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 a bit concerned about what my recent echo showed. It mentioned something called Grade I diastolic dysfunction. Is this something normal that I shouldn't worry about or do I need to consider any treatment? Would really appreciate some guidance.

See a specialist for accurate diagnosis and targeted treatment.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm looking at my report and it notes that I have a sinus rhythm with a heart rate of 81 and marked right axis deviation. I'm a bit anxious and just want to understand if this is normal or if there's something I should be concerned about. Could you help clarify what this means for my health?

report is not normal.. right axis deviation is of serious underlying pathology.AN ECHO is advised and cardiac opinion..probable diagnosis could be right ventricular hypertrophy, rt bundle branch block embolism, lung diseases,hyperkalemia and septal defects...

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm experiencing breathlessness when I exert myself and my heart rate seems really high. The recent echo shows mild TR, mild PAHRVSP at 45 mmHg, and a mild MR jet area of 2.5 sqcm, with tachycardia at 121 bpm. My hemoglobin and thyroid levels are normal, but I'm a bit concerned about the mild PAH. Should I be worried about this and check in with a doctor?

Yes, mild pulmonary arterial hypertension (PAH) should be followed up by a doctor, especially since you are experiencing breathlessness on exertion and have a high heart rate. Treatment for PAH may include medications such as sildenafil (Revatio) or tadalafil (Adcirca) to help lower the blood pressure in the lungs. It is important to monitor and manage PAH to prevent further complications.

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.