Normal BP

[HectorsDad]

Come off Bisoprolol at my cardiologists request, because he suspects my normally low BP is contributing to angina (post HA, suspected MVA)

I’m now pumping 121 over 80 on 75bpm- near perfect normal. (Was generally around 106/70/65 when all was good, down to 80/50/60 on bad days and it got silly when in real trouble.)

So why do I not feel any better, or have more energy? Pain is lightly different, but no better. Energy still runs out very quickly, in fact it’s worse cause I get a bit enthusiastic at 9 now (‘pumped up!’) and knackered by 12. At least I could keep going gently till 2 before. Sleeping better though...in the afternoons😜.

Not expecting answers, just sharing some frustration.

And no, I’m not going to become vegan, stick to an insect diet or use my statins as a burnt offering to the great god Dr Google!

[Shoshov]

🤣🤣

[Lezzers]

😂 😂 Another laugh out loud moment, Even better than Michaels jokes!! Though on a serious note, I do feel your frustration. I didn't know low BP can cause angina, that's something I'v learnt today!

[HectorsDad in reply to Lezzers]

I don’t know that it does cause it, Lezzers: suspect the Cardiologist is following a hunch, possibly because I passed out while in the ward! It was low BP, dehydration, no food and a very junior doctor (probably on his third week in a ward) making a mess of his first solo cannula!

My BP drops a lot quickly- always has. My record is 40/20 on previous occasions, and I was still awake and talking, though not making sense (that’s normal says my wife). Technically that’s not possible, I’ve been told several times, but it is on my records.

If you are going to pass out, CCU is the place to do it. Came to with 8 people round the bed, and two more queuing to join in. I’ve done gigs to smaller audiences than that😂.

[Lezzers in reply to HectorsDad]

Wow, that is a very low BP. I get the hospital bit though. My husband had a minor op and ward Dr gave him trsmadol, it immediately dipped his BP, he got up from the bedside chair immediately flaked out banging his chest on the table and his face on the bed, which actually did him a favour as it broke the fall. So definitely a positive there! He came to on the floor and then went again, at which point I just happened to phone him to ask how he was feeling, and all I could hear was total chaos. Hospital panicked, put him on intravenous fluids, bypassing a cannula to get it into his system without delay, then hourly monitoring through the night! A one night stay became a week as bladder decided to stop working! I was so glad they didnt send him home! Nurse tried to prescribe tramadol again just recently but computer said no!! Love your sense of humour, laughter is definitely the best medicine.

[Lezzers]

My reply to you has disappeared, how weird!

[Lezzers]

Did you see it before it went?

[HectorsDad]

Thanks for the explanation, it’s really helpful. Certainly the cardiologists suspects over medication- but his registrar, who sees more of me, still thinks MVA. They were at pains to tell me they were not disagreeing, just had different opinions🤨. But that the present treatment will do for either until the MRI informs us, which should be very soon.

Tried to pace myself better today, and managed to stay ‘technically awake’ through the afternoon, but no more than that.

[Ianc2 in reply to HectorsDad]

Interesting comments on blood pressure. Did anyone mention syncope? In June had a couple of slow collapses, as in feel a bit strange, kneel down, fall down, pass out, wake up lying on the floor, thinking what was all that about? Is it a TIA? Will it happen again, etc.

Amazingly I managed to get in and see my cardiologist quite quickly. I have persistent/permanent AF which makes taking blood pressure with electronic devices impossible.

He questioned me very closely and observed that with older patients we have to careful we don't drive down blood pressure down too far and people get dizzy and fall over.. It appears that after you hit the deck the speed at which you recover is the critical measure.

If the blood flow to your head is rapidly resumed, and blood returns to your brain you will make a rapid recovery. If it doesn't it is a blue light job.

His recommendations were:

Drink an extra 3 pints of water every day to keep your blood/body fluid adequately topped up.Eat regular small meals to keep blood sugar levels fairly constant.

Continue taking exercise.

Take rampiril in the evening. Any side effects will be absorbed as you sleep. It takes about 12 hours for this drug to work it's way through your body.

If you drop it completely the problem will go away, but your chance of a stroke will increase. Interesting choice?

Finally Don't drive until you see me in 3 months time.

The three months are nearly up so I am waiting for another appointment. Such is life. The measures seem to be working and there have been no more events.