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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Asthma, High BP And Pulse Rate. Taken Albuterol And Advair. What Purpose Do They Serve?

I have astma and take alubertol and advair daily. I have been short of breath for the last week and a half. I can't catch my breath doing simple things. My blood pressure has been high and my pulse. Highest BP today 142/91 and pulse 112. I know the albuterol can make your heart beat fast. what about the advair? I have been on both for years. I use my albuterol daily.
Mon, 11 Nov 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
I would come up with these possibilities for such type of breathlessness, these includes.
1 Cor pulmonale , diagnosis can be confirmed by X ray chest and M R I . As you mentioned that you are having asthma from many years, so this is very common feature in old asthmatic case that their asthma turned into cor pulmonale.
2 Congestive cardiac (heart ) failure i.e. C H F , diagnosis can be confirmed by physical examination as well as treadmill test .
E K G & echo will find out the exact nature of disease.As you mentioned that you are also having high B P , so chance of C H F can not be rule out.
3 As albuterol is a potent bronchodilator and not effective. While advair ( fluticasone +salmeterol) is also steroid and bronchodilator .Both drugs are not effective so asthma may have turned into CARDIAC ASTHMA.
In my opinion consult a cardiologist and get his opinion .
Good luck. Dr. HET
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Have Asthma, High BP And Pulse Rate. Taken Albuterol And Advair. What Purpose Do They Serve?

Hello, Thanks for the query to H.C.M. Forum. I would come up with these possibilities for such type of breathlessness, these includes. 1 Cor pulmonale , diagnosis can be confirmed by X ray chest and M R I . As you mentioned that you are having asthma from many years, so this is very common feature in old asthmatic case that their asthma turned into cor pulmonale. 2 Congestive cardiac (heart ) failure i.e. C H F , diagnosis can be confirmed by physical examination as well as treadmill test . E K G & echo will find out the exact nature of disease.As you mentioned that you are also having high B P , so chance of C H F can not be rule out. 3 As albuterol is a potent bronchodilator and not effective. While advair ( fluticasone +salmeterol) is also steroid and bronchodilator .Both drugs are not effective so asthma may have turned into CARDIAC ASTHMA. In my opinion consult a cardiologist and get his opinion . Good luck. Dr. HET