Question 1

I'm a 54-year-old guy and I've been told I need a heart pacemaker. So, before I go for it, I want to know all the details. Like, how does this thing actually work? What kind of care do I need after getting one? Is it going to be comfortable to live with? And most importantly, should I be worried about any side effects from having a pacemaker?

Accepted Answer

A pacemaker is a small device that's placed in the chest or abdomen to help control abnormal heart rhythms. It uses electrical pulses to prompt the heart to beat at a normal rate. You may need a pacemaker if your heart beats too slowly, too quickly, or irregularly. After getting a pacemaker, you should avoid vigorous activities that could damage the device. It's important to attend regular follow-up appointments with your doctor to ensure the pacemaker is working properly. Most people find living with a pacemaker to be comfortable and are able to resume normal activities. However, you should avoid certain activities that can interfere with the pacemaker, such as using certain medical devices or undergoing certain medical procedures. Common side effects of a pacemaker include infection at the site of implantation, bleeding, bruising, or swelling. In rare cases, there may be complications such as a collapsed lung or a punctured blood vessel during the implantation procedure. It's important to discuss any concerns with your healthcare provider.

Question 2

I've been taking metoprolol 50 mg once a day for the past 3 years, but I'm experiencing some side effects like weight gain, gas, indigestion, abdominal swelling, and a puffy face. Are there any alternative beta blockers I can consider, especially since I have mitral stenosis with a measurement of 1.6?

Accepted Answer

Considering your side effects with metoprolol, you can discuss with your doctor about switching to a different beta blocker such as Nebivolol (5 mg once daily) or Carvedilol (6.25 mg twice daily). These medications may have a different side effect profile and could be better tolerated in your case. However, it is important to consult with your healthcare provider before making any changes to your medication regimen.

Question 3

I've been dealing with palpitations since 2009, and although I've had some treatment, they haven't completely stoppedjust reduced in frequency. The doctor advised me to take Rivotril when they start, since they never seem to stop on their own. I'm worried about why they persist and if there's something else I could try? Could there be long-term effects if I'm taking Rivotril for so long? Any advice would be appreciated.

Accepted Answer

Since you have been experiencing palpitations since 2009 and have been advised to take rivotril when they occur, I recommend discussing with your doctor about trying beta-blockers such as Metoprolol at a low dose to help manage the palpitations more effectively. The usual starting dose for Metoprolol is 25mg once daily, which can be adjusted based on your response. Beta-blockers are commonly used to reduce the frequency and severity of palpitations by regulating the heart rate and rhythm.

grade 1 diastolic dysfunction normal..salt restricted diet ,dash diet and regular aerobic exercises is advised to the patient.

More Cardiology Health Queries

Health Articles for you

Atrial Septal Defect (ASD): Causes, Symptoms, and Treatment

Congenital Heart Disease Symptoms

Types of Heart Surgery Explained

Atrial Fibrillation: Causes, Types, Symptoms, Diagnosis, and Treatment

The link between arthritis and heart disease