Managing Heart Health: Medication Concerns and Blood Pressure Issues

Cardiac issues and medication concerns?

Hello, Doctor He.
I have been taking medication for high blood pressure for almost ten years now.
Currently, I am taking the following medications: Baken 10 mg film-coated tablets, Felodipine 160 mg film-coated tablets, Valsartan 10 mg film-coated tablets, and Tenormin 60 mg extended-release film-coated tablets.
Recently, I took out my blood pressure monitor and have been measuring my blood pressure for almost a month.
My systolic pressure is mostly between 110 and 140, and my diastolic pressure is mostly between 55 and 70.
My heart rate ranges from 53 to 65.
After dinner, I go for a brisk walk, but if I walk too fast, I experience some chest pain; slowing down helps a bit.
The same happens while I’m working.
This month, when I went to the clinic to pick up my medication, I mentioned to the doctor that my diastolic pressure is low and my heart rate is slow.
He advised me not to take the Amlodipine 5 mg.
However, my diastolic pressure and heart rate are still unstable.
What should I do now to recover? If I go back to the clinic and tell the doctor, he might prescribe me more medication, which I do not want, as my heart was fine before and now I feel uncomfortable from the medication.
Please help me, Doctor He.

Cai Xiansheng, 30~39 year old female. Ask Date: 2016/04/26

Dr. He Dongjin reply Cardiology

Please cherish our online medical resources.
When asking the same question, please specify only one physician or nutritionist.

Reply Date: 2016/04/26

More Info

Managing heart health, particularly in the context of hypertension and medication, is a multifaceted issue that requires careful consideration of various factors, including medication adherence, lifestyle changes, and regular monitoring of blood pressure and heart rate.

From your description, it appears that you have been on a regimen of antihypertensive medications for nearly a decade. These medications, including Betaloc (a beta-blocker), Lisinopril (an ACE inhibitor), and others, are crucial for managing high blood pressure and preventing cardiovascular events. However, you mentioned experiencing fluctuations in your blood pressure readings, with systolic values ranging from 110 to 140 mmHg and diastolic values between 55 and 70 mmHg. Additionally, a heart rate of 53 to 65 beats per minute is considered bradycardic, especially if you are experiencing symptoms like chest pain during physical activity.

Medication Management
1. Adherence to Medication: It is essential to take your medications as prescribed. Missing doses can lead to fluctuations in blood pressure and heart rate, which may contribute to your symptoms. If you find it challenging to remember to take your medications, consider using a pill organizer or setting reminders on your phone.

2. Consultation with Your Physician: Since you are experiencing symptoms such as chest pain during exertion, it is crucial to communicate these concerns with your healthcare provider. They may need to reassess your medication regimen, considering your current symptoms and blood pressure readings. It’s important to be open about your reluctance to increase medications, as your doctor can explore alternative options or adjust dosages to find a balance that manages your blood pressure without causing discomfort.

3. Monitoring Blood Pressure and Heart Rate: Regular monitoring of your blood pressure and heart rate at home can provide valuable information for your healthcare provider. Keep a log of your readings, noting the time of day and any symptoms you experience. This information can help your doctor make informed decisions about your treatment plan.

Lifestyle Modifications
1. Physical Activity: Engaging in regular physical activity is beneficial for heart health. However, if you experience chest pain while walking briskly, it may be a sign that your heart is under strain. It’s advisable to consult with your physician before increasing your activity level. They may recommend a stress test or other evaluations to ensure that your heart can handle increased exertion safely.

2. Dietary Considerations: A heart-healthy diet is crucial for managing blood pressure. Focus on a diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. Reducing sodium intake can also help lower blood pressure. Consider consulting with a nutritionist for personalized dietary advice.

3. Stress Management: Chronic stress can negatively impact heart health. Incorporating stress-reducing techniques such as mindfulness, yoga, or meditation can be beneficial.

Conclusion
In summary, managing your heart health involves a combination of medication adherence, regular monitoring, lifestyle modifications, and open communication with your healthcare provider. If you continue to experience symptoms or have concerns about your medication, do not hesitate to seek further evaluation. Your health is paramount, and finding the right balance in your treatment plan is essential for your overall well-being. Always prioritize your symptoms and work closely with your physician to ensure that your heart health is managed effectively.

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