Dr. Sagar Ramesh Makode
Cardiology
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Patient's Query
Hello doctor,
I am 40 years old male, obese, non-smoking, non-alcoholic, non-diabetic. My lipids and blood pressure are controlled with Rosuvastatin 5 mg and Olmesartan 20 mg. My query is that I walk regularly briskly and my pulse goes up to 145 and 150 beats per minute without any breathlessness recovery is also good as it drops around 25 points within one minute. Does this mean my heart does not have plaque and I am safe? After 150 beats per minute of pulse, slight discomfort or maybe anxiety but no breathlessness. I am very scared to do TMT test but also anxious to know that if I am able to touch 150 beats per minute of pulse without any issue that means my heart is in perfect condition.
Hello,
Welcome to icliniq.com.
Yes, if your heart rate is going above 150 without any chest pain or heaviness then the probability of significant blockages (more than 60 to 70 percent) is very low. However, this or even TMT will not help to rule out plaquing. TMT (treadmill test) does not help in the diagnosis or ruling out plaquing as blood supply to the heart is not decreased even at a very high heart rate. For plaques, CT coronary angiography is a good investigation. Although not absolutely necessary for you, you may undergo screening CT angiography or TMT in a few years just to be on the safer side considering the risk factors. Rest and continue with a healthy lifestyle and medicines.
Patient's Query
Thank you doctor,
If my levels are under control by medication and I am non-diabetic and non-smoker and regularly on aerobics exercise, then can I develop plaques? Secondly, above 150 pulse I feel a little discomfort but no breathlessness, etc. Does it still mean I am fine?
Hi,
Welcome back to icliniq.com.
It is unlikely to develop blockages at this age with well-controlled BP (blood pressure) and lipid levels, but as the age progressively increases then one may develop minor blockages or plaques despite good control. However, you should continue with tight control in order to reduce the risk of the development of such blockages. One may develop little discomfort and breathlessness at such a high rate. But more importantly, if one is having repeated chest discomfort or heaviness which occurs on exertion and relieved with rest then one needs to be concerned and have a treadmill test to rule out the possibility of blockages.
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Cardiology
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