apollo
  • 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?

Doctor 1

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

Sick? Talk to a doctor now

More Cardiology Health Queries

View all

I'm having some trouble with mild heart palpitations and anxiety, so my cardiologist put me on Telma 40 and propranolol 40 mg. The good news is my palpitations and angina are gone since starting propranolol, but now I'm experiencing some erection issues. I'm wondering, could I switch from propranolol to Nevivolol? Or would it be okay to take tadalafil along with the propranolol? Could you give me some advice on these two options?

1. Instead of Propranolol 40 mg, you can use Nebivolol. The recommended dosage for Nebivolol is 5 mg to 10 mg once daily. It is also effective in managing heart palpitations and anxiety, with a lower risk of causing erectile dysfunction compared to Propranolol. 2. You can take Tadalafil with Propranolol, but it is important to consult with your cardiologist or healthcare provider before combining these medications. Tadalafil is used to treat erectile dysfunction, and the combination with Propranolol may help alleviate the erection problem you are experiencing. The usual starting dose of Tadalafil is 10 mg taken prior to anticipated sexual activity, with a maximum frequency of once per day.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I've just gotten some test results back and I'm a bit concerned. Most things seem to be in the normal range except for my Vitamin D 25 hydroxy and lipid profile. My Vitamin D 25 hydroxy level is at 32. For my lipid profile, my cholesterol is 206, triglycerides are 337, HDL is 35, LDL is 103.5, and VLDL is 67.5. Should I be consulting a physician or maybe even a cardiologist about this? I'm also curious about what precautions or medications I should consider to help lower my lipid profile and increase my Vitamin D 25 hydroxy levels.

Your vitamin D 25 hydroxy levels are lower than the normal range, and your lipid profile, specifically cholesterol and triglycerides, are elevated. To address these issues, you can take the following steps: 1. For Vitamin D deficiency (25 hydroxy level of 32): - You can take Vitamin D supplements such as "Calcirol" 60,000 IU once a week for 8 weeks, followed by maintenance therapy of "Uprise D3" 60,000 IU once a month. - Spend more time in sunlight as it helps in natural synthesis of Vitamin D. 2. For high lipid profile: - To lower cholesterol, you can take statin medications such as "Atorvastatin" 20mg once daily. - To lower triglycerides, you can take medications like "Fenofibrate" 160mg once daily. - Additionally, focus on a healthy diet low in saturated fats, cholesterol, and simple sugars. - Regular exercise and weight management can also help improve lipid levels. It is advisable to follow up with a physician for further evaluation and monitoring of your lipid profile and vitamin D levels.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm really worried about my dad. He's been having some discomfort in his left hand, and sometimes right hand, that goes up to his wrist and neck. He's 55 and has been experiencing this for the past few months. His cholesterol levels are at 225, and his blood pressure is around 13075. Do you think these could be signs of a pre-heart attack? I would really appreciate any advice.

These symptoms could indeed be concerning for potential heart issues. It is important to act promptly. I recommend that your father take Aspirin 81mg immediately to help prevent blood clot formation. Additionally, he should take Nitroglycerin sublingual tablets for immediate relief of chest pain or discomfort. It is crucial to seek emergency medical attention as soon as possible.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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.