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Pacemaker, low BP - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Hello?
Doctor :   Hi, I am Dr. AAAAAAA
Please proceed with your query
User :   My mother (52) had a pacemaker installed less than a year ago. For the last several months, she has experienced seriously low blood pressure, averaging around 75/55 - fluctuations are common...She has had several fainting spells and emergency room trips. She went in for autonomic testing last week and visited with her cardiologist, who has placed her on Toprol...which I understood to be for patients with HIGH not LOW blood pressure. I am worried this could worsen her condition. What could be causing her low blood pressure and should she take the Toprol w/ the pacemaker and low BP?
Doctor :   Merry Christmas
User :   Thank you, and Merry Christmas to you as well.
Doctor :   Let me read your query for few minutes to
be able to have a good discussion here.
User :   Sure.
Doctor :   Yes your doubts are logical
Doctor :   Whe was the last visit to the
Doctor :   cardiologist
Doctor :   ?
User :   This week.
User :   The day after autonomic testing.
Doctor :   Was she advised any dose adjustment, hope the cardiologist is the one taking care of her fainting attacks right?
User :   Yes, he was who our family doctor referred us to after an emergency room trip.
User :   I think she is taking a lower dosage of the Toprol than my dad - who IS taking it for HIGH BP. Not sure of an exact number. We've been dealing with a lot of prescriptions lately.
Doctor :   I hope that you are also aware that Toprol s purpose is not solely to reduce BP
Doctor :   It is cardioprotective
User :   I understand that it is also used to prevent heart attack?
Doctor :   prevents angina & heart failure
Doctor :   Yes
User :   I am just worried that it may further reduce her already low blood pressure...and also looking for any ideas on causes for these issues even with the pacemaker that I might consider with her cardiologist
Doctor :   Yes thats why your Doc wants an autonomic testing.
User :   We had assumed the pacemaker installation would alleviate seemed to, temporarily, but after a few we are. I am just worried about her blood pressure dropping TOO low...if you know what I mean. It's rather scary...
Doctor :   This will ascertain
Doctor :   whether the drop in BP is due to a problem in her circulatory system or with the autonomic system in general
Doctor :   The BP that you mentioned- 75/55, is this the diastolic, what about her systolic BP?
Doctor :   ?
User :   Err it was 75 over 55 for the reading? Not sure about the technical terms.
Doctor :   May I know for what reason that the pacemaker was installed?
Doctor :   any particular diagnosis?
User :   I wasn't involved with her treatment at that point but the reason I was given was simply low heart rate/bp...? By the way, will I be charged more if I remain on the chat? I don't see a countdown for my time remaining anywhere.
Doctor :   Yes I need time for a good discussion here
Doctor :   and you need to recharge the time
Doctor :   Let us discuss before it gets over
Doctor :   Right now your pacemaker is to be set for her current condition
Doctor :   to increase the heart rate
User :   I can't take any more time, unfortunately, so let me know what you can now please.
Doctor :   Toprol is a good antiarrhythmic medicine along with being
Doctor :   controlling high BP
Doctor :   Ok, I shall send you an answer by email within 24 hours
Doctor :   if the chat gets over
User :   sure
Doctor :   please confirm email i
Doctor :   ID
User :  
User :   indeed
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