- 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
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I've noticed that my resting heart rate usually falls between 53 and 60, and my blood pressure seems fine. I don't experience shortness of breath, weakness, or any faintness. I don't get tired during physical activities, either. Over the past couple of years, I've had ECG, TMT, and Echo tests done; they didn't show anything concerning. The only thing that came up was a grade I diastolic dysfunction on the Echo test, but my doctor said that was normal. I play cricket almost every weekend without any issues. Is having a heart rate between 53-60 something I should worry about? Do you think I should get it checked out or need any treatment?
Your resting heart rate of 53 to 60 beats per minute is considered to be on the lower side but can be normal for some individuals, especially those who are physically active like yourself. Since you do not experience any symptoms like shortness of breath, weakness, fainting, or exhaustion during physical activity, and your ECG, TMT, and Echo tests have not shown any significant abnormalities, there may not be a cause for concern. However, if you are still worried about your low heart rate, you can consult with your doctor to rule out any underlying issues. In the meantime, continue to stay active and monitor your heart rate during physical activities. If further evaluation is needed, your doctor may recommend additional tests or monitoring.
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I'm curious if it's normal for my heart to race and beat really hard, almost like it's going to jump out of my chest, whenever I'm anxious or getting up from sleeping. It feels pretty intense and I'm also quite thin. I've done an ECG, an echo, and had blood tests, and everything came back normal. Is this something I should be worried about?
Experiencing a racing heart and strong heartbeats when anxious or when standing up quickly can be related to anxiety and a condition called orthostatic hypotension, which is a sudden drop in blood pressure upon standing. Given that your ECG, echo, and blood tests are normal, it's less likely to be a severe cardiac issue. Managing anxiety through techniques like deep breathing exercises, mindfulness, or therapy can help. Additionally, when standing up, try to do it slowly to give your body time to adjust. If your symptoms persist or worsen, consult your healthcare provider for further evaluation and to discuss additional strategies for managing your symptoms.
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