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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Pulse Rate Along With High BP And Fatigue?

My wife has high at-rest pulse - 110 and high blood pressure - 160/120 He is very tired and has no energy. Started 2 months ago near timing of death of son-in-law (stressor) Enzyme test shows o heart attack or heat “event.” Nuclear Stress Test shows no blockages and normal volume fractions. Any thoughts?
Tue, 25 Feb 2020
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General Surgeon,  's  Response
Hi,

Noted a short history about your wife suffering from raised blood pressure, high pulse rate after death of son-in-law, the cardiac tests being normal.
It is good to know that the cardiac evaluation by Nuclear stress test, enzyme tests are normal.
The cause is obvious.
The death of son-in-law is a great loss for her and your daughter in particular.
The constant thoughts, stress and anxiety leads to hypertension and high pulse rate.
Hence I would advise her the following:
Consult a Psychiatrist for counselling and get started on appropriate medicines so that the stress and anxiety are reduced; this will normalize the heart rate and blood pressure.
Even if the things remain high then the Cardiologist can surely start her on appropriate medications to have proper control.
Role of family in such situations is crucial to handle her.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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What Causes High Pulse Rate Along With High BP And Fatigue?

Hi, Noted a short history about your wife suffering from raised blood pressure, high pulse rate after death of son-in-law, the cardiac tests being normal. It is good to know that the cardiac evaluation by Nuclear stress test, enzyme tests are normal. The cause is obvious. The death of son-in-law is a great loss for her and your daughter in particular. The constant thoughts, stress and anxiety leads to hypertension and high pulse rate. Hence I would advise her the following: Consult a Psychiatrist for counselling and get started on appropriate medicines so that the stress and anxiety are reduced; this will normalize the heart rate and blood pressure. Even if the things remain high then the Cardiologist can surely start her on appropriate medications to have proper control. Role of family in such situations is crucial to handle her. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon