Question 1

Is a pulse rate of 55-65 normal? We've started my dad on Concor AM 5mg for the last couple of days, and now we're noticing his pulse rate is around that range, plus he's been experiencing some irregular heartbeats and mild chest pain. He's already dealing with hypertension and after a bout with COVID had palpitations and a pulse hitting 120, so he took Ivabid for a month, then switched to Dilzem CD 90mg for another month. We did notice his aortic valve is dilated at 4.3 cm. I'm really worried and wondering if we should continue with Concor, or could it further lower his pulse rate?

Accepted Answer

A pulse rate of 55-65 can be considered normal for some individuals, especially those who are physically fit. However, considering your father's history of hypertension, irregular heartbeat, chest pain, and previous cardiac medications, it is essential to monitor his condition closely. Concor AM 5mg is a combination of Bisoprolol and Amlodipine, which helps in controlling blood pressure and heart rate. Given his symptoms and medical history, it is crucial to consult with his healthcare provider to adjust the dosage or consider alternative medications. Continuing Concor may further decrease the pulse rate, so medical advice is necessary to ensure his safety and well-being.

Question 2

I'm a bit worried because my heart rate is around 113 BPM even when I'm just resting, but my ECG came back normal. I have to admit, I'm pretty lazy and don't get much exercise, and my breathing gets heavier when I try to run. Could my lifestyle be causing this high heart rate, or should I be concerned about something else?

Accepted Answer

A heart rate of 113 BPM at rest can be caused by various factors, including physical inactivity and a sedentary lifestyle. Since you mentioned that your ECG is normal, it is less likely to be due to a heart condition. The increase in respiratory rate on running suggests that your body is not efficiently adapting to physical exertion. To address this issue, I recommend starting with lifestyle modifications such as regular exercise and physical activity. Additionally, you can consider taking medication like Metoprolol to help lower your heart rate and improve cardiovascular health. It is important to consult with a healthcare professional before starting any medication regimen.

Question 3

I'm really puzzled right now. My EKG keeps coming back abnormal, but the cardiologist didnt mention any problems before. I've started having palpitations, and there's been a lot of stress in my life lately. I decided to get a second opinion from a different cardiologist, but I'm confused. My EKG shows an incomplete right bundle branch block and a left anterior fascicular block. What does that even mean? My blood work is fine, my blood pressure is always excellent, and I dont have high cholesterol. Can you help me understand this?

Accepted Answer

Patient has heart block, cardiac opinion is advised, beta blockers,calcium channel blockers are advised..

There are many possible explanations What drugs is the patient currently on. An ACE inhibitor can cause dry cough Also what about his heart function sometimes CHF can also cause cough consult cardiologist

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