Question 1

I've noticed my heart rate drops to around 41-45 when I'm sleeping, and I'm a bit worried about it. I'm currently taking Ivabradine, 5mg twice a day. During the day, my heart rate is generally between 85-90, and it goes up to 105-110 while I'm walking. I started on Ivabradine because my heart rate would hit 150 with just minimal exertion. Is it normal for my heart rate to drop like that while I'm asleep, or should I be concerned?

Accepted Answer

A heart rate dropping to 41-45 while sleeping can be concerning, especially if you are already on Ivabradine for high heart rate during the day. Since Ivabradine is a medication that helps lower heart rate, it is important to monitor your heart rate closely. In your case, since your heart rate during the day is around 85-90 and 105-110 while walking after taking Ivabradine, it seems like the medication is working to lower your heart rate effectively. However, a heart rate dropping significantly during sleep may warrant further evaluation. I recommend discussing this with your healthcare provider to determine if any adjustments to your medication dosage or timing are needed. It's important to ensure that your heart rate remains within a safe range even during sleep.

Question 2

I'm concerned because my mother-in-law is scheduled for pacemaker surgery soon, and we recently lost a relative after a similar procedure. I'm really worried about what to expect. Whats the success rate of pacemaker surgeries? Are there usually a lot of complications afterward? And is it possible for someone to live normally after getting a pacemaker? Would love some guidance on what we should be prepared for.

Accepted Answer

Pacemaker surgery is generally considered a safe and effective procedure with a high success rate. Most patients experience significant improvements in quality of life and symptom relief after the surgery. While complications can occur, they are relatively rare and may include infection, bleeding, or issues with the pacemaker leads. Most people can live a normal, active life with a pacemaker, but it's important to follow the cardiologist's recommendations and attend regular follow-up appointments to ensure the device is functioning properly. Discuss your concerns with the cardiologist at Medanta Hospital to understand the specific risks and benefits in your mother-in-law's case.

Question 3

Can we avoid going through angioplasty even though there are two clots in the heart? The patient seems fine, so I'm wondering if we could just start rehab without surgery.

Accepted Answer

Angioplasty may be necessary to treat the clotting in the heart to prevent any potential complications. However, if the patient is stable and asymptomatic, a conservative approach can be considered. It is important to closely monitor the patient's condition and follow a strict medication regimen. Rehabilitation can be started under the supervision of a healthcare provider. Medications such as antiplatelets (e.g. Clopidogrel) and anticoagulants (e.g. Warfarin) may be prescribed to manage the clotting. Regular follow-up with a cardiologist is essential to assess the need for any further interventions.

I'm really worried about my dad. He's 65 and had open heart surgery last June. He's also been dealing with some CLVA on his left side for about 8 years. Just last week, he started having swelling in his legs. Can you help me understand what's causing this?

More Cardiology Health Queries

Can we avoid going through angioplasty even though there are two clots in the heart? The patient seems fine, so I'm wondering if we could just start rehab without surgery.

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