Should Beta Blockers Be Taken After Pacemaker Implantation?
Yes, he should be taking beta blockers.
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:
1. He is possibly suffering from postural hypotension.
2. Beta blockers is necessary.
If he were my patient, I would suggest as follows:
1. Postural hypotension is age related and is due to slowing of the baro-receptor system in neck. The function of baro-receptors is to sense any change in posture and appropriately change blood pressure at various locations.
2. Due to age, this baro-receptor is unable to sense actively as before and now, it will take more time. So any change in position will initially present as dizziness - sleeping to sitting, sitting to standing. Once the body adjusts, it wont be a problem
3. Changing positions or neck movements, if slowly done, there wont be any dizziness. Not to to worry. Any change in posture should be slow and stepwise.
Immediate movements should be avoided.
4. Beta blockers is necessary and postural hypotension is not due to beta blockers. If the blood pressure were to fall below 90/60, then removal of beta blockers can be thought of. At present, it is helpful.
5. For Back pain, during acute pain - rest is necessary. At other times, physiotherapy along with back strengthening exercises should be helpful.
6. He will require medication to control pain. These medications do not cause postural hypotension.
7. Nutritional diet, moderate exercises and active life is necessary.
Hope it helps.
Any further queries, happy to help again.
Dr. Prakash HM