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Can Dilzem CD Be Replaced With Dilzem SR For Effective Treatment Of Hypertension?

Posted on Fri, 22 Dec 2023

Question: Hello doc,

Request your expert advice urgently. I am attaching the ECG report for my mother which has been taken yesterday, can you please guide me if there are any abnormalities .

My mom has hypertension for the same she has been taking Dilzem CD 90 from 2 months but now after the ECG report of yesterday doc has changed the tablet to Dilzem SR 90 . I need to know the reason as to why the medication has been changed and why the P wave is negative 1. Can you please guide urgently.

Answered by Dr. Bhanu Partap (1 hour later)

Brief Answer:

Please refer to the detailed answer below

Detailed Answer:

Hello,

After going through the medical details provided by you I understand your concern for your mother health and I would like to tell you that her ECG is perfectly normal and well within the normal limits.

Her doctor has changed the medicine to dilzem sr because it’s a sustained release preparation which has more stable and long term blood pressure control.

Hope I have answered your query. Let me know if I can assist you further.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Bhanu Partap (26 minutes later)

Thank you doctor but can you please tell me what is the significance of p wave negative and in the prescriptiom doctor has mentioned as ST negative what does that imply??

Please guide

Answered by Dr. Bhanu Partap (2 hours later)

Brief Answer:

Hello

Detailed Answer:

Hello,

Negative P waves usually signifies right or left atrial abnormality and a negative ST T change signifies myocardial ischemia.

But I don't find any significant abnormality in the ECG which you have uploaded here.

Hope I have answered your query. Let me know if I can assist you further.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhanu Partap (27 minutes later)

Thank you doctor. Then why the blood pressure is not getting controlled even after taking medication for about 3 months now. Also i am attaching the lipid profile test can you please evaluate

Regards

Answered by Dr. Bhanu Partap (2 hours later)

Brief Answer:

Hello

Detailed Answer:

Hello,

Whats her average daily blood pressure readings?

The cholesterol report is perfectly normal there is nothing to worry about the report.

Hope I have answered your query.

Take care

Regards,
Dr Bhanu Partap, Cardiologist

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj