Question 1

I've got a pretty long medical history with congenital heart disease, two open-heart surgeries, and a pacemaker implanted because of atrial fibrillation. My thyroid levels are low, and I'm on medications like Cordarone and beta blockers. It's been rough over the last year with this intense pounding sensation over my nose and super high blood pressure that just won't get under control. I've tried all the check-ups I can think of. What could possibly be causing this uncontrollable high blood pressure, and what can I do about it?

Accepted Answer

Uncontrollable high blood pressure can be challenging to manage, especially with your complex medical history. Since you are already on Cordarone, a Beta Blocker, and thyroid medication, one option to consider adding is an ACE inhibitor like Lisinopril. The recommended dosage for Lisinopril is usually starting at 10 mg once a day, which can be adjusted based on your blood pressure response. Additionally, a diuretic such as Hydrochlorothiazide may also be beneficial in controlling your blood pressure. It is important to monitor your blood pressure regularly and work closely with your healthcare provider to adjust your medications as needed.

Question 2

I'm a bit worried about my recent ECG results that show IRBBB, but my 2D echo came back normal. I don't have any family history of heart disease, so I'm wondering if my heart's in good shape. Is it okay for me to hit the gym regularly? I already walk more than 10,000 steps a day and jog for about 5 minutes.

Accepted Answer

based on your description of having an Incomplete Right Bundle Branch Block (IRBBB) on ECG but a normal 2D echo and no family history of heart disease, it is likely that your heart is healthy and normal. IRBBB itself may not necessarily indicate a heart abnormality, especially if the 2D echo is normal. You can continue with your daily activities like walking more than 10K steps and 5 minutes of jogging. However, if you have any concerns or symptoms like chest pain, shortness of breath, or dizziness during exercise, it is advisable to consult a cardiologist for further evaluation. As a precautionary measure, you can consider taking low-dose aspirin (75-100mg) daily to reduce the risk of cardiovascular events.

Question 3

I'm feeling this strange pulsating sensation in my left ribs that goes down my armpit, and I'm having some chest pain as well. It's pretty unsettling, and on top of that, my left hand and leg keep sweating. This mostly happens at night, and I notice my heart is beating faster during these episodes. Any ideas on what might be causing this?

Accepted Answer

take ecg snd consult cardioloist

I've been having chest pain for the past few months, and sometimes it's on the left side as well. I've noticed it in my left hand too. It kind of comes and goes on its own. Could you suggest what might be going on or what steps I should take?

since you are very young ,less chances of cardiac arrest. take tablet zerodol ,if pain still persists ,do tropI test

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