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Hi, I Am Just Started 3 Days Ago Ramipril 2.5
Question: Hi, I am just started 3 days ago ramipril 2.5 daily dosage for angina. My bp has dropped, in hours, from about 140/90 to 120/70; I feel fantastic for first time in weeks/months. No side effects. With a heart rate showing of mid 50s now, is that enough meds? I have a beta blocker and aspirin prescribed but rather feel 'enough is enough'
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
Regarding your concern, I would explain that your current blood pressure values are quite optimal. In fact Ramipril is an effective anti-hypertensive drug; without any important effect on heart rate.
You may continue following your current treatment (Ramipril, beta blocker, Aspirin; a lipid lowering drug could be required in case blood lipid profile remains unfavorable despite modified diet).
In addition a physically active life-style and avoiding close smoking contacts is advisable.
You just need to check your BP values for a couple of days (up to a week) and refer them to your prescribing doctor for properly concluding on the ongoing anti-hypertensive scheme.
You may also write your issues of concern here, in case you need a second professional opinion.
Hope to have been helpful to you!
Kind regards,
Dr. Ilir Sharka
cardiologist
I would explain as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
Regarding your concern, I would explain that your current blood pressure values are quite optimal. In fact Ramipril is an effective anti-hypertensive drug; without any important effect on heart rate.
You may continue following your current treatment (Ramipril, beta blocker, Aspirin; a lipid lowering drug could be required in case blood lipid profile remains unfavorable despite modified diet).
In addition a physically active life-style and avoiding close smoking contacts is advisable.
You just need to check your BP values for a couple of days (up to a week) and refer them to your prescribing doctor for properly concluding on the ongoing anti-hypertensive scheme.
You may also write your issues of concern here, in case you need a second professional opinion.
Hope to have been helpful to you!
Kind regards,
Dr. Ilir Sharka
cardiologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks. Yes, there was also a statin provided which i have taken. But as yet have no cholesterol results.
I still have quite a big gap btwn diast and syst. So i likely have some artery furring up?
My concern is that the ramipril 2.5 has already taken 20 points off my diast. My pulse is already showing 53 54 but was aleats good at 55 to 60.
What benefit from adding the aspirin and bb? Worried diast could drop to 60? And heartrate say to mid 40s? Is that likely? Would that b too low or good to clear my remaining angina discomfort?
I still have quite a big gap btwn diast and syst. So i likely have some artery furring up?
My concern is that the ramipril 2.5 has already taken 20 points off my diast. My pulse is already showing 53 54 but was aleats good at 55 to 60.
What benefit from adding the aspirin and bb? Worried diast could drop to 60? And heartrate say to mid 40s? Is that likely? Would that b too low or good to clear my remaining angina discomfort?
To clarify, i have not yet taken the aspirin or bb.
Brief Answer:
Opinion as follows:
Detailed Answer:
Hello again!
Your actual heart rate is OK! A bit bradycardia, but still OK as far as you have no complaints.
As these values have not been influenced yet by any betablocker therapy, probably the best strategy would be to wait and see for the heart rate fluctuation.
You don't need any further heart rate lowering for the moment.
Regarding lipid lowering strategy, it would be necessary to start after hyperlipidemia is confirmed by lab tests.
Otherwise, it would be necessary if the presence of coronary artherosclerotic disease is present. The same holds true for Aspirin use.
Hope to have clarified your issues of concern.
Let me know in case of any further questions.
Best wishes,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hello again!
Your actual heart rate is OK! A bit bradycardia, but still OK as far as you have no complaints.
As these values have not been influenced yet by any betablocker therapy, probably the best strategy would be to wait and see for the heart rate fluctuation.
You don't need any further heart rate lowering for the moment.
Regarding lipid lowering strategy, it would be necessary to start after hyperlipidemia is confirmed by lab tests.
Otherwise, it would be necessary if the presence of coronary artherosclerotic disease is present. The same holds true for Aspirin use.
Hope to have clarified your issues of concern.
Let me know in case of any further questions.
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hi. Thanks. So at this stage, what about the gym and light exercise? Try some, but don't push it if any angina-related discomfort comes on?
Brief Answer:
I would explain:
Detailed Answer:
Hello!
Physical activity is highly recommended; walking, aerobics and even light gym would be OK!
It would be beneficial with regard to a better blood pressure values control, physical conditioning, glucose and lipids metabolism.
Competitive sports should be avoided.
Regards,
Dr. Iliri
I would explain:
Detailed Answer:
Hello!
Physical activity is highly recommended; walking, aerobics and even light gym would be OK!
It would be beneficial with regard to a better blood pressure values control, physical conditioning, glucose and lipids metabolism.
Competitive sports should be avoided.
Regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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