Should I see my doctor?? and what can be done?!


Question:

Should I see my doctor?? and what can be done?

My resting heart rate is 45.

Sitting BP: 97/74 HR 89
Standing BP: 95/79 HR 123

When doing cardio last week my heart rate stayed between 149 and 189. After stopping my HR jumped to 230, and stayed around that for 30 minutes. Also, everytime I get out of the shower its about 123. If I go up the stairs carrying something heavy its about 165.

Could this be due to my asthma medications? I was on advair, but I had to stop since it made my asthma much worse. Its stayed pretty high ever since then, and everytime I take my rescue inhealer I feel my heart race.

Additional Details

1 week ago
I'm 22, 104lbs, and small boned. Also, when I got hit with the flu... My blood pressure went really low and my heart rate went even faster than normal.

Should I see my doctor? What can be done for me?? I've been taking magnesium to try and slow it down. Is there anything else that might help.

1 week ago
Oh and I don't work out. I get really dizzy when working out and my heart rate is that fast. I'll sit down after getting out of the shower because of how fast its going. I'm not overweight or anything. I'm a size 0P

1 week ago
Okay, so I don't sound anorexic... Im 5'0"

1 week ago
Before the advair... I would workout HARD on the elliptical. I never once saw my HR go over 98. My target used to be to stay over 65. Now I'm getting 185 on the elliptical.


Answers:

At this point your heart is having an inappropriately fast response to exercise for reasons that are not clear. It could be as simple as a thyroid problem or anemia or more complicated, like a heart arrhythmia or a blood clot in your lung. The good news is this is not happening randomly - rather in response to exercise.

I would not try taking any supplements until more is known.

I would visit my primary medical provider to initiate a basic work-up. He/she may think a referral to a cardiologist is appropriate if an obvious cause is not apparent.

A cardiologist might do specialized studies that may shed some light on this matter such as a holter monitor (essentially an EKG for 24 hours) and/or a treadmill stress test.

In short, you are right to be wondering what is happening. It is important to arrive at an answer. I would not be overly concerned at this point, but I would refrain from heavy exercise. If you have sudden shortness of breath, chest pain, perfuse sweating, near fainting or fainting, then I would go to the emergency room immediately.

I hope this helps. Good luck.

Addendum: While your problem COULD be cardiomyopathy and is on the list to be checked (eventually), there are other things on the list as well. Start with your primary medical provider to rule those things out. If he/she is not able to establish an answer, a referral to a cardiologist is appropriate - he/she will do an echocardiogram. It makes no sense to start with relatively rare diagnoses and work backwards.




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