Patient replied :
Also, I have measured my heart rate in the morning before coffee several times for 4 consecutive mornings, and here are the results:
The GREEN numbers are the BPM.
|
DAY 1
|
|
|
|
119
|
115
|
120
|
|
81
|
77
|
76
|
|
61
|
60
|
57
|
| |
|
|
|
DAY 2
|
|
|
|
122
|
111
|
117
|
|
78
|
69
|
77
|
|
63
|
70
|
64
|
| |
|
|
|
DAY 3
|
|
|
|
119
|
122
|
119
|
|
77
|
77
|
76
|
|
60
|
58
|
58
|
| |
|
|
|
DAY 4
|
|
|
|
119
|
112
|
119
|
|
78
|
74
|
77
|
|
70
|
65
|
61
|
Hello,
Unfortunately I don't see the numbers in green and also I see 3 set of numbers.
Which ones are your actual HR?
Patient replied :
The first top two in each of the 3 columns is my blood pressure.
The third number on the bottom is my heart rate in each column
the average heart rate in morning before eating or coffee is 63
Both your BP and HR are fantastic for your age.
In fact the average HR recorded here around 60 is the HR found in athletes with very strong heart.
So, please do not worry.
Regards.
Patient replied :
Thanks Dr. Mahajan again for the second time, that you have been carefully and caringly providing your expert opinion which I value much.
I have several questions here:
1). I was trying to see whether you had the chance to review all my results so far. Were you able to?
2). Due to the fact that I have been obese (20-30 lbs overweight) for many years, on/off, and have had cholesterol issues for a long time, is it possible that I may have caused some damage to the heart, that can NOT be reversed with exercise, dieting, and following up with taking Lipitor daily? In the last 2 weeks, I have lost 7 lbs, and my intention is to go down another 20 lbs in near future. I am also regularly exercising. My worry is that No matter what I do, I may have still caused some damage to the heart that Can Not be reversed.
3). I am also taking baby Aspirin regularly. I am also taking over the counter vitamin for Ear Imbalance called Lipoflavonoid. They say it helps the circulation in the inner ear. Do you think it can also help the heart?
4). Should I also take fish oil which I do now?
5). Finally, here are my results from last year’s (April/2014) ER visit for some tingling issues in my neck and left arm. I was admitted to the hospital for overnight stay since the initial results showed Troponin at 0.06. I was monitored all night for the heart, and further Blood Tests showed Troponin was 0.01 for 3 times. Can you please look at these results too?
Yes, I have reviewed all your reports.
I want to assure you barring that one value of troponin and your cholesterol values, everything else seems normal.
Since you're obese there are chances of MI/ Stroke are always there, so your target should be to lose weight further as you yourself targetted.
I can assure you, if you maintain your diet and lose weight, your heart is in great shape evidenced by your herat rate and BP, and other tests.
Regards.