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Thanks & Questions

Choi. In Back

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[질문]

Dear Dr. Y.H. Kim,


How have you been?  I`m doing very well since the procedure (cardial ablation by Dr. Kim on 11/09/2009). Thank you very much. I can manage my life being much more controlled even though I had a few occasions of arrhythmia.  I had spasmodic palpitations on Thanksgiving night on 11/26/2009 for a few hours.  I believe this was caused because I had one glass of wine with my dinner.

I have been checked by my cardiologist in Anaheim by Dr. Kehemka on 12/02/2009.  There were no significant findings during this checkup.  The E.C.G. did not show any complications.  I hope I will not have any re occurrence of arterial fibrillation. I have another follow up checkup in three months.

I have a few questions:

1. My blood pressure is hypotensive , average of 108-76, sometimes 96-68.  I feel some dizziness in the afternoon.  Do I need to cut the dose? 
I`m taking 30 mg Adalat 1 tab s.i.d
150/12.5 mg coaprovel 1 tab s.i.d
20 mg kerlone s.i.d
3.75 mg wafarin s.i.d
75 mg tanbocar b.i.d

2. Do I worry about occasional short period of heart palpitations?

Forgive me for not typing in Korean.  I am not good at typing in Korean.  Thank you for your time reading this email.  Happy Holidays! 


Sincerely,


Choi, In Back

P.S. I`m planning to make an appointment with Dr. Hong Kim after the holidays.

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[답변]

Dear Dr. Choi: So good to hear from you and you are doing well. The palpitation you felt may not last longer and will be eliminated wthin a couple of weeks. Therefore, I`d like to suggest gradual withdrawl of tambocor from 75 mg twice to 50 mg twice (for 1 month), then 50 mg once daily (for another 1 month), and stop thereafter. And for the optimal BP control, you`d better cut the Kerlone to half(10 mg) for a while and later consider to stop. I also wish you Wonderful New Year 2010 ! and say hello to Dr. Hong Kim. Good Luck !! Young-Hoon Kim, MD. ---------- ☞ Choi. In Back님의 글 ---------- > Dear Dr. Y.H. Kim,How have you been?  I`m doing very well since the procedure (cardial ablation by Dr. Kim on 11/09/2009). Thank you very much. I can manage my life being much more controlled even though I had a few occasions of arrhythmia.  I had spasmodic palpitations on Thanksgiving night on 11/26/2009 for a few hours.  I believe this was caused because I had one glass of wine with my dinner.I have been checked by my cardiologist in Anaheim by Dr. Kehemka on 12/02/2009.  There were no significant findings during this checkup.  The E.C.G. did not show any complications.  I hope I will not have any re occurrence of arterial fibrillation. I have another follow up checkup in three months.I have a few questions:1. My blood pressure is hypotensive , average of 108-76, sometimes 96-68.  I feel some dizziness in the afternoon.  Do I need to cut the dose?  I`m taking 30 mg Adalat 1 tab s.i.d150/12.5 mg coaprovel 1 tab s.i.d20 mg kerlone s.i.d3.75 mg wafarin s.i.d75 mg tanbocar b.i.d2. Do I worry about occasional short period of heart palpitations?Forgive me for not typing in Korean.  I am not good at typing in Korean.  Thank you for your time reading this email.  Happy Holidays!  Sincerely,Choi, In BackP.S. I`m planning to make an appointment with Dr. Hong Kim after the holidays.
2009.12.24