digoxin for hypertension

A woman in her 80s, hx hypertension but mostly in good health. She was walking for around 40 minutes. She was feeling weak and had to take breaks on her way home. When she arrived home she had an episode of tachycardia (158) (stated pulse felt "irregular, but not very irregular") with BP (144/71) (not sure if it started while walking). She had no chest pain, only palpitations and general weakness. She took 1 mg digoxin PO and eventually the episode resolved.

A woman in her 80s, hx hypertension but mostly in good health. She was walking for around 40 minutes. She was feeling weak and had to take breaks on her way home. When she arrived home she had an episode of tachycardia (158) with BP (144/71) (not sure if it started while walking). She had no chest pain, only palpitations and general weakness. She took 1 mg digoxin PO and eventually the episode resolved.

Diagnosed yesterday with pulmonary hypertension. I had AFib corrected by ablation in 2018. They found ASD. Non sympathetic so nothing done. On eliquis. Annual echos. Last year 65 EF, mild RVSP 34, slightly dilated RV. Yesterday… 55-60 EF, high RVSP 63, enlarged RV. Appointment scheduled with cardiac surgeon concerning closure of asd. Worried about irreversible nature of PH. Is it true it cannot be reversed or healed?

My question is, if the Echo shows evidence of CHF or Pulmonary hypertension, shouldnt there be pharmacological management (ACE inhibitors, digoxin, beta blockers, diuretics, etc) involved to relieve the load on the heart, as opposed to oxygen to just relieve the symptoms? I need the advice to hand so i can discuss this with my specialist in an informed way as i cannot accept that i have had a special investigation like an Echo but i dont get to speak to a specialist about the results.

The claim is that the systolic number is a more important predictor of hypertension problems in people over 50. I was always under the impression that both numbers had equal importance. My diastolic tends to run high (85-95) and my systolic is almost always in normal range (115-130).

I have undergone an unsuccessful cardioversion and for the past 2 years I have been prescribed atenolol, flecainide and now digoxin to help control my af. None of these drugs seem to have an effect on my af. Can you please advise me if there ios a cure for af? Jonser This discussion is related to <a href='/posts/show/253630'>Ventrical</a>.

s explanation where he states digoxin is used to treat irregular heartbeats. I was on digoxin for a few months following my congested heart failue event. It is my understanding the medication is used to increase contractility of the pumping chambers. My medication for stablizing heart rate is a beta blocker (coreg) and an ACE inhibitor. My research: "Digoxin is contraindicated in patients with ventricular fibrillation.

My electrophysiologist is having problems finding the right medication to treat my POTS and IST. I am currently on Midodrene for my blood pressure. For my heart we have tried Atenolol 12.5 (really small dose, but even with 10mg of Midodrene 3x a day my blood pressure would drop too low and the side effects were unbearable) .. so he concluded that I have a sensitivity to beta blockers.

I took Digoxin for a number of years in reponse to an atrial fibrillation event. My new physician did not feel I needed to be on it any longer. What are the side effects of discontinuing this medication? I have been off it for several months and some odd changes in my body.

Many patients with high blood pressure or other forms of heart disease can develop pulmonary hypertension. However, in most of these cases, the pulmonary hypertension is an “innocent bystander.” In other words, yes the pressures in the pulmonary arteries are elevated but only because the pressures in the left side of the heart are elevated.

Thx very much mam for the response.Maybe i need to seek some mental therapy. Anyways thx again for helping all us here. !!!

I would support your contention regarding supportive medicines used for cardiac conditions.As for me, I had a score of pills to combat an MI including beta blockers,anti hypertensives,digoxin,enalapiril and human insulin.On developing sudden irregularities in heart beats my cardiologist discontinued all medications.I am still wondering why that is being done and am worried about bradycardia which would necessitate a pacemaker implantation.

However, in general calcium channel blockers and beta-blockers are preferred to digoxin. Digoxin has been around for a long time! I used Digoxin over 50 years ago for my PSVT, and my recollection was that it did little to prevent episodes. There are so many newer drugs now that are far more effective. My basic understanding of Digoxin is that it works on the heart's electrical system and decreases the heart rate, but increases each stroke volume.

I'm pregnant and the baby has svt.. So I'm taking it for baby lol it seems to be working for him so far! They did an echo today.

Hi, The doctor has rightly prescribed you lisinopril which plays an important role in cardiomyopathy in improving the functioning of the heart. I’ll also suggest the use digoxin for you which tend to improve the ejection fraction of heart and also improve the symptoms of congestive heart failure and it’s especially used for patients who have low blood pressure. Apart from that, I’ll suggest a low intake of salt and water. I hope that helps. Please do keep me posted. Kind Regards.

Well it seems likely the patient has coronary artery disease by the symptoms you describe. Therefore the Digoxin is not necessary is it? it's for treating atrial flutter/fibrillation. Furosemide is for heart failure/edema, Warfarin is an anticoagulant, Lovastatin is a cholesterol lowering medication (statin group), Captopril ace inhibitor to treat hypertension. KCL20 a potassium supplement? So the patients cholesterol lipids are being lowered by using the statin drug.

I am surprised they had you taking Digoxin and Amiodarone together??? I don't care for either drug, myself. I took Amiodarone for 9 months for SVTs. I stopped the drug because of the nasty side effects. The skipped beats were gone by then and haven't returned since.

i hev a question concerning digoxin....wat is its effect in the body. I mean its pharmacokinetic effects. i am having a hard time searching the net for it...

What I have also noticed is that previously, my usual resting HR was between 90-100. Tachy for normal people but it seemed to be normal for me, on account of my one lung. Recently my HR is always low at 70-80. Even when breathless and exerting myself it rarely goes as high as it used to. Am I showing signs of decompensation? Is my heart no longer able to compensate and keep up? We don’t have the results of my echo yet, but what are my options? Thank you for your help.

I am wondering if you are uneasy about taking digoxin. If so, I would ask you cardio if you can get by with just the TOPROL XL. Digoxin, xanax, toprol xl, and lisinoprol seems like a lot of stuff to be taking. I am a runner and only take TOPROL XL 12.5mg. This knocks out my extra beats and really slows my heart down. A little seems to go a long way for me.

I am taking Digoxin for tachycardia--my cardiologist says that while there aren't good studies available for cardiac meds while pregnant Digoxin is believed to be safe. It is not a betablocker, however the dr felt the digoxin would be safer than a betablocker while preggo. Also the changes in your blood volume while pregnant may correct the tachycardia.

at the time I was just doing what I was told as far as how to treat it. I am going to talk to my dr about trying a different med because this digoxin is alright for the most part but i still get attacks not as small as yours but less than a minute. I really don't like the heat intolerance, and how it overall makes me feel. I want to be able to go to the beach next year and actually get a tan!

I am 29 years old, 6 months postpartum recently diagnosed with dilated cardiomyopathy with an EF of 25%. Today I found out my TSH is 84.2%. My BP is staying 160,s over 90 to 108. They are trying to get me in with a endocrinologist, but an appt wasn't availabe till MAy. Shouldn't I be on something right away for this thyroid? Isn't 84% awfully high. What is the prognosis or percentages for dilated cardiomyopathy. Every thing I read is such broad answers.

Digoxin for hypertension

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