some people describe heart flutter as a sensation. There may be awareness of extra beats or missing beats. Palpitations may occur during activity or at rest. Little wonder that such pronounced sensations lead many to question whether they are about to have a heart attack. Very often this results in calls for medical assistance.
Palpitations themselves are not serious but they could indicate something more severe. Some estimates suggest that nearly 50 percent of referrals to cardiac specialists come from complaints of palpitations. Despite this, most cases tend to be due to anxiety.
Before anxiety is ruled in, the doctor will first want to exclude any physical causes, which can include diet and lifestyle. Fitness, especially if this involves vigorous forms ...
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