Slow pulse (35 bpm), High Blood Pressure (150/75)?
Topic: Slow pulse (35 bpm), High Blood Pressure (150/75)?
April 24, 2019 / By Allyson Question:
Hi, I'm a 21-year old male, rather athletic (5-6 days a week, 45-90 minutes of running/swimming/etc), and confused. My resting heart rate hovers between 35 and 45 bpm. My blood pressure, however, is on average 150/75. Why is the systolic so high?
Height: 6'1''. Weight: 185 lbs.
Family history of high BP? Yes.
My diet: no red meats, probably pretty high in sodium, lots of fruit, hardly anny veggies, quite a bit of sugar, minimal caffeine.
I don't think I can use beta blocker medication (if it comes to that) with my pulse so slow, so what other options would I have?
Now, strangely, these high systolic blood pressures are only measured by the digital sphygmomanometers. Whenever the nurse manually determines my systolic blood pressures, she first hears the "whooshing" sound of blood flow between 120 and 130 systolic. I know the digital sphyg's measure only MAP and derive the systolic/diastolic numbers, so is it possible that these systolic pressure readings of 150 are inaccurate by 20-30%? Could the strength of my heart's pulses have anything to do with it?
Best Answers: Slow pulse (35 bpm), High Blood Pressure (150/75)?
Uzziah | 5 days ago
Your pulse rate is 35-45 beats per minute (bpm). Normal pulse rate of a well trained athlete is 40-60 bpm.
Your Body mass index is 24.4 and you are healthy.
Pulse pressure is systolic BP-- diastolic BP. If your digital blood pressure monitor is correct, your pulse pressure is 150--75 = 75 mmHg. Optimum pulse pressure is 40 mmHg.
Research suggests that an elevated pulse pressure may be a strong predictor of heart problems, especially for older adults. Generally, a pulse pressure greater than 60 mm Hg is abnormal.
Isolated systolic hypertension, however, is defined as a systolic pressure that is above 140 mm Hg with a diastolic pressure that still is below 90. This disorder primarily affects older people and is characterized by an increased (wide) pulse pressure.
Controlling hypertension will reduce wide pulse pressure.
You may reduce salt in your diet by 50%.
Consult a cardiologist.
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Obviously you have done a bit of research. Good! And thanks for including weight and height. It sure helps!
This is my reply to another forumer. Maybe you could use some help.
Your heart have contractions all the time. Blood pressure (BP) is the force exerted by the blood against the inner wall of the blood vessels. The difference of systolic and diastolic is pulse pressure.
Our kidney is the main organ that regulates BP. When your BP is lower, kidney will produce hormone to increase or decrease BP (renin, angiotensin I and angiotensin II). Therefore, if your kidney is spoil, your BP will be haywired.
Blood pressure is affected by many many factors -
age, gender, temperature (both physical and environmental), mood (anger), stress, exercise, haemorrhage, fever, infections, position when BP is taken, method of taking BP, medical history, kidney functions, medications, time of the day.....
Pending on how your BP is taken, I would consider the above reading 150/75 as normal. As i have listed the factors affecting BP.
The BP is considered high ONLY when is documented >140/90mmHg all the time, when adequate steps are taken to rule out false readings.
The correct way of taking BP should be at the same time everyday, the person is at rest for 10mins, and on the left arm with the BP set at chest level.
Please do not take any medications (as all BP regulating medication if taken inappropriately, may be fatal!) until hypertension (high BP) is confirmed by a physician. The underlying cause of hypertension or hypotension (low BP) must be known first, before treatment can be rendered.
It's a know fact athlets have lower pulse rate and BP. But your pulse of 35 is definitely abnormal. You need to seek help from physician to find out the cause. But please rule out technical errors (like what you did, which is great!)
Last word - cut down on your salt. Although athelets perspire a lot, a great amount of salt and electrolytes are lost, you need to find out if you have taken too much salt.
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It is very possible the readings are inaccurate.
Why not trust your practise nurse and your doctor to monitor your blood pressure?
As for your pulse, tennis legend Björn Borg was said to have a pulse rate of ranging from a 35 BPM to 45 BPM.
You sound quite anxious about it all. Best advice book an appointment for a physical wih your GP and trust his/her opinion.
I would guess you to be very healthy indeed.
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Not all anti hypertensive drugs slow the pulse rate like beta blockers do. All seem to have some side effects, your doctor will change your medication if you really feel light headed and lethargic - the dieting won't help, unless you are on a sensible regime.
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Originally Answered: I'am 35 & my blood pressure reads 146 over 88 pulse 90.. Is this bad?
Yes, 146/88 with a heart rate of 90 is bad. Bad but not horrible. I've dealt with as high as 224/110 in a couple of patients so I can keep this in proper perspective. Is this your usual average? Do you know what your normal range is? B/Ps can elevate temporarily but I have no way to know if this reading is "normal" for you. There's a normal range and within this (or outside of it) we each have an individual range that's normal and usual for us. An elevated heart rate such as yours often goes hand in hand with an elevated B/P. I'll explain why in a moment.
You're hypertensive. Hypertension is the medical term for high blood pressure and one who has hypertension is said to be hypertensive. The American Heart Association (AHA) determined back in the 90s that a normal blood pressure is under 120/80. 120/80 was once considered normal, but no longer. Most of the public are still operating under the impression that 120/80 is fine. It is not and hasn't been for years. For adults 90/60 - 118/78 is normal and desirable. 120/80 - 140/88 is prehypertensive. Over 140 is hypertensive and over 80 suggests hypertension.
The first number, 146, is the systolic [sis-TAW-lick] blood pressure (SBP) and is the amount of force exerted against the walls of the arteries by you blood every time the heart contracts. The higher the number, the harder the heart is having to work to get blood out and flowing through the arteries away from the heart. The second number, 88, is the diastolic [die-uh-STAW-lick] blood pressure (DBP) the amount of force exerted against the walls of the arteries by your blood between contraction, when your heart is at rest. Higher number suggest that the heart isn't doing much resting. Vascular disease and blockages can create obstruction and/or narrowing (stenosis) in the arteries. The heart will work harder to push blood past these obstructions. This is called compensation. The heart will attempt to compensate for the obstacles. And the heart rate will increase the number of times it contracts each minute along with the increased force of contraction. It has to in order to maintain the same volume of outgoing blood. This amount is called the stroke volume. This is all I'll say about this. I just wanted to give you an idea of what blood pressure is. The normal range for HR (heart rate) depends on age, among other things, and for an adult is 60 - 120. An average will generally fall somewhere between 68 and 90. A resting HR is another matter and I don't know if your 90 was resting or not.
So how did you obtain the reading 146/88, HR 90? From your doctor's office? I wish you'd said. It would save me from having to do extra writing. If you got this non your own, do this: On 3 different days and at 3 different times, get readings on yourself. Say, for instance, on a Mon., Wed. & Fri. On Mon., get readings (B/P and HR) in the morning when you first get up. On Wed., get them in the afternoon and on Fri. get them before you go to bed. You can get a far better idea of what your usual range is this way. If 2 or more of the readings are outside the normal range (90/60 - 118/78) see your doctor. There are ways to manage hypertension depending on it's cause. This can include weight loss, changes in diet and/or lifestyle and medication if the hypertension is secondary. That is, caused by something else. Primary hypertension, also called idiopathic, has no known cause.
But whatever you do, do it soon. Hypertension damages blood vessels irreparably and has the potential to do more than that, as I'm sure you're already aware.