What Causes High Heart Rate, Hand Tremors, Muscle Weakness Along With Dizziness?

Posted on Tue, 12 Jun 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 12 Jun 2018 Answered on

Thu, 16 May 2024 Last reviewed on

Question : Need expert advice for my spouse. She has been experiencing sporadic increase of heartbeat soon after her meal or during the meal. From heart beat monitors on XXXXXXX the peak heart rate of 125. While this is happening, sometime she also experiences shivering in hand, loss of power in her hand grip accompanied with Dizziness. This on an average last for 2-3 hours. I have been monitoring her BP through digital BP monitor Omron, her usual BP comes around 105-110/ 65-70 (Sys/dia). During this period, for the last occurrence of the issue, viz. today 6/12/18, it was around 95-97/65-60. This improved to 102-105/65-70 once the heart beat came down to mid 80 range.
Kindly advice, and let me know if you need any further information.

Answered by Dr. Bhanu Partap (13 hours later)

Brief Answer:
Kindly Refer to the detailed answer below.

Detailed Answer:
Hello Sir

After going through the medical details provided by I understand your concern for wife's health and I would like to tell you that your wife's blood pressure is generally staying bottom line low and general for this can be improper diet, dehydration, anemia or pregnancy.

As you have told her blood pressure goes low during or after meals and this happens because Blood flows to your digestive tract after you eat. Normally , your body increases your heart rate to maintain normal blood pressure. But in some people these mechanisms fail, leading to dizziness, faintness and falls.

To rule out her cause of hypotension kindly get the following tests done:

1. CBC ( for anemia or any infection)

2. Vitamin B-12 ( to check Nutritional Deficiency )

3. Thyroid profile ( for endocrine culprit of Low BP )

4. ECG and Echocardiography ( to rule out any structural Heart Disease )

5. RBS and HbA1c ( to rule out diabetes )

Let me know if she is taking any medication or having any family history of medical illness.

Kindly revert back with required information and test reports so that I can guide you properly.

Kind Regards
Dr. Bhanu Partap

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Bhanu Partap (4 hours later)

Thank you Dr. XXXXXXX for addressing my query. We have already undergone most of the tests which you have mentioned above. The report has been attached for your reference.

She is currently on following medicines since first week of June'18 as prescribed by a physician.
Rosulip 10
Lupiheme
Bio D XXXXXXX
Vitriol injections 5 injections in 10 days ( the course has been completed).
Deputa vitamin d3 oral

Her parents are diabetic.

Kindly let me know if need any additional information.

Regards,
XXXX

Answered by Dr. Bhanu Partap (9 hours later)

Brief Answer:
Hello Sankalp

Detailed Answer:
Thanks for uploading reports. After reviewing all the reports carefully I observed that her vitamin D and vitamin B12 levels are significantly low which in some individuals can independently cause such symptoms.

Also her cholesterol levels are slightly raised which can very well be taken care with the help of lifestyle modification and medicine.

Her ECG is perfectly normal but it would have been really helpful if an ecg can be taken during the time of symptoms to rule out any cardiac arrhythmia. I would also like to suggest to get an Echocardiography done once to make sure there is no structural abnormally of heart.

She should properly stick to the medication which your physician has prescribed as it will help resolve her symptoms over a period of time.

I hope this information will guide you properly.

Kind Regards
Dr Bhanu Partap

Above answer was peer-reviewed by : Dr. Prasad