- male
- 50 Years
- 07/02/2025
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?
Answered by 1 Apollo Doctors
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.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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View allI've been dealing with high blood pressure at 160100, and even after taking medication for four months, it hasn't improved. Yesterday, I was given two different prescriptions, and now I'm feeling dizzy in the morning and can't stand. The doctor mentioned some tests too. Is this something I should be worried about? Why isn't my blood pressure going down?
It is concerning that your blood pressure is still high despite taking medication for 4 months. The dizziness and inability to stand after taking the new medications could be due to their side effects. It is important to follow up with your doctor regarding these symptoms. Regarding why your blood pressure is not coming down, there could be various reasons such as medication resistance, underlying health conditions, lifestyle factors, or incorrect dosage. It is crucial to discuss this with your doctor to adjust your treatment plan accordingly. In the meantime, make sure to monitor your blood pressure regularly, follow a healthy diet low in sodium, engage in regular physical activity, manage stress, and avoid smoking and excessive alcohol consumption.
Answered by 1 Apollo Doctors
Can high blood pressure cause shortness of breath?
High blood pressure forces your heart to work harder to pump blood to the rest of your body. This causes part of your heart (left ventricle) to thicken and may lead to heart failure which presents as shortness of breath, chest pain, persistent cough, swelling in legs and weakness.
Answered by 1 Apollo Doctors
I've been dealing with these ectopic palpitations for the last 8 months and it's really stressing me out. I went to a general physician who said it's nothing to worry about and it's just anxiety related. I have really bad cardiophobia anxiety. He put me on ciplar la 20, which helped a bit with the palpitations but they haven't completely gone away. I did a holter and an echo screening and showed them to a cardiologist. He said it's just anxiety too, but mentioned there was concentric LVH on the echo and a single ectopic on the holter. Should I be concerned about the concentric LVH and the single ectopic beat, or is it really just anxiety like everyone's saying?
Based on your symptoms and reports, I recommend continuing with Ciplar LA 20 for the ectopic palpitations. In addition, you may benefit from an anti-anxiety medication such as Escitalopram 10mg once daily to help manage your cardiophobia anxiety. It is also important to address the concentric LVH detected in the echo report. You can start taking Losartan 50mg once daily to help manage the LVH. Regular follow-up with your cardiologist is essential to monitor your condition and make any necessary adjustments to your treatment plan.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.