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

Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

Consult Now

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

Find a Cardiologist

Answered 04/07/2025

More Cardiology Health Queries

View all

I'm a 59-year-old female and recently experienced some pain in my left hand. I went to see the doctor, and he took an EKG. He then recommended an angiogram. Could you explain what an angiogram is and why it might be necessary for me? Should I be worried about this procedure?

The symptoms you are experiencing, along with the recommendation for an angiogram, suggest that your doctor may suspect a heart-related issue. The EKG and angiogram are common tests used to diagnose heart problems. It is important to follow your doctor's advice for further evaluation and treatment. For the left hand pain, you can take over-the-counter pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil) to help manage the discomfort. Make sure to follow the recommended dosage on the packaging. If you experience any worsening of symptoms or new symptoms, such as chest pain, shortness of breath, or dizziness, seek medical attention immediately.

Answered by 1 Apollo Doctors

I'm having a lot of pain below my left chest and shoulder, and it's making it really hard to breathe. Should I be worried about this? What could be causing it?

cardiac issue pulmonary issues GERD

Answered by 1 Apollo Doctors

What are the best foods to eat to lower triglycerides?

Omega-3 rich fish include salmon, sardines, mackerel, herring, tuna, and halibut. Other foods that help lower triglycerides include fiber-rich foods such as oats, flax meal, and beans. Olive oil, especially when substituted for animal fats like butter or lard, is another food that can help lower triglycerides.

Answered by 1 Apollo Doctors

Health Articles for you

View all

Heart Attack

Understanding FAST in Stroke Recognition

Learn what FAST stands for and why it's a critical acronym for stroke recognition. Understand the key signs of a stroke – Face drooping, Arm weakness, Speech difficulty, Time to call emergency – and how quick action saves lives and limits damage.

Heart disease

How Stress Impacts Heart Health: Symptoms, Prevention and Management Tips

Learn how stress affects heart health and explore effective prevention and management strategies. Understand the connection between stress and heart disease, and discover ways to reduce stress for better cardiovascular well-being.

Blood Pressure Changes

Guide to World Hypertension Day

The meta description should explain what the guide is about. It should include keywords like "World Hypertension Day," "hypertension," "blood pressure," "high blood pressure," "awareness," and "prevention." It should also encourage a click by highlighting the benefits of reading the guide, such as learning how to manage or prevent hypertension.

Bradycardia

The Micra Pacemaker: A Complete Guide to the World's Smallest Heart Device

Explore the Micra pacemaker, the world’s smallest leadless heart device, offering minimally invasive implantation, faster recovery, and safer, long-term cardiac rhythm management.

Resistant Hypertension

How To Reduce Hypertension?

Learn effective methods to manage and reduce hypertension (high blood pressure) through lifestyle changes, diet, exercise, and stress management. Lower your risk of serious health complications.

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.