Question 1

Is a pulse rate of 55-65 normal? We've started my dad on Concor AM 5mg for the last couple of days, and now we're noticing his pulse rate is around that range, plus he's been experiencing some irregular heartbeats and mild chest pain. He's already dealing with hypertension and after a bout with COVID had palpitations and a pulse hitting 120, so he took Ivabid for a month, then switched to Dilzem CD 90mg for another month. We did notice his aortic valve is dilated at 4.3 cm. I'm really worried and wondering if we should continue with Concor, or could it further lower his pulse rate?

Accepted Answer

A pulse rate of 55-65 can be considered normal for some individuals, especially those who are physically fit. However, considering your father's history of hypertension, irregular heartbeat, chest pain, and previous cardiac medications, it is essential to monitor his condition closely. Concor AM 5mg is a combination of Bisoprolol and Amlodipine, which helps in controlling blood pressure and heart rate. Given his symptoms and medical history, it is crucial to consult with his healthcare provider to adjust the dosage or consider alternative medications. Continuing Concor may further decrease the pulse rate, so medical advice is necessary to ensure his safety and well-being.

Question 2

I've been experiencing chest pain sometimes when I take deep breaths, and I also find myself getting out of breath when I'm walking or using the stairs. My cholesterol numbers came back with a total of 274, HDL at 49, and triglycerides at 193. I'm currently taking Storvas 20 and have been on it for about 20 days now. Can you advise on what steps I should take or if there's anything else I should be concerned about?

Accepted Answer

Based on your symptoms and cholesterol levels, it is important to continue taking Storvas 20 to help lower your cholesterol levels. In addition, you may benefit from adding an antiplatelet medication like Aspirin 75mg to reduce the risk of heart attack or stroke. It is also important to make lifestyle changes such as following a heart-healthy diet, exercising regularly, and quitting smoking if you smoke. If your symptoms persist or worsen, it is important to follow up with your healthcare provider for further evaluation and management.

Question 3

I've been dealing with this dull pain for about four months now, and I'm really starting to worry. I don't have any other symptoms like shortness of breath or anything, but I'm concerned it might be heart-related. Could this kind of pain without those typical symptoms still be linked to a heart issue?

Accepted Answer

Dull pain lasting for 4 months can be concerning, especially if it is located in the chest area. While chest pain can be a symptom of heart problems, it is not always the case. Other conditions such as muscle strain, acid reflux, or anxiety can also cause chest pain. Since you do not have any other symptoms like shortness of breath, it is less likely to be related to the heart. However, it is important to consult with a healthcare professional for a proper evaluation and diagnosis. If the pain persists or worsens, you may consider taking over-the-counter pain relievers like acetaminophen or ibuprofen for temporary relief.

I'm trying to understand how likely it is to have a heart blockage if my ECG comes back normal? Also, under what circumstances would a doctor suggest going for an angiography?

When ECG is normal no need to worry,if you have non specific chest pain,get a 2D echo done and visit Cardiologist for appropriate management

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