- 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
0
More Cardiology Health Queries
View allI've been having these sudden heart palpitations and some breathlessness since last week in May, and even when I do activities like slow walking or yoga, my heart rate spikes up to around 150-170. After seeing my cardiologist, I was on Inderal 10 mg for 2 months, but it didn't help much. Now I'm taking Betacap TR 40 and Daxid 25 mg, but sometimes my heart still races even when I'm just resting. My cardiologist mentioned that stress might be causing it. I'm really anxious to know when this might get better. I'm 31, breastfeeding, and all my tests like ECG, echo, thyroid, and sugar levels came back normal. I'm using my iWatch to track my heart ratehow reliable is that, or should I consider a different device?
Based on your symptoms and the medications you have tried, it seems like you are experiencing persistent tachycardia and palpitations despite the treatment. Since your cardiologist mentioned stress as a possible cause, it may take some time to see improvement as managing stress levels can be a gradual process. In addition to the medications you are currently taking (betacap tr 40 and daxid 25mg), your doctor may consider adjusting the dosage or trying other medications to better control your symptoms. It is important to continue following up with your cardiologist for further evaluation and management. Regarding monitoring your heart rate, while devices like the Apple Watch can provide useful information, they may not always be as accurate as medical-grade monitoring devices. If you are experiencing persistent symptoms and want more accurate heart rate monitoring, you may consider investing in a dedicated heart rate monitor recommended by your healthcare provider. It is essential to continue working closely with your cardiologist to address your symptoms effectively and monitor your progress over time.
Answered by 1 Apollo Doctors
I checked my blood pressure earlier this evening and it read 12090. Is this normal, or should I check it again tomorrow? If its the same, do you think I should see a doctor?
normal
Answered by 1 Apollo Doctors
Hey, a couple of years ago I had a CT coronary angio, but I had a panic attack because of the contrast media, and my heart rate shot up to 120. The staff didn't wait for it to settle and went ahead with the scan. They said my arteries were disease-free and mentioned something about a right circulation and a small caliber artery. How did they even get accurate images with my heart rate that high? Did they just fool me? Also, they originally told me I'd need another CT angio in 10 years. Do you think I need to do a repeat scan now? I'm just really confused about what I should do next.
It is possible to obtain accurate images during a CT coronary angiography even if your heart rate increases due to a panic attack triggered by the contrast media. The imaging technology is designed to capture clear images even with some movement. However, if you have concerns about the accuracy of the results or if you are due for a repeat CT angio according to your previous medical plan, it would be advisable to consult with your healthcare provider. They can review your previous scan, assess your current health status, and determine if a repeat CT angio is necessary at this time.
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.