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Heart Disease (Expert Forum)
post-ablation high blood pressure
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post-ablation high blood pressure
by suki1724, Feb 28, 2005 12:00AM
I am a 38yo female, I had a pvc ablation at CCF on Sept. 27th for frequent symptomatic pvc's, (20,000+ per day). I have also had sinus tach for as long as I can remember, and have a history of mild asthma that is controlled with a low dose of inhaled steriods. I wound up being put on the birth control patch two months ago due to large ovarian cysts (I was always unable to tolerate hormonal birth control before the ablation, I would have a big increase in pvc's when I tried it in the past) I was feeling slightly dizzy and had a headache over the weekend and when I checked my blood pressure it was 166/110. My blood pressure is ususally normal, 120/80 and will be a little elevated at the DR.s office maybe 140/90. I have also noticed for about the past two months that when I lay down at night especially on my left side that when I inhale, my heart seems to be making a "noise" with each beat. My question is, could the elevated blood pressure be due to the ablation or is it more likely the birth control patch causing it, and why in the world would my heart be making a "noise" when I inhale?? Is that a murmur?? Thanks so much.
Doctor's Answer
by CCF-M.D.-MJM, Feb 28, 2005 12:00AM
Hi Sukil,
I can't think of a reason why an ablation would cause high blood pressue, but the birth control pill is known to cause it. My guess is it is from the pill.
You probably should see your doctor about the murmur. While it doubt it is an actualy murmur, I have heard of a few cases of a new murmur after an ablation. If your doctor hears one, he may want to a check an echo. Unless you are from the Cleveland area, you probably don't need to come here to have it looked it. If you are from Cleveland, just call the office of the attending that did your case and schedule and appointment.
Have your PVCs improved?
Good luck, I hope this helps.
I can't think of a reason why an ablation would cause high blood pressue, but the birth control pill is known to cause it. My guess is it is from the pill.
You probably should see your doctor about the murmur. While it doubt it is an actualy murmur, I have heard of a few cases of a new murmur after an ablation. If your doctor hears one, he may want to a check an echo. Unless you are from the Cleveland area, you probably don't need to come here to have it looked it. If you are from Cleveland, just call the office of the attending that did your case and schedule and appointment.
Have your PVCs improved?
Good luck, I hope this helps.
Strangely enough, since my ablations, I have had high blood pressure also. Prior to the ablations, I always ran on the low side. Now, I'm taking medicine to control the BP...Hmmmmm
Hope all is well : )
Dreamboat: You can search ablation and get lots of past posts on it. This past post tells alot: http://www.medhelp.org/perl6/cardio/archive/14492.html
Cheri
KAD - I took Inderal (propanolol) for at least 10 years. In the beginning, it made me VERY tired and easily fatigued. After a few weeks, the tired feeling pretty much disappeared. But, my feet were SOOOO cold!!!! Definitely a side effect of beta blockers.
Anyway, I also had the ablations to eliminate the meds I was taking for ectopic beats. That worked, but now I'm taking lisinopril for BP control. Oh well - You know what they say about the best laid plans : )
Like many cardiac procedures, ablation no longer requires a full frontal chest opening. Rather, ablation is a relatively non-invasive procedure that involves inserting catheters – narrow, flexible wires – into a blood vessel, often through a site in the groin or neck, and winding the wire up into the heart. The journey from entry point to heart muscle is navigated by images created by a fluoroscope, an x-ray-like machine that provides continuous, “live” images of the catheter and tissue.
Once the catheter reaches the heart, electrodes at the tip of the catheter gather data and a variety of electrical measurements are made. The data pinpoints the location of the faulty electrical site. During this “electrical mapping,” the cardiac arrhythmia specialist, an electrophysiologist, may sedate the patient and instigate some of the very arrhythmias that are the crux of the problem. The events are safe, given the range of experts and resources close at hand, and are necessary to ensure the precise location of the problematic tissue.
Once the damaged site is confirmed, energy is used to destroy a small amount of tissue, ending the disturbance of electrical flow through the heart and restoring a healthy heart