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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Ideal Pulse Rate To Assist In Shrinkage Of An Enlarged Heart?

What is the ideal pulse/heartrate to assist in the possible shrinkage of an enlarged heart, please? I am 49 years old, under 9 stone, 5ft 6 and a half inches tall. I have had an overactive thryoid and partical thyroidectomy in 2006 and also anaemia. I had a chest infection with SOB in 2009 and a very bad chest infection this year May-June 2011. SOB worse, xray enlarged heart and possible dilated cardiomyopathy & left bundle block. Both ventricles affected and left atrial. No evident coronary disease. Drugs made symptoms worse.
Mon, 1 Aug 2016
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Cardiologist 's  Response
Hello,
The blood pressure in the ER and even now ( diastolic of 101 ) are in the higher range .
The symptoms you describe headache and all other can be explained because of blood pressure being on the higher side .
So a 24 hour ambulatory blood pressure monitoring ambulatory if the reading are high there ,starting ambulatory do anti hypertensive medication should be the way forward.
Giving main med may be a temporary way of treating the symptoms particularly if the reason for the symptoms is higher blood pressure. As soon as the blood pressure comes under control the symptoms should vanish .
Regards Dr. Priyank Mody
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What Is The Ideal Pulse Rate To Assist In Shrinkage Of An Enlarged Heart?

Hello, The blood pressure in the ER and even now ( diastolic of 101 ) are in the higher range . The symptoms you describe headache and all other can be explained because of blood pressure being on the higher side . So a 24 hour ambulatory blood pressure monitoring ambulatory if the reading are high there ,starting ambulatory do anti hypertensive medication should be the way forward. Giving main med may be a temporary way of treating the symptoms particularly if the reason for the symptoms is higher blood pressure. As soon as the blood pressure comes under control the symptoms should vanish . Regards Dr. Priyank Mody