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Low pressure after STENT PALCEMENT. Why METOPROLOL?

Resolved Question:

I had a stent placement a week ago. Prior to placement and after my blood pressure was very low and the topic of discussions. I am home now and feeling pretty good, but why am I prescribed metoprolol tartrate which says for high blood pressure, when my pressure was/is low?

Category: Cardiologist

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Category: Cardiologist
 30 Doctors Online

Hello.
Thank you for your query at DoctorSpring.com


You are correct metaprolol is an antihypertensive agent. But in addition to it is an antianginal and cardioprotective agent.
Did you have a heart attack? What is your ejection fraction if your echo has been done?
What is your heart rate and blood pressure now?
Patients who have had heart attacks and those with reduced heart function benefit from metaprolol even if the bp is normal provided it doesn't fall too much with metaprolol. Also heart rate should be above 60 per min with metaprolol. If you could provide your detailed history and investigations I could tell you if metaprolol is indicated.
All said and done metaprolol tartarate is not the recommended drug. It should be long acting metaprolol succinate.
Regards
Dr Vivek Mahajan
DM Cardiology


Dr. Vivek Mahajan
Category: Cardiologist
Experience: 
Fellowship: DM, Cardiology, PGIMER, 2013
Residency: MD, Internal Medicine, AIIMS, 2007
Internship: King Edward Memorial (KEM) Hospital, 2003 
Medical School: MBBS, Seth G.S. Medical College, 2002
Dr. Vivek Mahajan and 4 other Medical Specialists are ready to help you

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