ralphrepo_01 replied: "PeriPartum Cardiomyopathy (PPCM) is an extremely rare form of heart failure that appears for no other discernible reason except that it occurs during the last trimester or even shortly after pregnancy. It is suggested that the cause may be a form of myocarditis, but no one really knows for sure what the etiology is. Treatment for it remains consistent with the goals surrounding treatment of general heart failure, but with the added complexity of maintaining an environ suitable for continuation of the pregnancy. The incidence in the US is estimated as one in 15,000 births (by comparison, Down's Syndrome is about 1:1000 chance).
That said, having a few episodes of a fast heart beat does not make a diagnosis of PPCM. If performed, a chest X Ray (with fetal shielding) usually reveals an enlarged cardiac outline, with evidence of fluid congestion. Echocardiograms reveals a loss of left ventricular contractility, with a drop in ejection fraction; and EKG may show (in addition to tachycardia) non specific ST-T wave changes, a widened QRS complex, and or various forms of heart block.
In addition to beta blockers, treatment can include diuretics, cardiotonics (digoxin), vasodilators, and others depending on the severity of the symptoms and the physician's knowledge of the pt's progress.
Again, a few episodes of tachycardia doesn't mean anything. You're being followed by a doctor so you're already doing the right thing to ensure that the pregnancy will go well.
Good luck, with the pregnancy and the days ahead.
Ralph"
pvc on ekg prescribed Toprol XL? Toprol XL reactions?
put on toprol-xl 50 mg. by the second day I was transported to the hospital while shopping. peramedics took my bp and it was 180/120 with a severe headache. top of head felt as though it was going to blow off and near the base felt like a vise grip by my ears. was this an allergic reaction?
to the pa in cardiology.echo shows leaky valve. have adrenal adenoma which can cause the Pvc. Ct scan hospital ok. I'm thinking a cervical disc. problem for the headache. Transported because advice from medics and store
Harmony replied: "Anything is possible but Toprol is more likely to cause your blood pressure to drop than increase. Your reaction may be due to something else.
Adverse Reactions from Toprol XL include:
Cardiovascular: Bradycardia (2% to 16%), hypotension (1% to 2%), arterial insufficiency (usually Raynaud type; 1%), chest pain (1%), CHF (1%), edema (peripheral; 1%), palpitation (1%), syncope (1%), gangrene (rare)
Central nervous system: Dizziness (2% to 10%), fatigue (10%), depression (5%), confusion, headache, insomnia, memory loss (short-term), nightmares, somnolence
Dermatology: Pruritus (5%), rash (5%), psoriasis increased, alopecia (reversible; rare)
Endocrine & metabolic: Libido decreased, Peyronies disease (<1%)
Gastrointestinal: Diarrhea (5%), constipation (1%), flatulence (1%), gastrointestinal pain (1%), heartburn (1%), nausea (1%), xerostomia (1%)
Hematologic: Agranulocytosis (rare)
Neuromuscular & skeletal: Musculoskeletal pain
Ocular: Blurred vision, dry eyes (rare), oculomucocutaneous syndrome
Otic: Tinnitus
Respiratory: Dyspnea (1% to 3%), bronchospasm (1%), wheezing (1%), rhinitis
Miscellaneous: Cold extremities (1%)
Postmarketing and/or case reports: Arthralgia, arthritis, anxiety, diaphoresis increased, hallucinations, hepatitis, impotence, nervousness, paresthesia, photosensitivity, retroperitoneal fibrosis, second-degree heart block, taste disturbance, third-degree heart block, thrombocytopenia, urticaria, vomiting, weight gain
Other events reported with beta-blockers: Catatonia, emotional lability, fever, hypersensitivity reactions, laryngospasm, nonthrombocytopenic purpura, respiratory distress, thrombocytopenic purpura"
c_schumacker replied: "Harmony has done a nice job of listing all of the known side effects of Toprol. As you can see, being transported to the hospital, a bad headache, and high blood pressure is not on the list.
This almost certainly was not an allergic reaction. Classic allergic reactions are those that cause you to have hives and low blood pressure.
Why exactly did you go to the hospital? What happened once you were at the hospital...they treated your headache or blood pressure or both?
Your blood pressure was elevated but it was not critical - and usually would not be responsible for the headache at that level (but might be the other way around - the headache caused the high blood pressure). Do you have a history of headache?
Did your doctor perhaps take you off of one blood pressure medication when he/she started you on Toprol? Do you have a history of high blood pressure?
While PVC's can be improved with b-blockers if a patient finds them disturbing or if there are "runs" of PVCs occurring in bunches. Short of those two reasons, PVCs generally do not require treatment.
Your question seems to generate more questions than it answers. This was not an allergic response to Toprol, though.
Good luck.
Addendum: In light of the adrenal adenoma, I concur with the trip to the hospital. Usually these are classified in terms of whether they are hormonally active and whether they are malignant. I suspect, therein lies the answer to your symptoms...(glad to hear the head CT was negative) please discuss this further with the physician who is managing your condition. The way you describe your headache, by the way, is a classic de ion of a "stress" headache. Cervical spine dysfunction certainly can be a trigger and/or exacerbate a stress headache.
My best. Be well."
Should I take Toprol XL? My doc has given me Toprol XL 50 mg to take prior to having a chest CT - I am suppose to take one the night before and one the morning of the CT. I do not have HBP, actually have low BP. How will this affect my heart rate??
The Broken Planet replied: "Don't you think you might be better-advised to follow your doctor's advice rather than a bunch of strangers that don't have medical degrees and don't know you?
Take the Toprol."
jazzytower replied: "Toprol XL does not affect only blood pressure, it also lowers the heart rate. It's only two pills! Relax a little."
quijibored replied: "You don't say what the CT scan is for so we can only speculate whether or not the Dr had a reason to give you a beta blocker other than to relax you a little bit. Did he offer to give you Valium and you refused to take one? If so, he might have prescribed the Toprol as an alternative. Your BP will probably be monitored during the CT scan and the technician will be watching you closely to make sure everything is ok. Whatever the situation, two doses of Toprol XL is no big deal, so follow the Dr's orders. CT scans are not a big hassle anyways. MRIs are 100 times worse."
Drews replied: "Toprol XL is a selective beta blocker (meaning it blocks epinephrine and norepinephrine from binding to the Beta 1 receptors). Since Epinephrine is the chemical released during fight or flight responses, it is responsible for increasing your heart rate. For example, someone jumps out and scares you, your heart will begin to race. This is the epinephrine at work. Toprol XL blocks the ability for epinephrine to cause your heart to race. This helps people who have heart conditions ranging from heart palpitations, heart failure, arrythmia, or just need to relax a little. As far as high blood pressure goes, this is not a commonly prescribed drug for high blood pressure. Toprol XL would be probably the 3rd type of drug prescribed for that. Usually, ACE inhibitors are first line, then ARB's (angio-receptor blockers), then beta-blockers. Toprol XL is a terrific drug and is the most commonly prescribed drug by Cardiologists. The XL meaning "extended release". That is how it maintains beta-1 selectivity without spilling over into beta-2. Other generic beta blockers like Atenolol are immediate release capsules and cause beta 2 spill over. Your heart rate will be normal. Hope this helps!"
toprol XL reactions? put on toprol-xl 50 mg. by the second day I was transported to the hospital while shopping. peramedics took my bp and it was 180/120 with a severe headache. top of head felt as though it was going to blow off and near the base felt like a vise grip by my ears. was this an allergic reaction?
chrs_grdnr replied: "toprol xl is for high blood pressure or angina. it's list of side effects includes low blood pressure, not high. so you should look at the other meds you're taking............maybe it's a bad combination with something else you're on. allergic reactions are usually, upset stomach, a rash, wheezing, hives etc. did you read the med info list that came (should have come) with the pre ion? that may help............"
Does Lopressor have any negative side effects? My husband switched from taking one 50 mg Toprol XL a day to taking 2 - 25 mg of Lopressor a day, about 2 weeks ago. He has been very tired lately, and has no energy. Could the Lopressor be the culprit?
mamason replied: "Could be it's knocking his blood pressure down too low. Call the doc. Could also be an allergic reaction. My mom had that to a blood pressure pill. Caused her heart to beat too slow. Not enough oxygen going throughout the body. They took her off the pill, tried a different kind, and she's just fine."
Stephanie replied: "Yes it could be. I've had the same problem. Normaly though the effects will level off in about 2 weeks or so and become less bothersome. If he is still having problems, he should talk with his doctor to see if there are other options for him."
cloned eagle replied: "They are basically equivalent, however if he believes he is more tired on the Lopressor he should contact his doctor."

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