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Asking for Self, Male, 35 years old, lahor
kindly check the ecg, is it ok?
I've off the blood pressure drugs for two years (since losing twenty five kg weight through intermittent fasting and low card diet).
for proper diagnosis and management need to be visited by a senior general physician specialist or cardiologist
send again clearly Fouced
ecg looks apparently fine but a good technique is to always compare it with the baseline or old ECG just to rule out any subtle changes. kindly share any old ECG. Why the ECG was done ?does patient has any symptoms??
Patient
Post Owner
There are no symptoms, just routine test was done, as last ecg was done 6/7 years ago.
I'm taking nebivolol 2.5mg od for high heart rate.
Is my heart rate too slow?
Should I reduce the dose?
Thanks.
11 months ago
MBBS, MRCP UK, FCPS general medicine and nephrology | Lahore | Book Appointment
heart rate seem to be normal on this ECG not high not low. if you are feeling stable on this dose 9f nebivolol continue it ir can reduce to 1.25 as herate is well controlled on this dose as well
11 months ago
Patient
Post Owner
Thanks. I'm doing good, never felt physically better in ages. Blood pressure is 100-110/60-70. Heart rate is usually 60-70, sometimes 56 but not less. No dizziness or whatsoever.
I'm going to reduce dose to 1.25mg od after eid Insha Allah.
11 months ago
ECG is normal.
Well the ecg is fine. Heart rate is okay considering you have been using beta blockers. And remember if you are doing fine with beta blockers, you need not immediately change the dosage or frequency.
What is the exact thing bothering you at the moment?
Patient
Post Owner
Thanks for detailed reply.
Nothing is bothering particularly, just wanted to see if intermittent fasting has done any changes in ecg as last ecg was done 6/7 years ago which was fine.
For 15 years I've taken 3 drugs daily.
Lisinopril 20mg od, Amlodipine 5/10mg (10mg in winter otherwise 5mg), Propranolol 20mg bd OR metoprolol 25mg bd.
Since 2023 I've used 16:8 routine of fasting i.e two meals in 8 hours window and water only fast for 16 hours. I've eaten Low carb foods in two meals. 1 roti with each meal or half plate rice.
My weight was never under 90, touched 100 at one point now its 75kg. I do eat now two meals a day with 12 hours gap.
I used to have fatty liver, looking forward to get ultrasound done to see if fat on liver is gone or not.
11 months ago
MBBS, FCPS | Islamabad | Book Appointment
Okay. Thank you for elaborating the situation. You can have an ultrasound as well as serum lipid profile, Hba1c, serum electrolytes (sodium, potassium, calcium, magnesium, phosphate levels). If you are concerned if the body has been doing well with that intermittent fasting routine, we need to have a look at these. Provides a valuable insight on the situation. Thank you
11 months ago
MBBS, FCPS | Islamabad | Book Appointment
My Pleasure Sir. Thank you for consulting
11 months ago
Patient
Post Owner
Has taken beta blockers like inderal 20mg twice a day in past.
Now taking nebivolol 2.5mg once a day for high heart rate.
11 months ago
| | Book Appointment
that's y heart rate Kam Hy
11 months ago
Patient
Post Owner
Thanks for prompt reply.
Should I reduce the dose to 1.25mg?
11 months ago
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AP apnay Dr ko zaror dakhyen actually dose adjusted according to patient condition
11 months ago
Patient
Post Owner
Thanks.
11 months ago
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welcome
11 months ago