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Heart Disorders Message Board


Heart Disorders Board Index


[QUOTE=MRP3;4977302]I am a 62 year old man who until this week has been on no medications.[/QUOTE]

The first thing that you may find out about heart medications is that they frequently can make you feel tired or sluggish. They are designed to slow the metabolism in order to lower the blood pressure and reduce the heart rate.

Healthboards membership, by the way, has no medical professionals or students. Mostly patients and caregivers. So.... any advice you may get here, would be from members own personal experiences.

[QUOTE]I began monitoring my BP which averaged 170/96 (throwing out the high & low).[/QUOTE]

What was the high?

170/96 is not good.

[QUOTE]A visit with my PCP (internal medicine) led to an electrocardiogram which indicated an enlarged left ventricle.[/QUOTE]

EKGs can suggest an enlarged left ventricle but they are not conclusive proof.

[QUOTE]I am now taking Lisinopril 10mg which has brought the high blood pressure into a safe range. [/QUOTE]

Blood pressure varies all day long, usually starting lower during the earlier part of the day, and increasing as the day goes on.

For an example of how much blood pressure varies over an average 24 hour day, I created the following thread, if you would be interested in reviewing it:

Thread Title: 24 hour Blood Pressure averages, when too high, and then finally when healthy!

[B][COLOR="Red"]Thread Topic[/COLOR][/B]: [B][COLOR="Green"]High & Low Blood Pressure [/COLOR][/B]

[B][COLOR="Red"]Thread Title[/COLOR][/B]: [B][COLOR="SeaGreen"]24 hour Blood Pressure averages, when too high, and then finally when healthy![/COLOR][/B]

[B][COLOR="Red"]Thread Link[/COLOR][/B]: [B][COLOR="SeaGreen"]http://www.healthboards.com/boards/high-low-blood-pressure/890495-24-hour-blood-pressure-averages-when-too-high-then-finally-when-healthy.html[/COLOR][/B]



[QUOTE]I go for blood tests next week and a stress test in a couple of weeks, nothing scheduled with a cardiologist.[/QUOTE]

If it were me, I would call and ask them to call you if an earlier appointment opened up. The sooner you get to a "good" cardiologist, the better. You might check around, while you have the time, and find the best cardiologist that you can go to. There are good cardiologists and not-so-good cardiologists, just like any trade.

[QUOTE]My concern is the continuing discomfort in my chest which I can only describe as mild pain and what feels like a fast heart beat in my chest even though I have been at rest.[/QUOTE]

I would also be concerned.

Do you also get any shortness of breath or labored breathing? Any excessive sweating? Tiredness? Fatigue? Feel disoriented?

Do your symptoms get worse when you do physical labor?

[QUOTE]I am normally very active and do a lot of physical labor - I own my own business. I work alone and I am afraid to go back to work for fear of getting a heart attack...am I being too cautious or should I wait for testing to be done first?[/QUOTE]

No one here can seriously answer your question. The only way to know, for sure, is through tests, like an Echocardiogram or a Cardiac Catheterization, etc. Until you get medical help, this has to be your own judgement call.

[QUOTE]After more phone calls to the PCP I am scheduled for a Holter monitor & stress test in two weeks, short of going back to the ER and requesting an echocardiogram as an inpatient I guess my options are limited.[/QUOTE]

Can you get an Echocardiogram at an ER? Even if you could, the quality of that Echocardiogram might be suspect. It takes a lot of skill and training to properly do and analyse an Echocardiogram. In my case, after some very poor Echocardiogram evaluations, I finally left my Cardiologist and went to the Cleveland Clinic in search of the best I could get.

Just based on your level of concern and your symptoms, I would want to push up the schedule in any way I could. You've got two weeks to wait on the Holter and stress test. Then you've got to wait for the test results to get to your PCP and to evaluated by him.

Then you've got to get another appointment with the PCP to find out the results. If it were me, I would want to get a copy of ALL test results as soon as they were available. I would still need a medical professionals input, but I still would want to look at them. It pays to be a pro-active patient.

Then, if your PCP decides to send you to a Cardiologist, there is another wait to get into him. Then, after your Cardiologist's appointment, you've got to wait to have an Echocardiogram, or Cardiac Catheterization, and then you've got to wait for the results.

Any way of speeding things up?

In the meantime, if it were me, I would stay away from anything that could stress out my heart, like cigarette smoke, vehicle exhaust, caffeine, alcohol, excess salt in diet, large meals, coffee, tea, high calorie foods or meals, etc, and try to stay relaxed and calm.





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