Enlarged Heart, Hypertension and Bradycardia @ 29 years old?
JWD316 posted:
For years I have searched these sites to find a clue as to why I suffer from Hypertension and Bradycardia simultaneously. As the years go by, I have not read a thread that matches my issues so I figured it was time to see if someone could shed some light. [br>[br>About myself: Male - 6'0'' - 185lbs Blood Pressure: 153/101 (average based on 100 readings) Pulse Rate: 45-50 bpm (normal reading, does not fluctuate other than exercise) Diet: I eat healthy, low salt intake, drink plenty off water, little to no caffeine and always read nutrition labels. Lifestyle: I don't use recreational drugs, limited stress, no depression, walk almost everyday (no running due to losing weight rapidly. I can get down to 160lbs quick.) Medications: clonazepam 1mg once nightly; propranolol hcl 10mg twice daily (6 months) [br>[br>I am a former Marine and have been diagnosed with PTSD. I go to the VA but have a hard time getting proper care. I have some social phobia due to moderate to severe facial flushing randomly. I am in good shape, hardly have any fat, sleep pretty well with the clonazepam, without clonazepam I never sleep through the night. About 9 months back, I had an X-Ray of my heart and the results stated it was larger than normal. Even after I was told my results, I have not been given a follow up appt. [br>[br>I am really getting nervous about my peculiar condition. I was told a long time ago that it may pass but that has not proven true. I feel like my 20's were taken from me by always watching what I ate and often due to meds, never really partied like my friends did. I have a 6 year old and a child on the way and really want to be around for them as long as I can be. In order to do that, I need to find out the root of my condition.

Another thing, I have had the Hypertension and Bradycardia since I was 21. Long before I started any medication. I started meds around 26 years old due to my wife worrying about my health (she is an RN). When I researched my health before the age of 21, there seems to be a distinct time frame at 20 years old when I was having "normal" BP and heart rate readings.
[br>Thank you for reading and I am willing to answer any question you may have.
cardiostarusa1 responded:

"I had an X-Ray of my heart and the results stated it was larger than normal"

Worth mentioning, there is a medical term known as the cardiothoracic ratio (CTR), which is a measurement on a chest X-ray (CXR) of the width of the heart divided by the width of the chest.

Typically, a CTR greater than 50% is suggestive of an enlarged or dilated heart. Noteworthy though, in some cases, a heart may/can be greater than 50% of the cardiothoracic ratio and still be considered a normal heart.

One of the most versatile diagnostic imaging modalities to determine heart size is a non-invasive echocardiogram.


Cardiac Enlargement: A Patient Guide

What is cardiac enlargement?

There are two types of cardiac enlargement: hypertrophy and dilation......

What health problems are associated with cardiac enlargement?

With the exception of exercise-induced enlargement, all forms of cardiac enlargement are abnormal and associated with further problems, including......


"Blood Pressure: 153/101 (average based on 100 readings)"

As reported,the complex human body is usually able to keep blood pressure (BP) within safe/acceptable limits, but sometimes changes in lifestyle, health, side effects from prescription drugs, or changes in metabolism, make this difficult. This can cause the BP to become consistently higher or lower than normal, or just spike up and then drop down.

Compensatory mechanisms that control BP involves changing the diameter of veins and small arteries (arterioles), the amount of blood pumped out from the heart per minute (cardiac output), and the volume of blood in the vessels.

High BP, temporary or chronic, may/can be related to various heart disorders, kidney problems, and sometimes liver, or adrenal gland problems. One's susceptibility to develop it can even be caused by an imbalance somewhere within the body's precise regulating systems.

Normal resting BP in adults is under 120/80 with 115/75 or 110/70 considered as being optimal/ideal. Prehypertension is defined as systolic of 120-139 mmHg and diastolic of 80-89 mmHg. Stage 1 is systolic of 140-159 and diastolic of 90-99. Stage II is systolic of 160-179 and diastolic of 100-109. Stage III is systolic greater than 180 and diastolic greater than 110. Stage IV systolic of 210 and greater, and diastolic of 120 and greater.

Health dangers from blood pressure vary among different age groups and depending on whether systolic or diastolic pressure (or both) is elevated, and for how long.

Elevated blood pressure, isolated diastolic hypertension, isolated systolic hypertension and diastolic/systolic hypertension, increases the risk of cardiovascular disease, cerebrovascular disease, and renovascular disease.

High systolic blood pressure appears as a significant indicator for heart complications, including death, in all ages, but especially in middle-aged and older adults.

High diastolic pressure is a strong predictor of heart attack and brain attack in young adults and in those of any age with essential hypertension, high blood pressure from unknown causes, which occurs in the great majority of cases

Pulse pressure is also important, This is the difference between systolic and diastolic. Usually, the resting (in sitting position) pulse pressure in healthy individuals is 40 mmHg, give or take a bit. A wide or narrow pulse pressure is not good.

"Pulse Rate: 45-50 bpm"

Some individuals normally have bradycardia, or can develop it, and this becomes a concern if/when it causes concerning symptoms, such as lightheadedness or dizziness, weakness, confusion or syncope (temporary loss of consciousness, which includes passing out and fainting).

Cigna / Healthwise



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