I am wondering if perhaps my disaitonomic problems are caused by something more serious. I mentioned the bradycardia to my current Dr. But he did not seem worried so I dropped it but I don't want one of those serious fainting episodes to happen again and wake up with a pacemaker and lose my license. I'm more worried about not being able to drive than anything else :( anyway, my question is: do I need to have my heart monitored long term? Are clean ECGs reassuring enough?
My cardiologist has me taking 75 mg, of Lopressor, 360 mg, of verapamil, .4 mg nitroglycerin patch. And now he wants to add 10 mg of Ramapril ( Altace ) a day, my recent cardiosrams have have shown sinus bradycardia. That's before starting the Ramapril , I'm just very leary about starting the Ramapril in first of all the highest dose there is, and second of all it could further lower my heart rate and send my heart in to an AV Block that could lead to many things not good !
If you miss a dose of Nitroglycerin Patch, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once. When used for long periods of time without a break, some people develop a physical need to continue taking Nitroglycerin Patch. This is known as physical DEPENDENCE. Do not suddenly stop taking Nitroglycerin Patch without your doctor's approval.
1) why the sudden and dramatic change in health from an attack of upper left abdominal pain 2) She’s not occasionally dizzy like a kid standing too long on stage - without medication she “blacks out” every morning and is lightheaded pretty much every time she stands up 3) I’m concerned that the shunt puts her at higher risk for stroke and could overwork her heart and that the bradycardia/arrhythmia may not be just an athlete’s bradycardia (or the result of 25 mg of Atenolol).
I still had stable angina every time I did some for of cardio activity or is I ate something with sodium. I started using Nitroglycerin patches and even have the pills just in case my angina episode occurs.
I had a date and I read online that you can't take viagra and any nitrates cause it can drop your blood pressure really low. So I stopped using my nitroglycerin for about 48 hours so I can take the Viagra.
ed is correct nitro dilates vessels.
I take a nitrate (isosorbide) for more than 6 years 3 times before going to gym for workout. My blood pressure does not drop between intervals...in fact I was told to have intervals of nitrate free period. It is true, nitro dilates the coronary vessels and prevents angina (chest pain). The patch should only be worn for up to 12 to 14 hours a day, or as directed by your doctor, but continued use with no interruptions can cause a tolerance for drug....
I only take isosorbide prior to a workout, and nitro when engaged in an activity that brings on angina. I understand your doctors are suggesting taking isosorbide daily as aschemia does not always produce angina even though the heart cells are not getting sufficient blood supply. This can lead to a silent heart attack so the medication is recommended continuously whether there is angina or not and older people in general are likely to have a silent heart attack.
The pain lasts anywhere from a few minutes to several hours. I have been prescribed nitroglycerin to take as needed for chest pain and this medicine surely helps. I've had several EKGs and cardiac enzymes done which were all normal. I also had a threadmill/stress test done which was normal. My cardiologist thinks the the probability of me having an occluded/blocked coronary artery is very low.
The doctor said the left heart was okay but found a narrowing in the right heart which caused coronary spasms during the test. IV nitroglycerin during the test stopped the spasms and dilated the vessel. He did not mention any other problems and recommended sublingual nitroglycerin to treat the spasms as they occur.
I've never heard of nitroglycerin being used to treat migraine, but glad that it worked.
But if it keeps on, and sorry to tell you this, but you probably should see a doctor ASAP. It could be the sign of a coming stroke, since it is sudden and very painful. I started with a sudden very different migraine than any I had ever had before. It turned out that within 3 weeks, longer than usual as a gap in time, I had a full carotid artery dissection stroke.
The same with his recent heart catherization was chest pressure. In the ER he was given 2 nitroglycerin, 5 minutes apart, the chest pressure went away after the 2nd nitroglycerin.
Does any good specialist in cardiology think that my husband should have the open heart surgery for bypasses considering the risks regarding his age, his diabetes?
I would appreciate very explanatory answers, easy to understand, what to do in my husband's situation.
Thankyou.
I assume the diagnosis of hyperreactive responses not only to the constrictor effects of acetylcholine, but also the dilator effects of nitroglycerin were detected diffusely in the epicardial coronary arteries of patients with coronary spastic angina.
The goal of treatment is to control chest pain and to prevent heart attack. The pain is relieved by a medicine called nitroglycerin (dilates coronary vessels). You have been prescribed norvasc and that should relieve any chest pains.
1) why the sudden and dramatic change in health from an attack of upper left abdominal pain 2) She’s not occasionally dizzy like a kid standing too long on stage - without medication she “blacks out” every morning and is lightheaded pretty much every time she stands up 3) I’m concerned that the shunt puts her at higher risk for stroke and could overwork her heart and that the bradycardia/arrhythmia may not be just an athlete’s bradycardia (or the result of 25 mg of Atenolol).
http://www.webmd.com/heart-disease/tc/bradycardia-slow-heart-rate-overview#1
Unfortunately, acupuncture has no helpful effect on bradycardia.
Would bradycardia be a help or a hindrance with regards to mitral regurgitation?
bradycardia between 40-50 bpm awake but resting,lower when sleeping. MR of unknown severity....
My 54 year old "healthy" husband received a stent yesterday due to a 99% LAD blockage! He is the typical type A personality and this only adds to his already stress overload. I realize we are lucky he is still here and thankful for medical technology. I am just concerned that this will forever be a constant worry for him. Any suggestions of how I can help him. Also I asked his MD about having nitroglycerin to have on hand and he said that this wasn't necessary???
Is my bradycardia normal? Am I at risk of getting a worse (symptomatic) bradycardia? I never smoked, I never did drugs, I rarely drink alcohol. I weight around 154 lbs and I'm around 5.
Monotrate, Vasotrate, Ismo, Imdur, Angicor), Isosorbide dinitrate (brand names: Sorbitrate, Isordil), Sublingual nitroglycerin tablets or spray (Angised, Angispan, GTN spray), Transdermal nitroglycerin patches or ointments (brand names: Top nitro, Nitroderm TTS, Myovin). Nitrates are also found in illicit drugs such as amyl nitrate (poppers). If you are not sure if any of your medicines contain nitrates, or if you do not understand what nitrates are ask you doctor or pharmacist.
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