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 trying to figure out whether Amlovas AT or LupidipA would be a better option for my dad. He's been on Amlovas AT for the past 5-6 years. Could you shed some light on which might be more suitable for him? I'm just a bit concerned and want to make sure he's on the right medication.

both the medications have equal side-effects , physician opinion.

Answered by 1 Apollo Doctors

I'm sometimes feeling my heart beating in my neck and it makes me panic a bit. I've done some tests like a blood test, ECG, and 2D Echo. My cholesterol is borderline, but both the ECG and Echo came out normal. So, why do I feel my heartbeat in my neck sometimes? Should I get more tests to check if there's something abnormal going on?

Feeling your heart beat in your neck can be due to various reasons such as anxiety, stress, or even dehydration. Since your ECG and 2D Echo results are normal, it is less likely to be related to any structural heart abnormalities. However, if you continue to experience this sensation, you may consider doing a Holter monitor test to monitor your heart rhythm continuously for 24-48 hours. This can help in detecting any irregular heartbeats that may not be captured during a standard ECG. Additionally, a stress test can also be considered to evaluate your heart's response to physical activity.

Answered by 1 Apollo Doctors