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.
180 and my BP was 170/110 i was sent to the ER and i was given 4 baby aspocid and a nitroglycerin pill (one which is put under the tongue) i Cant find a real cause for what happened . I'm not stressed and i was not angry with something or bothered about anything .
is this anything of cardiac origin. and what should my next step be .
He has been in the hospital for 3 days now on a lasix drip, dobutomine (sp?), and nitroglycerin to help reduce the edema, but the doctors failed to give him a potassium supplement during this time, which caused him to have 3 attacks of sustained V-Tach within hours of each other, 2 which were within minutes of each other and his heart rate is raising to 120-125 in between v-tachs. He has a bi-v pacemaker and defibrillator implanted, but has not been shocked as of yet.
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.
I was under enormous stress when the pains started and the fear that it was cardiac in origin added to it. I had the nitroglycerin sublingual tablets. I took them, sometimes they helped, other times they didn't. To this day I have no definitive answer as to the cause of my pains, but they seem to have subsided for the past 6-7 months. Try the nitro and see if it helps. My guess is that it won't help indigestion, but would if it was due to vasospasm or other cardiac cause.
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.
I had a tilt table test done today. I have had issues with tachycardia and more specifically postural changes affecting my heart rate. When I started the test my heart rate was around 90 bpm, when they tilted me up my heart rate went into the 130's, they did give me 1 nitroglycerin and they said my heart rate went upto 160. During this time they reported my blood pressure as being good and not dropping much during the test.
I have a heart rate most of the time from 42 to 50 BPM , my blood pressure is usually 145 to 160 over 75 to 80. 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.
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.
Two years ago I fainted and was taken to the ER. My heart rate was 40 bpm and I could not stand. The Dr. Kept me there for 5 days and did a Tilt Table Test that caused me to faint. Since then I have seen a cardiologist who has diagnosed me with POTS because of my constant fainting and fast heart rate upon standing. All of my ECGs and echos are normal. I am wondering if perhaps my disaitonomic problems are caused by something more serious. I mentioned the bradycardia to my current Dr.
She was on Propofol IV drip (sedation) 24/7 while intubated. Her vitals remained stable, with her oxygen stats at 98-100%, a normal BP, and Heart Rate. She was un-intubated on the 4th day in ICU. She woke-up and was 100% responsive to sound and stimuli. She was having conversations, and sitting up in a wheel chair. She was also eating full meals. This lasted for 2 days. After 2 days, her heart rate and BP started to rise, and she became very agitated, and was having a hard time breating.
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.
It's interesting that they started your drip gradually and built up you heart rate speed slowly, I never considered that may be necessary in some one with a history of CAD. Do you think that is why it was done gradually unlike my test where there turned it on like a switch?
Just curious, I never considered this aspect.
Hi, sed rate or ESR is not specific test to rule out infection, it is indicative of some inflammatory process in the body and it is not always positive in all cases of inflammation or infections.
It is non specific test for infection.Yes, sinusitis is an infection and MRI is more specific in diagnosing this disease rather than SED rate.
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