Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes An Increased Heart Rate After A Coronary Artery Bypass Grafting?
Question: Why do I have increased heart rate after CABG? Had CABG x 4 on 4/27/16. Went to Rehab for 24 days after hospital stay. Am home.
See cardiologist 6 / 6.
See cardiologist 6 / 6.
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this clinical scenario:
1- A cardiac disorder. I would recommend consulting with your cardiologist and performing a resting ECG and cardiac ultrasound to examine your cardiac function
2- Low blood pressure. What are your blood pressure values during the day?
3- Anemia. This is a common complication after cardiac surgery. A complete blood count is necessary for this purpose.
4- Inflammation. I would recommend performing inflammation tests (PCR, sedimentation rate) to exclude possible inflammation.
You should discuss with your doctor on the above issues.
Hope to have been helpful!
Kind regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this clinical scenario:
1- A cardiac disorder. I would recommend consulting with your cardiologist and performing a resting ECG and cardiac ultrasound to examine your cardiac function
2- Low blood pressure. What are your blood pressure values during the day?
3- Anemia. This is a common complication after cardiac surgery. A complete blood count is necessary for this purpose.
4- Inflammation. I would recommend performing inflammation tests (PCR, sedimentation rate) to exclude possible inflammation.
You should discuss with your doctor on the above issues.
Hope to have been helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank You.
My cardiologist sent me from his office 6/6 to ER due to some changes in my EKG and the problems previously sited.
ER:
Had fever
Dehydrated
Irregular heart beat
Admitted to Hospital. Given heavy doses of antibotics IV.
Given Iron because Hgb 10.5 and had 2 units of blood during Open Heart Surgery.
Received 50 mg metoprolol 2 x day.
Am home on an antibiotic, developed a cough and crackles in my lungs left lobe. See regular doctor on Tuesday.
Any further suggestions?
What is the difference between tartrate and succenconate metoprolol? I've been told one is single dose and the other is time release. I'm not having problems with low blood pressure at this time. Did while hospitalized.
XXXXXXX XXXXXXX
My cardiologist sent me from his office 6/6 to ER due to some changes in my EKG and the problems previously sited.
ER:
Had fever
Dehydrated
Irregular heart beat
Admitted to Hospital. Given heavy doses of antibotics IV.
Given Iron because Hgb 10.5 and had 2 units of blood during Open Heart Surgery.
Received 50 mg metoprolol 2 x day.
Am home on an antibiotic, developed a cough and crackles in my lungs left lobe. See regular doctor on Tuesday.
Any further suggestions?
What is the difference between tartrate and succenconate metoprolol? I've been told one is single dose and the other is time release. I'm not having problems with low blood pressure at this time. Did while hospitalized.
XXXXXXX XXXXXXX
Brief Answer:
Opinion as follows:
Detailed Answer:
Hello again Gale!
After the antibiotics regimen it is necessary to perform a new clinical review of the outcomes:
- A careful physical exam,
- Complete blood count with leukocytes differential,
- Chest X ray study,
- Ferritin,
- Renal function test (BUN & creatinine),
- Blood electrolytes level,
- Arterial blood gas analysis
An improvement in your daily functionality (everyday activities), absence of fever and other potential complaints (palpitations, breathing difficulties, cough suppression, etc.), means that the actual treatment is yielding beneficial effects.
Also, it is necessary to investigate your actual overall cardiac performance; a cardiac ultrasound (ECHO) would be helpful in this regard.
You are right about metoprolol: XL succinate form is an extended release tablet.
This means that by a small and single amount of drug is achieved a steady blood concentration. You normally need to take this tablet once a day.
The tartrate form is an immediate release tablet and it reaches its peak blood concentration after a certain time and then declines. This usually requires you to have to dose more than once a day.
In case of any further uncertainties, do not hesitate to ask me again.
You could upload your test results here for a second professional opinion.
Regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hello again Gale!
After the antibiotics regimen it is necessary to perform a new clinical review of the outcomes:
- A careful physical exam,
- Complete blood count with leukocytes differential,
- Chest X ray study,
- Ferritin,
- Renal function test (BUN & creatinine),
- Blood electrolytes level,
- Arterial blood gas analysis
An improvement in your daily functionality (everyday activities), absence of fever and other potential complaints (palpitations, breathing difficulties, cough suppression, etc.), means that the actual treatment is yielding beneficial effects.
Also, it is necessary to investigate your actual overall cardiac performance; a cardiac ultrasound (ECHO) would be helpful in this regard.
You are right about metoprolol: XL succinate form is an extended release tablet.
This means that by a small and single amount of drug is achieved a steady blood concentration. You normally need to take this tablet once a day.
The tartrate form is an immediate release tablet and it reaches its peak blood concentration after a certain time and then declines. This usually requires you to have to dose more than once a day.
In case of any further uncertainties, do not hesitate to ask me again.
You could upload your test results here for a second professional opinion.
Regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
