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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For High Bp

I am 33 years old and have been taking atenolol for 4 years or so and started doing so b/c whenever I walked up stairs or exerted myself my heart would beet hard and fast, so much so it was scary. It felt like it was going to beat out of my chest. i also had high BP. I switched docs a few weeks ago and he put me on lysinopril and since then i've cut down my dose of atenolol gradually. The thing is my symptoms are back, I can't work out and climbing a flight of stairs brings back that rapid pulse and HARD heartbeat. My BP is fine with the lysinopril but it doesn't seem to be addressing the other problem. Also, The new doctor said he doesn't like atenolol for the long term. why is that? what should I do? I was very active for the last 4 years and now I cant even excercise for 5 minutes...
Wed, 26 Jul 2017
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Cardiologist 's  Response
Hello!

Welcome on HCM!

I passed carefully through your question and would explain that the main action of lisinopril is lowering blood pressure.

While the main action of atenolol is lowering the heart rate and preventing tachycardia or cardiac arrhythmia. It has a low effect on lowering blood pressure too.

So, lisinopril is not equivalent to atenolol, as it has no action on the heart rate.

For this reason, I would recommend switching again to atenolol, as you have been feeling OK with it for all these years.

You should discuss with your doctor on the above issues.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
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Suggest Remedy For High Bp

Hello! Welcome on HCM! I passed carefully through your question and would explain that the main action of lisinopril is lowering blood pressure. While the main action of atenolol is lowering the heart rate and preventing tachycardia or cardiac arrhythmia. It has a low effect on lowering blood pressure too. So, lisinopril is not equivalent to atenolol, as it has no action on the heart rate. For this reason, I would recommend switching again to atenolol, as you have been feeling OK with it for all these years. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Kind regards, Dr. Iliri