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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fluctuating BP Readings

i have been told I have atrial fibrillation. i have pulse136 heart rate and my blood presure this time 104/60.. i am 77. they have me on metoprolol 50 mg and diltiazem hcl 300mg. Also ramipril 5mg simvastatin 20mg , 1 aspirin 325 , terazosin. It seem the medication isn t working. What are suggestions This condiion only happened with in the last two months. I was allways had blood pressure 130 /80. And normal ekg reading. thank you appricate your imput.
Tue, 31 Mar 2015
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Psychiatrist,  's  Response
Hi welcome to HCM.
I understand your query and concern.
Atrial fibrillaton is known to cause fluctuations in blood pressure.You are currently placed on right kind of drugs by your physician.
I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Drugs like antihypertensives and antiarrhythmics will help.Reduce the intake of fatty and fried food.One pomegranate a day will help to keep your heart at good pace without clot formation. Consult a Cardiologist for further expert management.Post your further queries if any.
Thank you.
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Suggest Treatment For Fluctuating BP Readings

Hi welcome to HCM. I understand your query and concern. Atrial fibrillaton is known to cause fluctuations in blood pressure.You are currently placed on right kind of drugs by your physician. I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Drugs like antihypertensives and antiarrhythmics will help.Reduce the intake of fatty and fried food.One pomegranate a day will help to keep your heart at good pace without clot formation. Consult a Cardiologist for further expert management.Post your further queries if any. Thank you.