<s>[INST] Im a 31 year old trans male.  Ive always had a very strong heartbeat.  Ive felt dizzy a lot in the past week or so.  I went to donate blood and they said my heart rate/pulse was 98 and my blood pressure was 150/90.  My pulse has been around 100-105 since yesterday.  What could be going on? [/INST] Hellothanks for posting Hara heart rate of 98-105/min is not very fast and worrisome. You may be feeling dizzy due to your high BP episodes. However cannot say that you are suffering from high BP.  For that you have to get three high BP readings one week apart. If your BP remains persistently higher than you need to be started on medications. Nothing to worry. in the meantime get started with exercise and diet modifications. Since you are young your arteries are still elastic and BP can be controlled on diet exercise itself. It will also help bring down your heart rate. Thank you </s>