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Heart Disease  (Expert Forum)
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How related are these conditions?
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

How related are these conditions?

by Peter-Selk, May 04, 1999 12:00AM

Posted by Peter Selk on May 04, 1999 at 13:39:34
A man 40 had a heart attack in 1994, when he was 40.  He was put on Metoprolol, Altace and aspirin, and returned to his physically demanding job.  He continued both the job and the medications until 1999, when he was diagnosed with tachycardia.  As a result, he was taken off the Metoprolol and asked to stay off work for at least six months.
My question:  what was he being treated for?  Hypertension?  Is the tachycardia part of the condition for which he was being treated, or is it a new condition?  To my mind, the fact that he was taken off the beta blocker suggests that the tachycardia is something new.  Does that make sense?

Posted by CCF CARDIO MD - CRC on May 05, 1999 at 13:59:23
Dear Peter,
There are a few pieces missing from your puzzle.  Tachycardia is not generally part of a previous myocardial infarction 5 years ago.  Metoprolol slows the heart not the opposite.  Did he have high blood pressure in 1994?  What sort of evaluation did the man have when he was seen in 1999?  Did he have an echocardiogram?  Does he have heart failure? Why was he told to take off work for 6 months?
I hope you find this information useful.  Information provided in the heart forum is for general purposes only.  Only your physician can provide specific diagnoses and therapies.  Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter.  The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.


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