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Suggest Treatment For High BP
Question: My blood pressure is running too high at 140/87 and heart rate 116. If that too high. I am already on midorine and metoproloh daily.
Brief Answer:
Need more information
Detailed Answer:
Dear Mrs,
To answer to your query I need more details
1. do you have acute onset of tachycardia (high heart rate),
2. how long is already you heart rate 116 bpm
3. is it irregular
4. what is your usual heart rate, do you have high heart rates frequently
5. when was your last ablation
6.for what was your ablation, have you had atrial fibrillation or other type of arrhythmia
7. what dose of metoprolol do you take
8. what is you usual blood pressure
Regards,
Need more information
Detailed Answer:
Dear Mrs,
To answer to your query I need more details
1. do you have acute onset of tachycardia (high heart rate),
2. how long is already you heart rate 116 bpm
3. is it irregular
4. what is your usual heart rate, do you have high heart rates frequently
5. when was your last ablation
6.for what was your ablation, have you had atrial fibrillation or other type of arrhythmia
7. what dose of metoprolol do you take
8. what is you usual blood pressure
Regards,
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
last ablation was in 2014 and it was the cyroabation. I get dizzy and still have onset of tachycardia. my heart rate goes anywhere from 116, 119, 143. blood pressure has been varying now for over 2 weeks. I do have irregular heart beats. Atroventricular tachycardia and last ablation was for A-fib. Metoprolol 25 1/2 in morning 1/2 at nite. and Midodrene 50 1/2 morning and 1/2 at night then a whole 50 at lunch.
Brief Answer:
Need dose increase and further evaluation
Detailed Answer:
Dear Mrs,
It seems your last ablation was not successful as you still have arrhythmias.
If you were my patient, I would
1. increase metoprolol dose 25 mg in the morning and 25mg at night
2. perform holter monitoring to evaluate you arrhythmias
3. evaluate risks for deciding the need of prescription aspirin/anticoagulant
In some cases even with ablation it is not possible to eliminate arrhythmia. So, for these cases we try to control arrhythmia and heart rate with medications. And it is very important to chose right medication and right dose for particular patient.
Hope it could be of help
Wish you good health
In case of further questions don't hesitate to ask
Regards,
Need dose increase and further evaluation
Detailed Answer:
Dear Mrs,
It seems your last ablation was not successful as you still have arrhythmias.
If you were my patient, I would
1. increase metoprolol dose 25 mg in the morning and 25mg at night
2. perform holter monitoring to evaluate you arrhythmias
3. evaluate risks for deciding the need of prescription aspirin/anticoagulant
In some cases even with ablation it is not possible to eliminate arrhythmia. So, for these cases we try to control arrhythmia and heart rate with medications. And it is very important to chose right medication and right dose for particular patient.
Hope it could be of help
Wish you good health
In case of further questions don't hesitate to ask
Regards,
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
My gastroenrologist just took me off my aspirin that heart doctor put me on. It was aggravating my stomach was too much. The doctor I am seeing now says I have an overactive caratoid artery in my neck that is casing all my problems that there is no other ablation needed cause it won't help. I am considering going to get a second opinion from what he is telling me. I go back to see Dr. XXXXXXX on the 30th for follow up. I am just concerned...
Can I email you my blood pressure chart off my iPad where I keep up with it daily...
Can I email you my blood pressure chart off my iPad where I keep up with it daily...
Brief Answer:
Advised to continue metoprolol
Detailed Answer:
Dear Mrs,
You should continue taking metoprolol for rate and rhythm control.
You can send your blood pressure chart to this email address - YYYY@YYYY with subject as 'attention to Dr. Lilit'.
Regards,
Advised to continue metoprolol
Detailed Answer:
Dear Mrs,
You should continue taking metoprolol for rate and rhythm control.
You can send your blood pressure chart to this email address - YYYY@YYYY with subject as 'attention to Dr. Lilit'.
Regards,
Above answer was peer-reviewed by :
Dr. Shanthi.E
I emailed a copy to your attention
Brief Answer:
Need lifestyle changes or medication for elevated blood pressure
Detailed Answer:
Dear Mrs,
I received your chart. I noticed that your blood pressure started to raise recently. You should be attentive maybe something has changed in your lifestyle recently; additional stress, weight gain, physical inactivity, salt abuse. If yes, try to correct it. If no, you need to discuss with your doctor regarding your medication, there will be need to increase the dose or add new one.
And also the metoprolol dose should be surely increased.
Wish you good health
Regards,
Need lifestyle changes or medication for elevated blood pressure
Detailed Answer:
Dear Mrs,
I received your chart. I noticed that your blood pressure started to raise recently. You should be attentive maybe something has changed in your lifestyle recently; additional stress, weight gain, physical inactivity, salt abuse. If yes, try to correct it. If no, you need to discuss with your doctor regarding your medication, there will be need to increase the dose or add new one.
And also the metoprolol dose should be surely increased.
Wish you good health
Regards,
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
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