Question 1

I'm a little worried about my mom. She's been taking 3mg of warfarin, but her PTINR test just showed 1.27. Since she has heart issues, should we think about upping her dose to 5mg?

Accepted Answer

An INR of 1.27 indicates that the patient's blood is not clotting as well as it should be on the current dose of warfarin. For a heart patient, the target INR range is usually higher. In this case, it would be advisable to increase the dose of warfarin. I recommend increasing the dose to 4mg and then rechecking the INR in a week to see if it falls within the target range. Regular monitoring and adjustment of the warfarin dose is important to ensure the patient's blood is clotting within the desired range.

Question 2

I had an emergency angioplasty with one stent a year ago, and now my medications have changed. I'm now taking Aztogold once a day. I'm wondering how long I'll need to keep taking this medicine?

Accepted Answer

You should continue taking Atorvastatin (Aztogold) as prescribed by your doctor. It is commonly recommended to take statins like Atorvastatin long-term to help manage cholesterol levels and reduce the risk of further heart complications. The duration of treatment may vary depending on your individual health condition and risk factors. It is important to follow your doctor's advice regarding the duration of treatment with Atorvastatin.

Question 3

I'm really worried because my heart rate is usually at 100 or above. I check it by counting the pulse on my neck, and it comes out to be something like 24 to 27 pulses in 15 seconds, which is more than 100 when I calculate it for a minute. I have a h...

Accepted Answer

It sounds like you may be experiencing symptoms of anxiety, especially given your history of panic attacks. The rapid heartbeat you are feeling could be related to anxiety and stress. To help manage your symptoms, I recommend trying relaxation techniques such as deep breathing exercises, meditation, or yoga. In terms of medication, you can consider taking a beta-blocker such as Propranolol. Start with a low dose of 10mg once daily, and you can increase it as needed under medical supervision. Beta-blockers can help reduce heart rate and physical symptoms of anxiety. However, it's important to consult with a healthcare professional for a proper evaluation and personalized treatment plan.

Question 4

I'm experiencing a fast heartbeat and I'm worried if it could be a case of SVT. I had an echocardiogram and it came back normal. Does that mean my heart is fine or should I be concerned about something else?

Accepted Answer

It is good that your echo is normal. Fast heart beat can be due to various reasons, including SVT. To help control your heart rate, you can take medication like Metoprolol (brand name: Lopressor) at a dosage of 25-100mg twice daily. However, it is important to consult with a cardiologist for a proper diagnosis and treatment plan.

Question 5

I've been dealing with anxiety-induced tachycardia and my resting heart rate used to be around 100-130 with a blood pressure of 130-14070-80 for the past year. My doctor prescribed Ciplar LA 40 mg and Amitone 10 mg, which I've been taking for the pas...

Accepted Answer

For anxiety-induced tachycardia, both Ciplar LA (propranolol) 40 mg and Metoprolol 25 mg are commonly used beta-blockers to help control heart rate and blood pressure. In your case, since you have already started taking Ciplar LA 40 mg and have noticed an improvement in your resting heart rate and blood pressure within 4 days, it seems to be working well for you. Therefore, I would recommend continuing with Ciplar LA 40 mg for the next month as prescribed by your doctor. It has shown effectiveness in reducing your heart rate and maintaining a normal blood pressure range. Make sure to follow your doctor's instructions regarding dosage and duration of treatment.

Question 6

I'm a bit worried about some of the results from my 24-hour Holter monitor and other tests. My heart rate got as high as 130 bpm at 11 am and dropped to 38 bpm at 4 am, with an average of 96 bpm. They noted baseline sinus arrhythmia but no trachiarrh...

Accepted Answer

Based on your results, I recommend you continue to monitor your heart rate and rhythm. Since there are no significant abnormalities detected, no specific medication is required at this time. However, it is important to maintain a healthy lifestyle with regular exercise and a balanced diet to support your heart health.

I'm a little worried about my mom. She's been taking 3mg of warfarin, but her PTINR test just showed 1.27. Since she has heart issues, should we think about upping her dose to 5mg?

I'm a little worried about my mom. She's been taking 3mg of warfarin, but her PTINR test just showed 1.27. Since she has heart issues, should we think about upping her dose to 5mg?

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Related Questions

I had an emergency angioplasty with one stent a year ago, and now my medications have changed. I'm now taking Aztogold once a day. I'm wondering how long I'll need to keep taking this medicine?

I'm really worried because my heart rate is usually at 100 or above. I check it by counting the pulse on my neck, and it comes out to be something like 24 to 27 pulses in 15 seconds, which is more than 100 when I calculate it for a minute. I have a h...

I'm experiencing a fast heartbeat and I'm worried if it could be a case of SVT. I had an echocardiogram and it came back normal. Does that mean my heart is fine or should I be concerned about something else?

I've been dealing with anxiety-induced tachycardia and my resting heart rate used to be around 100-130 with a blood pressure of 130-14070-80 for the past year. My doctor prescribed Ciplar LA 40 mg and Amitone 10 mg, which I've been taking for the pas...

I'm a bit worried about some of the results from my 24-hour Holter monitor and other tests. My heart rate got as high as 130 bpm at 11 am and dropped to 38 bpm at 4 am, with an average of 96 bpm. They noted baseline sinus arrhythmia but no trachiarrh...

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