Doctor insights on:
Can I Stop Betablockers Is Cardiologist Says So
Cardiologist said happy for me to leave his care now But as I sometimes have nocturnal tachycardia says I should keep taking Betablockers Why so?
Consultation: For personal attention to a medical concern, consider a consultation with a doctor here on HealthTap. The "inbox consult" allows you to message back and forth like email, and is good when a lot of information needs to be exchanged (like prior test reports, etc.) A video chat consult allows you to talk to the doctor (for a certain limited amount of time) so it's good for a quick question. ...Read more
Is there any chance a beta blocker can stop the heart / cause dangerous effects? Also can you stop them? Cardiologist offered them but scared to take?
Hi I have a question. I was diagnosed with vasovagal syncope and POTS (postural Orthostatic Tachicardia syndome) by a cardiologist 5 years ago. I am supposed to be taking betablockers but was so afraid to take it I never did. Now, my symptoms are worse an
I did not believe Dr: IMHO it is usually bad judgement to ignore a Dr's advice when you have a severe problem just because you are worried about the medication. Many do very well on BB and become functional again. You do not know if you were one of those. But the decision is always up to the patient. If you do not feel normal I would see the Dr. Who did the tests :recommendations. It is good feedback for the Dr. ...Read more
Sleep study last yr showed tachycardia @132bpm. Seen cardiologist but never followed up. Recent admission showed @135+bpm, slowed with beta blocker now on Deralin, should I be seeing a cardiologist? No1 said anything about it, nil high BP/cholesterol
Maybe: You should definitely see a primary physician, you will likely need an EKG and blood work (basic metabolic panel) and everything will determine if you need further evaluation by a cardiologist. Hope that helped? ...Read more
Cardiologist in UK prescribed Bisoprolol 2.5mg for Nocturnal Sinus Tachycardia which works although in the US normally another Betablocker is used?
Beta-blocker.: There are several different beta-blockers available, and while there may be subtle differences in their effects many can be used for similar indications. ...Read more
If my cardiologist thinks I worry too much about Sinus tachycardia at night and heart health is excellent then why Do I need to take Betablockers?
Cardiologist: Bisoprolol and other Betablockers long term can cause type 2 diabetes in people without it seen in trials since 2006, what is the risk?
Although: Drug-induced diabetes has been a concern for several years, not enough information is available to influence prescribing for the majority of patients. The number one priority should be controlling blood pressure in a timely manner. The effects on cardiovascular risk are also unproven. Beta blockers have so many short and long term proven cardiovascular advantages that risk of DM is less pertinent. ...Read more
Cardiologist says that I have Symtomatic pvcs scared to move that they will start and not stop was only having like 5 a day I had 100 The other night?
Need to relax: This level of stress and anxiety won't help the "burden" of PVCs that you are having. Remember, we all have PVCs, some feel them some don't. If it's that bothersome you should review with your cardiologist about possibly increasing your atenolol to help decrease the number of PVCs. Make sure your magnesium and potassium intake are good as this may help too. ...Read more
Chest pain 4 2weeks primary doc & cardiologist put on Nitro. Went to ERtoday chest pain wouldn't stop. ER doc says it is chest wall pain. What you say?
Can't say -: You have posed this question on the general health education portion of HealthTap - where we don't make diagnoses. We don't have your chart, your current history, lab tests/ EKG or you to examine. ...Read more
Any selective beta blocker alternatives to metoprolol xr for diabetic patients? Also on lasix (furosemide) that causes hyperglycemia and ototoxicity? Alternatives to ask cardiologist? Any non-nsaid antiplatelet (non- aspirin 81 mg) for ckd patient?
Discuss with your MD: Metroprololxr is a good beta blocker&is very well tolerated. There are other options but they are all have same action and side effects. Only Carvedilol is different as it is both alpha and beta blockerLasix is well tolerated. Can be ototoxic in high doses and if combined with other ototoxic drugs. Ototoxicity is rare. Aspirin is safe asking as no contraindications. Discuss your concerns with MD ...Read more
Doctors: The physicians I know on health tap are all accomplished in their fields. I am a 'real' cardiologist, as are the cardiologists I know on here. ...Read more
My family says that interventional cardiologist do surgery. Do they, and what kind of surgery do they do?
Yes: They do. Any invasive procedure can be considered a surgery of sorts. The placement of cardiac stents and valves is very invasive and requires extensive expertise. Some cardiologists with what's called ep training place defibrillators in patients body's and electrically burn areas of the heart that cause rhythm disturbances. I would call that surgery. ...Read more
Cardiologist said come off Propranolol (10mg am/pm) Can I half AM and PM dose or should I half pm for a few days then half am then. When safe to stop?
Weaning medications: Beta blockers such as propranolol and metoprolol should generally be weaned off gradually-the higher the dose the slower the process. In this particular instance, It would be appropriate to decrease to half a tablet twice a day for two days, then half a tablet once a day for two days then half a tablet on alternate days for two more doses before stopping completely. ...Read more
Had echo, cardiologist said normal. What's difference between what I had and mcg? Some dr's on this site say echo not always accurate- why do it then?
Echo versus ECG: Echo is very accurate it shows the heart structure. Heart function, major arteries, pulmonary pressure and valves. On thd other side ECG determines electrical activity of the heart over a period of time. For exemple it demonstrates if someone has irregular heart beat or has a heart attack. Ecg cannot determine the pumping ability of the heart however echo does. ...Read more
Lp-PLA2 is very "high." what would a cardiologist or other m.d. say or do about this on a typical basis?
Lp-PLA2 shows: That there IS some (specifically) vascular inflammation going on. Generally it's a sign that the epithelium over some plaque is inflammed enough that the plaque can start seeping through that epithelium and could, possibly, at the point that it is unstable enough to break off and cause a stroke or heart attack. I would recommend getting tested for: Lp (a), ApoB, ApoE, LDL-P, BNP, & carotid IMT ASAP ...Read more
I want to know what kind of work is being done to be a cardiologist. People say that it is very hard. Well in what points.
Training for cardiol: In order to become a cardiologist you need to graduate high school go to college and get a undergrad degree in pre med than you have 4 years of medical school when done you need 4 years of training in internal medicine followed by 3 or 4 years of cardiology depending of what you want to do ...Read more
Is Lipitor (atorvastatin) safe and I heard cardiologists on dr oz show say they never give it to women so would like to know what's with that!
Completely safe: The medication is extremely safe, and appropriate, for both men and women. It is extremely beneficial for people at high risk for heart attacks or strokes. For people at low risk, it is less beneficial (but still lowers the risk of heart attack or stroke). ...Read more
Been taking Diovan 80mg daily for 8yrs for my BP. Cardiologist told me not to take the meds unless my BP is above 140/90. Should I stop my meds?
Not entirely correct: Ideal BP for all is 120/80. Having said that, as u r young, and if no other co-morbidities, first line treatment for excess BP is lifestyle changes. In other words, after a concerted effort to limit your salt intake to <2000 mg/day, increasing your exercise (even waking 20-25 mins briskly) and effectuating even loss of 5 pounds of weight, BP will improve. Failing that and still excess BP, then med ...Read more
My cardiologist says that he heard an "opening snap" on my heary. Then He said it was "only" functional murmurs. It never heard before. Concerns?
If it is new, then: It might be good to ask for a cardiac ultrasound. Many murmurs are functional (heard with stethescope) but not signifcantly altering the flow of blood though the valve. It might be good to have an ultrasound to better evaluate just how good or not so good the valve function is. This gives a detailed picture that could be compared in the future, so one could tell if it has changed over time. ...Read more
Please help. Seen 3 cardiologists. All say im fine besides electrical endurance problem one said pre mature irregular beats. Chest pain constantly! Why?
Need work up: Well, premature beats shluld not cause chest pain. What kind of chest pain was it? Need more info. Smoker? Family h/o premature cad, familial hyperlipidemais? You are too young fr CAD but if you have riskfactors then may need to look into that. Or may be look in GI problems like gerd or esophageal dysmotility. I am sure pe is rule out with ct scan. ...Read more
Not sure?: I'm not sure that "adf" is what was meant to be said? An ASD is a hole between the upper two chambers (asd = atrial septal defect) please ask your pediatric cardiologist to explain the issue in a more simple way... ...Read more
When should a child stop seeing a pediatric cardiologist and begin seeing a general cardiologist?
Cardiologist: When the pediatric cardiologist kicks him out. ;) They will also refer you to one they trust. ...Read more
I have pvc's and I also see a cardiologist they say thare benign but to feel them is so frightening?
There are many ways: Of dealing with PVC's including drug therapy and invasive electrophysiology ablation. You are a consumer, find another opinion if you don't like the answers you've received. Look for a Board certified Cardiologist or preferably an Electrophysiologist for management of this problem. ...Read more
I once heard a cardiologist say he spends the same amount of time with every patient. Is this a red flag?
My cardiologist says I have an innocent left anterior hemiblock. How can left anterior hemiblock be innocent?
It is possible: Assuming you don't have any of the obvious conditions associated with lafb (htn, coronary heart disease, valve disease) then it is possible that you have acquired some calcification or scarring that has affected this part of the electrical system. While lafb is never normal it may not be something that will affect you in any clinically meaningful way. ...Read more
I'm sick of being sick I will stop all meds I hate my cardiologist so much. I don't care if I die death is better than life. Suicide is the answer..
It sounds like you: Have been through a really rough time. I am sorry to hear that you are suffering. If you are having thoughts about killing yourself, get seen at the nearest emergency room now. Have a friend or relative drive you or call 911 for emergency services for transport. You can call the National suicide hotlines 24/7 at 1-800-suicide (1-800-784-2433) or 1-800-273 – talk (1-800-273-8255) for support. ...Read more
I went to a cardiologist recently because I have been passing out a lot. The dr found out its because my heart stops for 4-5 seconds. Know anything?
Probable pacemaker: Assuming that you are on no medicines like beta blockers, you need a pacemaker. ...Read more
Should I get 2nd opinion? Cardiologist found a lot of things with heart and says they're normal and isn't treating symptoms that I've had for month.
Yes: Getting a second opinion can often be helpful. Consider seeing an Integrative Medicine physician. ...Read more
Cardiologist may try and blanket my symptoms and not order a scan to find the root cause of inflamed plaque. What should I say. I struggle with words?
Ask why.: I am unaware of any test that can find the root cause of inflamed plaque. If the symptoms are driving you crazy then treating the symptoms seems to make a good deal of sense. Ask your doc for a good explanation - if you are uncomfortable seek another opinion, but don't go second guessing all your docs. You cardiologist has many many years of training. ...Read more
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