Heart & Cardiology/ECG for Active Duty Staff Sergeant
I am an active duty Staff Sergeant with 15 years and multiple Combat tours. I am 66" tall at 190lbs. Over the past two years I have gained 30 lbs despite working out 4 days a week. I am always fatigued. My father just had a valve in his heart replaced and my grandfather died after multiple heart attacks.
I went in for my PHA and was asked to keep a blood pressure and heart rate log for two months. Three times a day I would sit down for 20 minutes, relax and use the wrist cuff I was given. My average for the first month was 140's / 95's with a resting heart rate in the 120's. My PCM put me on Lisinopril/HCTZ 12.5mg one time a day for the second month.
For the second month, three times a day I would sit down for 20 minutes, relax and use the wrist cuff I was given. My average for the second month was 130's / 80's with a resting heart rate in the 120's.
During the course of the day while I was active and moving around I would take my BP just to see and I would average 150's / 105's with a heart rate of 170's.
I have even taken my BP first thing in the morning before getting out of bed and its up at 130's / 80's with a heart rate of 105's.
This morning I had a ultrasound done on my heart but the tech refused to give even a hint if something was wrong. I have to wait three weeks for someone to look at it and then make an appointment with my PCM and wait another few weeks before I am told whats going on.
Attached is a picture I was able to take of the first ECG.
Does it look ok?
I am also taking Amitriptyline at 20mg at night and Carisoprodol at 350mg 3x a day
Your EKG is OK. Assuming your echocardiogram will be OK as well, rather than changing your BP meds I'd focus on your weight gain and your use of amitryptiline & carisoprodol - especially the latter should not be used long-term. I suspect if you were able to wean off them, you'd have an easier time losing weight and get your BP under control.
Hope this helps,