What Causes Chest Pain, Increased Heart Rate And Hypertension While On Sotalol?

Posted on Wed, 28 Jun 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 28 Jun 2017 Answered on

Wed, 19 Jul 2017 Last reviewed on

Question : I just wen on Sotalol after having a pacemaker implanted. I am also on low dosages of Ramipril and HCZT and also take simavastin. I am now having chest pains whenever mu heart rate gets to around 90 bpm and have a systolic blood pressure of around 150. Is this caused by the Sotalol along or by the combination of drugs I am taking?

Answered by Dr. Chobufo Ditah (1 hour later)

Brief Answer:
I suggest you get an EKG promptly for evaluation!

Detailed Answer:
Hi,

Chest pain with increased heart rate and blood pressure is suggestive of increased blood demands by the heart which is not being met. This is caused by narrowing of supplying arteries. This can be captured by an EKG during exercise.

I'd suggest that you get this done quickly as a baseline test. If this shows consisted changes, then a cardiologist consult and catheterization should be considered.

Sotalol and other medications are not responsible for this pain. The above explanation is more plausible than any of these medications.

I hope this helps. I wish you well. Feel free to follow up with me if need be.
Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee