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Inverse relationship between HR and BP plus Ectopic Beats

Massa profile image
13 Replies

For the last two weeks my ectopic beats have greatly reduced after halving the Losartan from 100mg back to 50 mg which was the dose I was on before having flare ups.Went to see the GP yesterday armed with this info and he agreed to hal it but keep an eye on the BP. All good so far.

Later in the afternoon the Ectooics started again and when I checked my HR had dropped below 62 BPM to between 54 and 58 BPM and at the same time my BP had gone up from 130/78 to 148/90.

If it was anxiety then I would have expected my HR to have gone up as well. A few hours later, and after taking the 50 mg of Losartan everything was back to normal and ectopics stopped.

Things have definitely improved but something is triggering them.

Anyone else have this inverse relationship between BP and HR

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Massa
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13 Replies
Blearyeyed profile image
Blearyeyed

Have you tried keeping a daily diary? This can really help narrow down what is triggering symptoms for all different cardiac and health issues.

Note the times you are active and what you do, what you eat and when, times you take a proper rest break, when you take your medications ( all meds not just heart ones) and if you take supplements when you have those.

Note how much water you drink each day , and also when you sleep , including naps.

You usually see a pattern emerging.

Sometimes it can be as simple as the time you take your medication might need a little adjustment , or the dose needs changing.

Sometimes it happens because you might be doing too much exercise at a particular point in the day that sets off symptoms immediately or a few hours afterwards.

Sometimes it's the type of size of meals eaten 1-2 hours before the symptoms.

Often certain smaller triggers build up together to cause you to have symptoms at a regular time each day , and so some adjustments in activity and self care can prevent them happening.

Sometimes , it's over exertion or stress related feelings that happen in the hours before that can cause a sudden dip in heart rate from what was a heart rate spike , and this sudden change can cause the Arrhythmia to occur as your body begins to adjust.

Your medications seem to be doing the job and keeping things under control though it just getting the balance right to try to prevent things happening in the first place .

Let us know how you get on , Bee

Massa profile image
Massa in reply toBlearyeyed

Hi Bee that really good information thanks and something I need to be doing with immediate effect. Seem to be getting so close then I get a flare up that knocks me back. Just had my lunch know, three shredded wheats a bit of honey and ectopics started again. As you say it may well be the preceeding hours that cause these but without the diary I am just guessing. My heart rate rest is normally 62 but drops now and again to 54 thats when the fun starts

Blearyeyed profile image
Blearyeyed in reply toMassa

Do you have three shredded wheat with honey everyday?Do you also have milk on it?

To be honest , although shredded wheat contains fibre along with the honey that's quite a lot of carbohydrate in one go.

The amount of carbs even with milk could be causing you a quick spike in blood sugar.

Sugar spikes can be a trigger for cardiac symptoms.

Are the ectopic beats beginning about 15-45 minutes after this type of meal.

Just remember the old advert , " Can you eat three shredded wheat". It was thought of as a challenge for a reason.

Out of interest , what do you regularly eat for breakfast or dinner?

Massa profile image
Massa in reply toBlearyeyed

There's a thought. Probably have them twice a week at lunch time. Normally I have a wholemeal thin with chicken for breakfast. I did have 1/2 tin of low fat rice pudding mid morning today, then the shredded wheat with skimmed milk. You are right though 15 mins after eating the ectopics started.

Yesterday I was free from them all day mid afternoon. I had ham cheese and onion on wholemeal thins then about 1 1/2 later a banana.

I have been drinking decaff tea with 1 level sugar in and noticed they seemed worse so thought it might be the decaff tea but it might be the sugar. Could easily drink four or five of these at work.

Is a decaff tea or coffee with a sugar enough to cause a spike?

Blearyeyed profile image
Blearyeyed in reply toMassa

It really depends , if you are still recovering from previous events it could just tick things off again.You could find that it's the sugar in the decaff drink rather than the drink itself , or a combination of the two.

Have you ever tried it without sugar?

Don't forget that a low fat ready made food item often has more sugar or sweetener in it to make up for the loss of flavour the fat gives it.

Do you usually eat rice pudding as a breakfast option or was it just all you fancied today?

It would probably help to keep a good food diary with times within your overall diary and if you have symptoms note them down with the times too to see if they link up.

Have you had your HbA1c Diabetes blood test?

If not , it may be worth having it done.

Massa profile image
Massa in reply toBlearyeyed

Hello again. The rice pudding was just a treat, not had anything like that for 3 months. I have had the HbA1c test and came back as pre diabetic. Since then I have managed to cut a lot of sugar out of my diet and lost 1st 4lb since JanI think the food diary is the way forward

Massa profile image
Massa in reply toBlearyeyed

Hello again, got myself sorted with a food diary, great idea. Just wondering the maximum lag between a trigger and symptoms. I would guess within 24 hours?

MountainGoat52 profile image
MountainGoat52

I don't have ectopics, but I have noted an inverse relationship between my BP and HR. In the mornings my HR will be upper 50s and BP in the region of 120/70. In the evening my HR will have dropped to low 50s and my BP will be up around 130/75. I've always regarded this is a natural relationship and submitting my results to my GP has never solicited any comments.

Massa profile image
Massa in reply toMountainGoat52

Thank you for confirming this, both sets of your numbers are nice and low. That relationship between the two sound very similar to mine other than my HR is quite often at it lowest in the morning and steadily can rise during the day whilst inversely my BP starts high then seems to fall as the day progresses. It might be just a case that I take my meds in the morning or maybe I relax a bit more once I get home from work. It's a bit difficult to try an work out what's going on at the moment as worrying about the ectopics has probably raised my BP by about 10 points, plus the anxiety and stress of this will probably aggravate the ectopics. Bit of a vicious circle. Cardiologist doesn't seem overly concerned from Holter Meter tests a few weeks ago, booked in for an ECG in July.

MountainGoat52 profile image
MountainGoat52 in reply toMassa

I think BP tends to rise naturally during the day, but I was surprised to find that my HR dropped. I generally take my readings a good hour or two after taking my meds at breakfast time. I would think there are many factors involved. Trying to analyse what is going on would be a complicated task.

kkatz profile image
kkatz

I have always noticed that my BP is lowered when I have done exercise that raises my BP.

Judithdalston profile image
Judithdalston

I am the reverse to you in that on standing my BP drops considerably but HR then shoots up as a variant of postural hypotension, with compensation with HR. In my experience eating makes this worse, although I am diabetic with Libre continuous blood glucose monitor, I know it’s not the blood sugar itself that causes my problems but I think it’s that the circulation concentrates around the gut/ digestion depriving the brain from oxygenated blood, so it sends my HR up…. So see a link between BP, HR, food even if opposite to yours. You do seem to have a high carb diet, you can get a free Libre 2 Freestyle continuous blood glucose monitor from manufacturer Abbott, looking at your BG for 2 weeks might help you see patterns that might follow your BP/HR.

Massa profile image
Massa in reply toJudithdalston

Thank you, food for thought (no pun intended). I have noticed how eating does increase HR but drops BP. I will look into a BG monitor. Think I am so close to working things out but there is a piece of the puzzle missing. This might be it

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