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  • male
  • 60 Years
  • 21/12/2021

How can Viagra cause a heart attack?

Doctor 1

Answered by 1 Apollo Doctors

Although there has been no conclusive evidence of link, there have been few reports of heart attack, stroke and arrhythmia in men taking Viagra.

Dr. Kareemulla Suggests...

Consult a Cardiologist

Answered 04/07/2025

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  1. How Sildenafil Works

    • Sildenafil relaxes blood vessels, improving blood flow, primarily for erectile dysfunction.
  2. Cardiovascular Effects

    • It can lower blood pressure and increase heart workload, crucial for those with heart issues.
  3. Risk Factors in Older Adults

    • Men around 60 may have heart disease or risk factors, increasing vulnerability.
  4. Potential for Heart Attack

    • Risk increases with nitrate interaction, existing heart disease, or sudden cardiac stress.
  5. Precautions and Medical Advice

    • Consult a healthcare provider before use, especially with heart conditions; monitor symptoms.
  6. When to Seek Emergency Help

    • Recognize heart attack symptoms and seek immediate medical attention.

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Consult a Cardiologist

Answered 20/08/2025

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I'm currently taking 50 mg of metoprolol succinate because I had high blood pressure around a month ago, with readings peaking at 150100. Lately, my 24-hour average blood pressure is about 11070, but every 5 to 6 days it suddenly spikes to 14090. Is this something normal, or should I think about adjusting my dose?

It's good to hear that your average blood pressure has improved with the current medication. Occasional spikes in blood pressure can happen despite treatment. In your case, since the spikes occur every 5 to 6 days, it may be worth discussing with your healthcare provider about potentially increasing the dose of metoprolol succinate to better control these spikes. An adjustment in dosage or adding another medication may be considered to maintain more stable blood pressure levels.

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Doctor 1Doctor 2

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I'm a bit concerned about my heart rate when I'm sleeping. At night, it sometimes goes as high as 115 beats per minute, but during the day, it's more like 85 BPM. I don't have any other health conditions right now. Should I be worried about this change in heart rate between day and night? Is it normal?

Heart beat rise during sleep in night up to 115 beats per minute is known as nocturnal tachycardia. This can be due to various reasons such as stress, anxiety, caffeine intake, or even certain medications. Since you do not have any other existing conditions, I recommend monitoring your caffeine intake and practicing relaxation techniques before bedtime. If the issue persists, you can consider taking a beta-blocker medication like Metoprolol, starting with a low dose of 25mg once daily in the morning. However, it is important to consult with a healthcare professional before starting any new medication.

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Doctor 1Doctor 2

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I've been having this mild chest pain for the last couple of weeks and it's been pretty constant. I'm really not sure what activities I should be doing or avoiding right now. Could you give me some advice on what I can do to help with this or maybe some things to watch out for?

don't do heavy exercises

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.