Hi again Unicorn,
I do empathise about the heart issue as I’ve been dealing with it since March and It’s a game changer for those of us badly affected.
I can only offer my own experience and detective work as I’m trying (along with my gp) to pinpoint how much the HRT is affecting my heart rate.
My heart rate was fine on Evorel Sequi but it does take the full 3 months to see if you’re suited, i felt I could do better so changed to Oestrogel/Utrogestan - very bad for me.
I then went onto Evorel Conti to see if the constant hormone levels helped and it did BUT the level of progesterone was too high and I developed night sweats, flushes and a raised body temp. I’m currently on Evorel Sequi again until I can try Femseven Conti which has lower levels of progesterone.
I didn’t find the oestrogen only patches affected my HR, it was more the combined patches when I changed. My gp said that Oestrogen should actually calm your heart rate as it’s the drops that can trigger tachycardia.
If I remember rightly, you are on Sertraline. I found this on the NHS website (avoid Dr Google)
“sertraline can speed up or change your heartbeat”
I think you need to look at your AD, the only reason I know a bit about this is my partner was put on a low dose AD for pain and his HR went through the roof on minor exertion, it is a known side effect. Hope you get some help with this.
E x