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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Cardiac Amyloidosis

What would be the best BP medication to take for CAA. With the least side effects. Just dx 2 weeks ago. Likely had this condition for 5 years. He is very weak and has had past bleeds per the MRI. He is now on 25 mg Carvedillol and valsartin 160mg hydrochlorothiazide. 25mg tablet. Has taken omeprazole for over 25 years. We do not know if amyloidosis was the cause of a past heart attack or not. But looking to get new BP med and need to know what is the best one for amyloid angiopathy.
Tue, 25 Oct 2016
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Cardiologist,  's  Response
Hello ,
Because CAA is not a very common disease , there are no large trials to know which blood pressure medications work the best in these sub group of patients . However based on mechanism and if he is tolerating the BP medication which is already on , These seems to be a very Good regime for CAA . So I would rather recommend continuation of the same medication as they are probably the best available for the same .
There is specific treatment for amyloid which you should discuss with your doctor regarding the benefits and side effects and than make a balanced and a informed call.
Generally an past attack do not lead to cardiac amyloidosis
Regards Dr. Mody
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Suggest Treatment For Cardiac Amyloidosis

Hello , Because CAA is not a very common disease , there are no large trials to know which blood pressure medications work the best in these sub group of patients . However based on mechanism and if he is tolerating the BP medication which is already on , These seems to be a very Good regime for CAA . So I would rather recommend continuation of the same medication as they are probably the best available for the same . There is specific treatment for amyloid which you should discuss with your doctor regarding the benefits and side effects and than make a balanced and a informed call. Generally an past attack do not lead to cardiac amyloidosis Regards Dr. Mody