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
MetoprololMetoprolol
Metoprolol succinate er
Metoprolol tartrate
Metoprolol-hydrochlorothiazide,
Altace and
aspirinAspirin
Aspirin adult low strength
Aspirin child chewable
Aspirin children's cherry
Aspirin children's orange
Aspirin ec lo-dose
Aspirin enteric coated
Aspirin lite coat
Aspirin litecoat
Aspirin low dose
Aspirin low strength, and returned to his physically demanding job. He continued both the job and the medications until 1999, when he was diagnosed with
tachycardiaArrhythmias
Multifocal atrial tachycardia
Paroxysmal supraventricular tachycardia (psvt)
Sick sinus syndrome
Ventricular tachycardia. As a result, he was taken off the
MetoprololMetoprolol
Metoprolol succinate er
Metoprolol tartrate
Metoprolol-hydrochlorothiazide and asked to stay off work for at least six months.
My question: what was he being treated for? Hypertension? Is the
tachycardiaArrhythmias
Multifocal atrial tachycardia
Paroxysmal supraventricular tachycardia (psvt)
Sick sinus syndrome
Ventricular 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?
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