- 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
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View allI've been really worried about some recent health issues and could use some advice. I had an angioplasty back in 2013 and also dealt with Covid in August '20. Recently, I had some pain in my left arm, so I went to the cardiologist. The ECG came back normal, but some of my test results are concerning. My homocysteine level is at 44, triglycerides are sitting at 275, but my creatinine and cholesterol are normal. My SGPT is at 46 and B12 is at 218. I'm really anxious because I know the high homocysteine could mean a higher chance of another heart issue. Should I be considering more tests, like angiography, or is there a treatment plan you would suggest? Just hoping to get some peace of mind here.
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I've been having this brief but really intense pain right in the middle of my chest, and it only lasts for a second. It kind of feels like something's bursting in there, and it happens when I'm just resting. It's pretty scary and I'm not sure what I should do. Any thoughts?
It sounds like you may be experiencing a condition known as angina, which is chest pain or discomfort caused by reduced blood flow to your heart muscle. It is important to seek medical attention immediately to rule out any serious underlying heart conditions. I recommend taking a low dose of aspirin (75-150mg) immediately, as it can help reduce the risk of heart attack. Additionally, you should take a sublingual nitroglycerin tablet to help relieve the chest pain. It is important to rest and avoid any strenuous activity until you can see a healthcare professional for further evaluation and treatment.
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advised an ecg and cardiac markers..
Answered by 1 Apollo Doctors
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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.