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What’s Abnormal Repolarisation In This Context?

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Posted on Wed, 29 Jan 2025
Question: Hi – I’m an 80 year old woman, with some history of slight hypertension but
without any other significant health issues. I’m not on any medication at all. I usually measure my blood pressure and pulse once or twice a day to monitor it. My
blood pressure historically has been in a band of 120/80 up to 140/100 or so. Over the last 6 months, I have occasionally experienced lower pulse than normal – as low as 40bpm. In the last week, it has been consistently 40bpm and blood pressure has been high at 160-200 systolic. I had a script for Atacand and have been taking up to 32mg daily over the last week, but my blood pressure has remained high, and my pulse low. I don’t have any other symptoms

I have had an ECG done at the GP, image attached.

Questions
1.     Are there other drugs my doctor can consider other than atacand to reduce my blood pressure
2.     What does the ECG show
3.     What’s abnormal repolarisation in this context?

Thanks
doctor
Answered by Dr. Heang Chan Raksmey (2 hours later)
Brief Answer:
See detail bellow

Detailed Answer:
Hello and thank you for your question. Hope I can be of help to you today.

For hypertension, drugs can use a combination group of hypertension medicine if one group does not help. You already use a maximum dose of Atacand 32mg per day, your GP may need to evaluate you again every 4 to 6 weeks. How high is your blood pressure after taking an Atacand for 1 week?

I don’t see your ECG report yet
Low heartbeat or bradycardia can be caused by a problem or condition such as a problem with the heart's electrical system. Other heart problems, including recent heart surgery or a heart attack. Sleep apnea when people stop breathing for short amounts of time when they are asleep. Anorexia also can cause bradycardia when people lose more weight than is healthy. The heart can beat too slowly if: electrical signals don't start often enough, the electrical signal gets slowed down or blocked as it spreads across the heart.


I hope that It can help you, and please let me know if you have any clarification or questions about that, and I would be welcome to discuss it with you further. I hope you have good health.

Best regards,
Dr. Heang Chan Raksmey, General and Family Physician

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
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Dr. Heang Chan Raksmey

General & Family Physician

Practicing since :2015

Answered : 588 Questions

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What’s Abnormal Repolarisation In This Context?

Brief Answer: See detail bellow Detailed Answer: Hello and thank you for your question. Hope I can be of help to you today. For hypertension, drugs can use a combination group of hypertension medicine if one group does not help. You already use a maximum dose of Atacand 32mg per day, your GP may need to evaluate you again every 4 to 6 weeks. How high is your blood pressure after taking an Atacand for 1 week? I don’t see your ECG report yet Low heartbeat or bradycardia can be caused by a problem or condition such as a problem with the heart's electrical system. Other heart problems, including recent heart surgery or a heart attack. Sleep apnea when people stop breathing for short amounts of time when they are asleep. Anorexia also can cause bradycardia when people lose more weight than is healthy. The heart can beat too slowly if: electrical signals don't start often enough, the electrical signal gets slowed down or blocked as it spreads across the heart. I hope that It can help you, and please let me know if you have any clarification or questions about that, and I would be welcome to discuss it with you further. I hope you have good health. Best regards, Dr. Heang Chan Raksmey, General and Family Physician