- 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'm experiencing this odd sensation in my chest where it feels like my heart is having a spasm or beating irregularly for a few seconds. It's not exactly painful, just really weird, and it's been happening every few months. Sometimes it even feels like its happening in my right chest or arm, which made me think it might be nerve-related. I've had heart tests done in the past, and everything came back normal, but this sensation worries me. Also, whenever I stand up or walk upstairs, my heart rate jumps up to 150 bpm and then drops back to 100 bpm shortly after, which makes me wonder if I could have POTS. I often forget to check my pulse when this happens because it scares me so much. Could these spasms be related to muscles or nerves instead of my heart? Is it normal to experience this kind of chest pain and heart sensations for just a few seconds?
It sounds like you may be experiencing palpitations and chest pain, possibly related to your heart or nervous system. Given your history of normal heart tests and symptoms like random spasms and irregular heartbeats, it may be worth considering a condition called supraventricular tachycardia (SVT). SVT can cause sudden, rapid heartbeats and chest discomfort. In your case, since you also mention the possibility of POTS (Postural Orthostatic Tachycardia Syndrome) and nerve-related symptoms, it would be important to discuss these new symptoms with your healthcare provider. For symptomatic relief, you can consider taking a beta-blocker medication like Metoprolol (e.g., Lopressor) at a starting dose of 25mg once daily, as it can help regulate your heart rate and reduce palpitations. However, it is crucial to consult with your doctor before starting any new medication to ensure it is safe and appropriate for you.
Answered by 1 Apollo Doctors
I've been dealing with high blood pressure for the last six years, and I'm currently taking Olmesar 20 H. This past week, my blood pressure readings have been fluctuating between 13590 and 14595. What can I do to help lower my blood pressure? I'm a bit concerned about these numbers.
It seems like your blood pressure is slightly elevated despite taking Olmesar 20 H. To help lower your blood pressure, you can try increasing your physical activity, reducing your salt intake, maintaining a healthy weight, and managing stress. In addition, you may need a change in medication dosage or a different medication. I recommend consulting your doctor to adjust your treatment plan.
Answered by 1 Apollo Doctors
I'm really worried about this stiffness in my left ventricle. What can I do to help it get better, and are there specific things I should avoid doing? Can it be cured? I'm not sure what steps to take, and it's a bit overwhelming. Any advice would be really appreciated.
Stiffness in the left ventricle can be managed with medications such as ACE inhibitors like Lisinopril or ARBs like Losartan to help relax the blood vessels and lower blood pressure. Beta-blockers such as Metoprolol can also be prescribed to reduce the heart rate and workload on the heart. In addition, diuretics like Furosemide may be used to reduce fluid buildup in the body. It is important to follow a low-sodium diet to reduce fluid retention and avoid alcohol and tobacco which can worsen heart conditions. Regular exercise as recommended by your healthcare provider can help improve heart function. It is also important to manage stress and get an adequate amount of sleep to support heart health. Remember to take your medications as prescribed, attend regular follow-up appointments with your healthcare provider, and report any new or worsening symptoms promptly.
Answered by 1 Apollo Doctors
Health Articles for you
View all
.webp)
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.