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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Elevated Pulse Rate Indicate?

I am 71, male, non-smoker/drinker, have had a pacemaker for several years and been problem free. No history of high BP or cholesterol. Recently discovered that I had elevated pulse in the mid/high 120s, at least for several weeks without realizing it. Went to ED at local hospital last night per cardiologist s recommendation and was admitted with a BP of 156/89 and p129+. Stabilized, discharged to home with a BP of 130/73, p101. After getting home and using an accurate BP cuff the reading were 122/84 p76. First thing this AM BP 102/77 p121. Took first dose of 25 mg metoprolol succinate qd, and after 2 plus hours readings were 133/89 p123. Question is, should I return to ED at local hospital, wait to see how it goes, or contact my cardiologist on-call doc?
posted on Tue, 10 Oct 2017
Twitter Fri, 13 Jul 2018 Answered on
Twitter Tue, 17 Jul 2018 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Although I can't diagnose the type of arrhythmia without knowing your medical history in detail and reading your ECG, I suppose that these arrhythmias are attacks of atrial fibrillation (AF). Many patients have paroxysmal atrial fibrillation (PAF) that is AF that comes and goes. When the arrhythmia occurs and particularly if the heart rate is fast enough the patient has to be examined by a cardiologist and perhaps admitted to the hospital. This is particularly so when the arrhythmia causes symptoms like faintness, sweating, etc. So in conclusion, you should better visit the local hospital for assessment. The cardiologist will decide about the need for admission.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Panagiotis Zografakis
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What Does Elevated Pulse Rate Indicate?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Although I can t diagnose the type of arrhythmia without knowing your medical history in detail and reading your ECG, I suppose that these arrhythmias are attacks of atrial fibrillation (AF). Many patients have paroxysmal atrial fibrillation (PAF) that is AF that comes and goes. When the arrhythmia occurs and particularly if the heart rate is fast enough the patient has to be examined by a cardiologist and perhaps admitted to the hospital. This is particularly so when the arrhythmia causes symptoms like faintness, sweating, etc. So in conclusion, you should better visit the local hospital for assessment. The cardiologist will decide about the need for admission. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Panagiotis Zografakis