High blood pressure case study

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Rapid Heartbeat and its Causes

A rapid heartbeat is caused by a combination of events that affect either the heart or the arteries. They include excessive blood pressure and a lack of blood flow to the heart (Burke, 2014).

When one is exposed to continuous stress, fat, a smoker, or both, the risk of developing high blood pressure rises. On the contrary, coronary artery disease, heart muscle disease, heart infections, malignancies, heart failure, and heart valve disease all have an impact on the heart's blood supply. As a result, interrogative queries seek answers to the causes of blood pressure variation, cholesterol variation, and shortness of breath.

The patient claims to drink twice a month, is a nonsmoker, and had high cholesterol when he was five years old. Physical observations needed include pulmonary test, checking the signs of arteriosclerosis, BMI, eyes, blood samples, and urine samples. It is important to ask questions regarding the patient’s diet. How the patient prepares his food before embarking on the physical test is important. The level of activity of the patient is equally important. After measuring pulse, one should take note of the auscultation of fetal heart tones (Moser, 2009). Preliminary test results show that the patient has high blood pressure and relatively high cholesterol levels.

Further Analysis and Diagnosis

The patient has a healthy weight. The weight needs close monitoring because it is the upper limit. The oxygen concentration in the body is optimal. The pulmonary test shows that his lung is clear. However, some triggers were evident while checking on the heartbeat. Atrial fibrillation and atrial flutter have shortness of breath as a sign. On contrary, the patient has not experienced other symptoms associated with atrial fibrillation and flutter. Differential diagnosis is cardiac and pulmonary disease, acute coronary syndrome, essential hypertension and dyspnea. The final diagnosis is dyspnea and essential hypertension. The patient has both diseases hence should be medicated for both diseases.


Burke, C. M. (2014). Clinical Case Presentation. University of Chicago. Retrieved from, https://www.acoi.org/14Convention/Burke.pdf

Moser, M, (2009). High Blood Pressure. Retrieved from http://cwml.med.yale.edu/heartbk/12.pdf

Pereira C, Schlichte, A.,& Woolley, R. (2014) Institute for Clinical Systems Improvement. Hypertension Diagnosis and Treatment.

Varo Kirthi (2011). How to Write a Clinical Case Report. Royal Collage of Physicians.

June 12, 2023



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