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I’m 68 Yrs. Old On Amlodipine For Hypertension And Noted

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Posted on Fri, 19 Jun 2020
Question: I’m 68 yrs. old on Amlodipine for hypertension and noted an irregular heartbeat. No other symptoms. It appears to be 1st degree heart block on my Apple Watch. I’m a nurse. It’s probably been going on for at least a few weeks. Does this need to be addressed urgently?
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Answered by Dr. Ilir Sharka (42 minutes later)
Brief Answer:
I would recommend performing some tests.

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I understand your concern and would explain that the Apple watch is not the best tool to examine your heart rhythm.

For this reason, I would recommend performing a resting ECG and some blood lab tests:

- complete blood count for anemia
- blood electrolytes for possible imbalances
- thyroid hormone levels for possible imbalances.

An ambulatory 24/48 hours ECG monitoring (Holter) would help examine your heart rhythm and exclude possible cardiac arrhythmia.

Anyway, as long as you don't have any shortness of breath, dizziness or fainting like episodes, there is no reason to go to the ER, especially considering the Covid pandemia.

Hope you will find this answer helpful!

I remain at your disposal for any further questions whenever you need!

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. Raju A.T
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Answered by
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Dr. Ilir Sharka

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Practicing since :2001

Answered : 9541 Questions

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I’m 68 Yrs. Old On Amlodipine For Hypertension And Noted

Brief Answer: I would recommend performing some tests. Detailed Answer: Hello! Welcome to Ask a Doctor service! I understand your concern and would explain that the Apple watch is not the best tool to examine your heart rhythm. For this reason, I would recommend performing a resting ECG and some blood lab tests: - complete blood count for anemia - blood electrolytes for possible imbalances - thyroid hormone levels for possible imbalances. An ambulatory 24/48 hours ECG monitoring (Holter) would help examine your heart rhythm and exclude possible cardiac arrhythmia. Anyway, as long as you don't have any shortness of breath, dizziness or fainting like episodes, there is no reason to go to the ER, especially considering the Covid pandemia. Hope you will find this answer helpful! I remain at your disposal for any further questions whenever you need! Kind regards, Dr.Ilir Sharka, cardiologist