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(1) Can You Provide Your Opinion Of The Attached 6
Question: (1) Can you provide your opinion of the attached 6 lead EKG? It's from a consumer device called AliveCor KardiaMobile 6L. My current blood pressure is 133/81 and heart rate is 78, but about an hour and a half ago it spiked to 147/83. When it spiked, I had felt lightheaded for a while. Although I get lightheaded on occasion, I don't recall seeing pressures this high.
(2) Because of the size of my aorta (see attached report) have been prescribed Metoprolol 25mg, Lisinopril 5mg, and Resuvastatin 10mg, but have not started taking them as of yet. I have been taking Levothyroxine for years with no side effects that I am aware of. Honestly I'm terribly concerned about the side effects, particularly of Metoprolol and Lisinopril - can you help quiet my fears?
I appreciate your help.
(2) Because of the size of my aorta (see attached report) have been prescribed Metoprolol 25mg, Lisinopril 5mg, and Resuvastatin 10mg, but have not started taking them as of yet. I have been taking Levothyroxine for years with no side effects that I am aware of. Honestly I'm terribly concerned about the side effects, particularly of Metoprolol and Lisinopril - can you help quiet my fears?
I appreciate your help.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome to 'Ask A Doctor' service!
Regarding your concern let me explain that your EKG recording shows a single premature ventricular complex; the rest of the traces doesn't show any specific abnormal findings.
Coming to this point, I would recommend discussing with your doctor on the possibility of performing a Holter monitoring for 24h to 48 hours in order to investigate any potential complex cardiac arrhythmia which may be responsible for your symptomatology (lightheadedness).
It seems you are suffering from aortic dilatation and as the most frequent natural evolution is progressive enlargement; it is important to stop or slow as much as possible this evolution.
The most important preventive issue would be adequate control of the high blood pressure values.
As your BP values fluctuate, it would be necessary to optimize your antihypertensive therapy. Metoprolol and Lisinopril therapy should be started and BP values properly checked.
You shouldn't be afraid of any potential therapy adverse effects as they would be always less dangerous than the complications of the disease (fatal aorta rupture).
Hope to have been helpful to you!
In case of any further questions feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
Cardiologist
I would explain as follows:
Detailed Answer:
Hello!
Welcome to 'Ask A Doctor' service!
Regarding your concern let me explain that your EKG recording shows a single premature ventricular complex; the rest of the traces doesn't show any specific abnormal findings.
Coming to this point, I would recommend discussing with your doctor on the possibility of performing a Holter monitoring for 24h to 48 hours in order to investigate any potential complex cardiac arrhythmia which may be responsible for your symptomatology (lightheadedness).
It seems you are suffering from aortic dilatation and as the most frequent natural evolution is progressive enlargement; it is important to stop or slow as much as possible this evolution.
The most important preventive issue would be adequate control of the high blood pressure values.
As your BP values fluctuate, it would be necessary to optimize your antihypertensive therapy. Metoprolol and Lisinopril therapy should be started and BP values properly checked.
You shouldn't be afraid of any potential therapy adverse effects as they would be always less dangerous than the complications of the disease (fatal aorta rupture).
Hope to have been helpful to you!
In case of any further questions feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
Cardiologist
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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