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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Discomfort And Irregular Heart Beats?

Dear Dr. Rynne, I ve been taking carvedilol 12.5 mg and spirono/HCTZ 25/25 for high pressure pressure for more then 10 years. All seemed to be under control except occasionally I d felt a mild heart discomfort with irregular heart rythems. Recently my blood pressure dropped dramatically sometimes as low as 90/50, 80/45 . ..then I felt tired. Given the blood pressure rating so low, I just wonder if I should stop taking the medication or reduce the dozes. I am 90 years old. Thank you. Elsie Young
Mon, 22 May 2017
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General & Family Physician,  's  Response
Brief Answer :
Medications or dosage changes + lab tests.

Detailed Answe :

Hello, and thank you for the question. I understand your concerns and i will give you some advices.
Irregular heart beats, may be due to a lot of differnt cases. You are under treatmnt with a Beta Blocker type of drug with help reducing Blood Pressure also reduces heart rate. Also you are taking a combination of two types of Diuretics. Diuretis are a class of antihypertensive drugs, wich help to reduce Blood Pressure, by increasing liquid excretion off from the budy via urinationg. Alog with the liquid elemination, a lot of electrolytes are leaving the body. One of them i Potassium, wich affects the heart rate. Theoretically Spironlactone, should prevent Potassium elemination from the body, but in some cases it may not do that. So first thing, i would recommend you to do a full panel of blood Electrolytes.
Also irregular heart beat, may be caused by stressfull situations, or emotions. You should try to relax, and avoid stressful situations, or people who negatively affects you.
The most serious cause of irregular heart beat, is a problem with the electric system of the heart. So i would suggest you to do a normal ECG or even better a 24 hrs Holter ECG.In this way you can monitor for 24 hours if there is presence of frequent irregular heart beat. Based on the results of the Holter ECG your cardiologist may prescribe you anti antiarrhythmics drugs.

Please ask again if you have any further question.

Best Regards.
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What Causes Chest Discomfort And Irregular Heart Beats?

Brief Answer : Medications or dosage changes + lab tests. Detailed Answe : Hello, and thank you for the question. I understand your concerns and i will give you some advices. Irregular heart beats, may be due to a lot of differnt cases. You are under treatmnt with a Beta Blocker type of drug with help reducing Blood Pressure also reduces heart rate. Also you are taking a combination of two types of Diuretics. Diuretis are a class of antihypertensive drugs, wich help to reduce Blood Pressure, by increasing liquid excretion off from the budy via urinationg. Alog with the liquid elemination, a lot of electrolytes are leaving the body. One of them i Potassium, wich affects the heart rate. Theoretically Spironlactone, should prevent Potassium elemination from the body, but in some cases it may not do that. So first thing, i would recommend you to do a full panel of blood Electrolytes. Also irregular heart beat, may be caused by stressfull situations, or emotions. You should try to relax, and avoid stressful situations, or people who negatively affects you. The most serious cause of irregular heart beat, is a problem with the electric system of the heart. So i would suggest you to do a normal ECG or even better a 24 hrs Holter ECG.In this way you can monitor for 24 hours if there is presence of frequent irregular heart beat. Based on the results of the Holter ECG your cardiologist may prescribe you anti antiarrhythmics drugs. Please ask again if you have any further question. Best Regards.