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 worried about my father. He had angioplasty just yesterday, and now he's got this pain running from the middle of his leg down to his ankle. Is that something to be concerned about, or is it normal after angioplasty?

Pain from the mid-leg to the ankle after an angioplasty could be due to several factors, such as the site of catheter insertion (usually the femoral artery in the groin) or the use of a vascular closure device. While mild discomfort and bruising can be normal, significant pain should be evaluated to rule out complications like hematoma, arterial injury, or deep vein thrombosis (DVT). Please consult your father's healthcare provider promptly to assess the cause of the pain and ensure appropriate management.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm 32 and just got my TMT test results back. It mentions VPC during exercise and after, and a positive chronotropic response. There's also a 1mm downsloping ST depression at peak exercise but it's normal at 3 min recovery. Should I be worried about any of this? Do I need to take any medication? I'd really appreciate some guidance.

TMT report suggests a negative TMT with VPC seen during exercise and at recovery of the test, along with a positive chronotropic response. The 1mm downsloping ST depression at the peak of exercise, which normalizes at 3 minutes of recovery, is also noted. Based on this report, there is no significant worrying problem identified. However, considering the findings, it would be advisable to start medication to manage the VPC and ST depression. You can take Metoprolol (brand name: Lopressor) 25mg once daily to help regulate your heart rate and reduce the occurrence of VPCs. Additionally, you can take Aspirin 75mg once daily to prevent any potential clot formation due to the ST depression observed during exercise. It is important to follow up with your healthcare provider for further evaluation and management.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

My uncle is scheduled for CABG surgery this week and we're really worried about it. I've attached the CAG report for reference. Can you explain the benefits and risks of this surgery and what outcomes we can expect? Also, is this technique widely accepted by doctors and patients in India or are there any common issues with it? Would really appreciate your advice.

visit ortho dr for that

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.