Medical Forum / Diseases and Disorders / Arthritis / October 2005
question about pulse and blood pressure
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nikki - 13 Oct 2005 22:46 GMT Hi,
I am wondering; because of experience with nurse in hospital last time I went, I have been measuring (correct use of this word??) blood pressure and pulse. I do this in the evening/just before I go to bed. My pulse is then 43-46 or when having been busy, around 53-56. Blood pressure is somewhere between 117/69 and 124/84
I have noticed sometimes when my pulse is higher, the blood pressure (especially the lowest figure) is lowering a bit.
I am not worried, but would just like to know why this is.
Could anyone tell me?
Nikki
spodosaurus - 13 Oct 2005 23:13 GMT > Hi, > [quoted text clipped - 13 lines] > > Nikki Your blood pressure is good. How are you measuring your pulse? Are you counting for a full 60 seconds or are you doing 15 seconds and multiplying by four? I ask because your pulse is a bit below average.
 Signature spammage trappage: remove the underscores to reply
I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/
nikki - 15 Oct 2005 19:55 GMT Hi,
I have been doing my exercises every day for the last 20 years. I have always been into ballet, dancing and sports since I was little and all through highschool and after. I used to walk once or twice a week 10 km each time, also over here, it is much easier and faster to walk distances or hop on your bicycle than it would be togo by car to run errands etc. (Everything is close is enough). I had to give up on a lot of all of that movement when I was diagnosed at first with SLE or RA (they weren't sure) and now (since 2yrs) with RA. Rd. thinks this has helped my body to cope better with the RA. Anyway, in less than 1 yr after I was diagnosed in 1996 with SLE/RA I needed crutches for walking and had to use wheelchair whenever going to e.g. some event. I never gave up on doing my daily morning exercises though (without husband, dirty minds! ;-)) , not like before I had reuma, 1 hr but now 30 to 40 minutes and more careful when suffering from flare. I have been on Prednisolon (up to 50 mg), on Plaquenil, on MTX (not for very long), on Sulfazalazine, (not all at the same time) and on Arthrotec 75 (3 times a day).
When I had my first Remicade infusion my pulse was around 54 when resting during the hours in hospital. They then thought that was low but thought this was because of good condition. I don't know..I never felt very good.
After a year I had to come off Remicade and start on Enbrel because of serious allergies to Remicade.
Since I have been on Enbrel (on and off because of side effects, but no on a again, the 50mg shots seem to work better for me than the 25.g ones) I have taken up on walking again. This started about a year ago and I try to do at least a 50 minute walk at least 3 times a week, sometimes more often. I walk on my special ortho shoes to do that.
Now, the only meds I am on are Enbrel, one 50 mg shot every 8th day, and 5 mg prednisolon per day. (thank god, lost weight coming from 50 per day) Once a week on Fosomax. I haven't had to take any painmeds anymore since I started on Enbrel which is the most amazing thing to me. The world was a (purple) haze when on Arthrotec. Well, maybe once or twice just one , but I am talking maybe 3 times in one year.
I just came home from a 1 hr 20 minute walk at (very) steady space, not running, I measured pulse and blood pressure right away:
113/70 and pulse 55
Waited a bit and now bl pr and pulse are:
116/67 an pulse 49
I used the same kind of appts my rd does: an automatic thing you have to put around your wrist, it takes about 15 seconds before I get results.
I wonder, does your pulse stay low even when there were years of hardly and walking and sports?
I don't know about condition, in the beginning I couldn't walk the longer stretches like I do now, so I guess my condition is okay, considering. But I do still feel very very tired always, though the walking makes my joints feel better. Maybe it's just inherent to having RA.
I read somewhere about low pulse and some of it's causes, I don't think it's the meds, but just assume it's the walking and exercises so I am not too worried about it.
It's just that I noticed when my pulse goes back to normal, the bloodpressure seems to go up ( a bit) and was wondering if this is normal and why this is?
Sorry I am taking up so much of your time with this story, but I thought it would make the low pulse more understandable, maybe maybe maybe..?
Nikki
> Your blood pressure is good. How are you measuring your pulse? Are you > counting for a full 60 seconds or are you doing 15 seconds and > multiplying by four? I ask because your pulse is a bit below average. nikki - 15 Oct 2005 19:58 GMT Ofcourse I didn't mean that giving up on all of that movement helped my body to cope better, what I meant to say was that rd thought all the exercise etc helped my body to cope etc.
Nikki
> I had to give up on a lot of all of that movement when I was diagnosed > at first with SLE or RA (they weren't sure) and now (since 2yrs) with RA. > Rd. thinks this has helped my body to cope better with the RA. nikki - 15 Oct 2005 20:48 GMT ahem...steady pace, not space....my typing has gone mad..:-)
> Ofcourse I didn't mean that giving up on all of that movement helped my > body to cope better, what I meant to say was that rd thought all the [quoted text clipped - 5 lines] >> at first with SLE or RA (they weren't sure) and now (since 2yrs) with RA. >> Rd. thinks this has helped my body to cope better with the RA. spodosaurus - 15 Oct 2005 20:13 GMT > When I had my first Remicade infusion my pulse was around 54 when > resting during the hours in hospital. They then thought that was low but > thought this was because of good condition. > I don't know..I never felt very good. Same here, but I keep up with the exercise. I can only imagine what would have happened to me on several occaisions had I let the pain and sickness stop me.
> Now, the only meds I am on are Enbrel, one 50 mg shot every 8th day, and > 5 mg prednisolon per day. (thank god, lost weight coming from 50 per day) > Once a week on Fosomax. What are the other names for Fosomax? Is it sometimes called Actonel? I know I've heard of it before...
> I haven't had to take any painmeds anymore since I started on Enbrel > which is the most amazing thing to me. The world was a (purple) haze [quoted text clipped - 6 lines] > > 113/70 and pulse 55 Those are brilliant numbers!
> Waited a bit and now bl pr and pulse are: > > 116/67 an pulse 49 > > I used the same kind of appts my rd does: an automatic thing you have to > put around your wrist, it takes about 15 seconds before I get results. What brand is it? I need to get one ASAP. The treatments I'm on to keep me alive have sent my blood pressure through the roof. It used to be 100/60 and now it's 150/100! The risk of bleeding with me is already very high, and the long term iron overload hasn't helped the intefrity of my blood vessels any...
> I wonder, does your pulse stay low even when there were years of hardly > and walking and sports? I'm really not certain. I can't judge from myself because my pulse varies every two weeks between transfusions.
> I don't know about condition, in the beginning I couldn't walk the > longer stretches like I do now, so I guess my condition is okay, > considering. > But I do still feel very very tired always, though the walking makes my > joints feel better. > Maybe it's just inherent to having RA. Exercise is great for RA, and helps prevent bone loss from immobility (my bones are already in trouble, so I keep going to the gym despite the pain). The tiredness is a common side effect from at least one of the medications you're on, not to mention the physical and emotional strain of chronic illness.
> I read somewhere about low pulse and some of it's causes, I don't think > it's the meds, but just assume it's the walking and exercises so I am > not too worried about it. Raise it with your doctor again. If he/she isn't concerned, then cross it off your list of things to worry about :-)
> It's just that I noticed when my pulse goes back to normal, the > bloodpressure seems to go up ( a bit) and was wondering if this is > normal and why this is? If it weren't 3:15 am and I didn't have a thesis beckoning me back to the computer in the other room, I'd research this and find out. I'm afraid I don't know the answer offhand.
> Sorry I am taking up so much of your time with this story, but I thought > it would make the low pulse more understandable, maybe maybe maybe..? If your pulse was under 40 I'd be a bit more concerned. As I've said, raise it with your doctor again. It's obviously on your mind, so it's worth discussing.
Cheers,
Ari
> Nikki > >> Your blood pressure is good. How are you measuring your pulse? Are you >> counting for a full 60 seconds or are you doing 15 seconds and >> multiplying by four? I ask because your pulse is a bit below average.
 Signature spammage trappage: remove the underscores to reply
I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/
nikki - 16 Oct 2005 11:56 GMT Hi!
> What are the other names for Fosomax? Is it sometimes called Actonel? I > know I've heard of it before... Yes, it's like Actonel, rd put me on it when I used to be on a higher dose of Prednisolon in order to keep bone density at a reasonable level. Results together with the walking and exercise were good, so I came of it for a while, but then trouble with bone density started again so I am back on the stuff.
space,
>> not running, I measured pulse and blood pressure right away: >> >> 113/70 and pulse 55 > > Those are brilliant numbers! Ah, you must be british! :-) My brits friends are using the word "brilliant" all the time! I am in Holland, so not to far away from you then? Friends live in Cambridgeshire
>> Waited a bit and now bl pr and pulse are: >> [quoted text clipped - 8 lines] > very high, and the long term iron overload hasn't helped the intefrity > of my blood vessels any... Sorry to hear that, I don't know what the brand is, opened the thing up to find it, there's a sticker inside that says QC passed which sounds like quality something passed? I've had it for a couple of yrs and think I threw away the box. Bought it at a chemists.
Maybe your rd or chemists can tell yoy what's a good one?
> I'm really not certain. I can't judge from myself because my pulse > varies every two weeks between transfusions. Much?
> Exercise is great for RA, and helps prevent bone loss from immobility > (my bones are already in trouble, so I keep going to the gym despite the > pain). The tiredness is a common side effect from at least one of the > medications you're on, not to mention the physical and emotional strain > of chronic illness. I read that a team of specialists are starting up sserious research on this, to find out if, besides the things you are mentioning, there could also be fysical causes, especially since ± 50 % of the patients are suffering from an (almost) ME like fatigue, despite meds like Enbrel.
> Raise it with your doctor again. If he/she isn't concerned, then cross > it off your list of things to worry about :-) It's almost off my list ;-) mr rd doesn't thing I should worry about it, but then again, at the hospital my pulse was low in 50-ties since I walked for 20 minutes to get there and also feel less comfortable then when being at home
cheers Ari!
Harvey R. Stone - 16 Oct 2005 03:46 GMT Hi Nikki,,,,, It is so good to read how well your medicine works for you. I love to walk too but unlike you my blood pressure goes up over 150/85 but I am taking a great deal of lard along with me. I have found a very nice park with benches everywhere and trees everywhere and the path goes around in three or four different ways and never out of the sight of my car. I had a bad dream one night about having a heart attack on a walking trail while being about 2 miles from my car.... changed my life a little... Harv
> Hi, > [quoted text clipped - 78 lines] >> counting for a full 60 seconds or are you doing 15 seconds and >> multiplying by four? I ask because your pulse is a bit below average. nikki - 16 Oct 2005 11:39 GMT Hi Harvey,
it does work very well, for longer periods when I am on it without problems from the side effects. I think it's more common to have your blood pressure going up like yours when walking etc. Do you walk a lot? Maybe the more you walk, each time a little more, maybe 5 minutes per week, will make it better? That's how I do it. Or is there another cause for your bloodpressure going up? In that case you have to be more careful? What is lard and why do you have to take it with you?
Anyway, I think it's good you make an attempt, not just for your health only, but the park sounds really nice so it must be good to enjoy as well. What do you mean by the dream..?? It wasn't like..for real..I hope? In that case, I am sorry to hear but glad for you there is a park that you can enjoy so much,
Nikki
> Hi Nikki,,,,, It is so good to read how well your medicine works for you. > I love to walk too but unlike you my blood pressure goes up over 150/85 but [quoted text clipped - 12 lines] >>I used to walk once or twice a week 10 km each time, also over here, it is >>much easier and faster to walk distances or hop on your bicycle than it Harvey R. Stone - 16 Oct 2005 15:14 GMT > Hi Harvey, > [quoted text clipped - 6 lines] > Or is there another cause for your bloodpressure going up? In that case > you have to be more careful? That is a very good suggestion.
> What is lard and why do you have to take it with you? LOLOL Fat,,, plain > old fat. Ooops, that is the southern boy coming out of me. My weight is 262 on a 5'11'' frame
> Anyway, I think it's good you make an attempt, not just for your health > only, but the park sounds really nice so it must be good to enjoy as well. > What do you mean by the dream..?? It wasn't like..for real..I hope? No just a dream but a very real one where I did not survive.
> In that case, I am sorry to hear but glad for you there is a park that you > can enjoy so much, > > Nikki The long park that I used to enjoy goes right by this little park and is 8 miles long. I used to see rabbits out for their morning feed before they put up all those houses. That is a real,,,, So it goes. Harv
Ps Have you noticed that everything gets in the way of a person getting their exercise? Another,,, So it goes.
nikki - 16 Oct 2005 16:55 GMT Hi Harv,
>>What is lard and why do you have to take it with you? LOLOL Fat,,, plain >>old fat. I was afraid it meant just that, but never thought of weight, I really have to make a switch from my netherlands thinking to american jokes hahaha I miss out on them sometimes, lack of english grammar :-)
> Ooops, that is the southern boy coming out of me. My weight is 262 on a > 5'11'' frame Lucky you,I have no clue about your weight because over here we're into kilos and metric system. I'm 1,67 and weigh 57 kg's. It was 4 or 5 more about 2 months ago, but since I was able to go to just5 mg Pred per day and walking so much I lost the kg's. On Pred I just can't stop myself from craving for chocolate and other goodies! I had even given up hope ever being able to fit in my old clothes again so I had started giving them away. Well, not all of them fit anymore,(some still do) I don't expect that to happen since some lard looks like it's going to stay, comes with age LOLOLOL
I'm enjoying present state, as one cannot tell how long it will last! And then, Christmas coming up in 2 months time...hard to stay away from all the nice bourgondy way of life!(that's what we call the good life over here)
Nikki
>>Anyway, I think it's good you make an attempt, not just for your health >>only, but the park sounds really nice so it must be good to enjoy as well. [quoted text clipped - 14 lines] > Ps Have you noticed that everything gets in the way of a person getting > their exercise? Another,,, So it goes. Joan Carter - 13 Oct 2005 23:54 GMT >My pulse is then 43-46 or when having been busy, around 53-56. >Blood pressure is somewhere between 117/69 and 124/84 Are you very athletic? Sounds like what is called an athlete's pulse, although they usually are about low 50s I think. --- Joan
Fay - 16 Oct 2005 03:48 GMT I take my blood pressure every day and the pulse flocculates any were between 50 --60. I use a wrist and they are not too good. At the Dr. it's better. Fay
nikki - 16 Oct 2005 11:30 GMT Hi Fay,
I checked my wrist also manually, counting for 15 seconds and then multiplying 4 times and the result was the same so I guess mine is a good one. My pulse is almost always the same. 43-45 when resting and 55-57 after walking. Suppose there are many on the market, one may be better than the other? My dr is using a similar thing to the one I am using, at the rd my pulse was a bit higher than at home, but then again, I had just walked 20 minutes to get there and at home I feel more comfortable than in hospital,
Nikki
> I take my blood pressure every day and the pulse flocculates any were > between 50 --60. I use a wrist and they are not too good. At the Dr. > it's better. > Fay Gwen Love - 14 Oct 2005 01:07 GMT Nikki, a pulse count in the 40's is too low. My doctor changed my medicine because mine was in the high 40's. Gwen
> Hi, > [quoted text clipped - 13 lines] > > Nikki Cooly - 14 Oct 2005 02:10 GMT It might be too low if Nikki isn't working out a lot, but when I check mine while still in bed in the AM it's about 42. When I was running marathons it was below 40. Certainly it could be a problem if there is no good explanation, but it could be a sign of good health. Cooly
> Nikki, a pulse count in the 40's is too low. My doctor changed my medicine > because mine was in the high 40's. [quoted text clipped - 17 lines] >> >>Nikki Ken Klaus - 14 Oct 2005 13:29 GMT The med. I take for heart and BP lowers my pulse to around 50 or so and it is calld atenolol. Ck with your Dr. if you are on any meds.
Norman - 14 Oct 2005 05:55 GMT Both your blood preasure and pulse are affected by many things.
When you're relaxed, your pulse and respiration are going to be lower than if you've been moving around listening to something stirring.
Many medications will alter pulse and respiration, some one way and some the other.
Emotional stimuli also can affect you.
I would suggest discussing the readings with your doctor at your next visit, since they may cause him to modify your treatment.
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