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Heart beat goes up on walking fast 168
Dear Doctor,
I am 41 years old unmarried male.
My weight is 102kg. Height 5 feet 6 inches.
I have Asthma, Severe GERD, Urticaria.
I noticed on walking fast my heart beat increases to 168BPM.
At rest it is below 88BPM.
I have done 2D Echocardiogram in July 19, report is fine.
My BP was 140/90 then 160/ 90.
Senior Cardiologist gave me medicine Concor 5mg. He checked my ECG. ECG normal.
After taking Concor 5mg my BP is low 110/68. I stopped taking High BP medicine.
I couldn't do TMT because my heart beat went up. Senior Cardiologist suggested to do Angiography. I didn't do it.
My cholesterol test is under control. Master health check up report is normal.
Then why heart beat shoots up on walking fast? I saw in My Mi band 4 fittness band that my health beat increases to 168 BPM on brisk walking.
I at times get shortness of breath at rest.
What could be the problem? Please explain!!!
Answers (3)
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Dr. Rupal V Rana
General Physician
21 yrs exp
Mumbai
Your primary problem is your excess weight. Your heartbeat is increasing because your heart is beating very fast to supply blood to a larger surface area than usual (your excess weight) So, to bring down your heartbeat to normal you have to lose weight. If you will have persistent increased heart beat, then you will develop cardiac arrhythmia which can later lead to heart attack.
Next Steps
You have to follow a low sodium, low fat , low sugar, high fibre diet of 1500 to 2000 calories per day.
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Dr. Amrutha J H
Family Physician
12 yrs exp
Bangalore
Obesity is a silent but very dangerous disease, which is often over looked by patients.
The above history mentioned suggest excercise intolerance, which means your heart is not getting enough blood supply when u are walking fast/excercising which makes your heart beat twice the normal rate to over compensate it.
Though your lipid profile and 2D-ECHO and ECG may be normal, excercise intolerance is a subtle sign of impending cardiac problem.
Kindly undergo Angiography as per your cardiologist opinion.
And reduce your weight gradually over atleast 5 % in next 6 months.. this will help you to maintain good health.
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Dr. Emad Mohammed
General Physician
8 yrs exp
Hyderabad
The most important problem you have is obesity, if you can reduce your weight to normal, I am sure most of the problem will improve, but before you can undergo that, kindly follow what your cardiologist says to you. Cardiac issues should be ruled out.
Next Steps
Once cardiac part is good, keep the cardiologist and pulmonologist Informed about your intention of weight loss and take their advices whenever needed, consult a good dietician and physical trainer. You require a multidisciplinary help.
Health Tips
If you continue to have the same kind of life style you are at risk of many diseases, so take action.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.