I was diagnosed with hypertension few years back but now I my bp is generally on the lower side it fluctuates from 110/70 to 130/80. I am on medication. Should I stop it. I have lost few kilos and take antipsychotic drugs for anxiety and depression over the years. Please advice. Till now I have a sound heart but the heart rate is little on the higher side due to anxiety sometimes. Please also inform me about the chances of heart failure for persons with fluctuating bp.

Dr. Paramjeet SinghCardiologist9yrs exp

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Your blood pressure is having normal variations within the normal range and you should continue your blood pressure medication because of which your blood pressure is still within the normal range. Normal range of blood pressure is between 90/60 to 140/90. As far as your heartbeat is concerned I need to understand concepts Palpitations are feelings or sensations that your heart is pounding or racing. They can be felt in your chest, throat, or neck. You may Have an unpleasant awareness of your own heartbeat or may Feel like your heart skipped or stopped beats The heart's rhythm may be normal or abnormal when you have palpitations. Normally the heart beats 60 to 100 times per minute. The rate may drop below 60 beats per minute in people who exercise routinely or take medicines that slow the heart. If your heart rate is fast (over 100 beats per minute), this is called tachycardia. A heart rate slower than 60 is called bradycardia. An occasional extra heartbeat is known as extrasystole. Palpitations are not serious most of the time. Sensations representing an abnormal heart rhythm (arrhythmia) may be more serious. You need to get yourself checked what you are having is intermittent tachycardia / arrhythmia which means that intermittently your heart rate increases or the heart Rhythm changes which can be dangerous if it does not get corrected on its own. Or it can be an early sign of impending heart disease. But to diagnose it you need to get an ECG done while you are having the rhythm problem or you can get holter monitoring for 24 hours during which if you have this episode it will get registered and documented. Also you need to get a complete lipid profile done as well as a echocardiogram and blood sugar levels to look for risk factors. Once you have done that you need to Consult a cardiologist with the reports.  

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