The physician has prescribed a Calcium Channel Blocker, Diltiazem to treat your atrial fibrillation, which will also help with your high blood pressure and will help to relieve your chest pain.
I feel like my heart is racing and I have an elephant sitting on my chest.
147 BP: 165/90 98%
Diltiazem works to decrease the force and rate of your heart's contraction and the rate electrical impulses are transmitted through your heart.
What are possible adverse effects of Diltiazem & what should we monitor for?
So we will carefully monitor the patient's heart rhythm & rate, BP, & cardiac function during the procedure. Sedation also increases the risk of hypotension when taking Diltiazem.
This patient is taking Diltiazem, what do we need to monitor during the EPS?
DIltiazem can cause widened QRS and prolonged QT interval, bradycardia, hypotension, & heart failure due to suppression of cardiac function.
95 BP: 130/75 99%
What does the patient need to know before going home on Diltiazem?
Drinking grapefruit juice can lead to toxicity (decreased HR & BP) & should be avoided while taking Diltiazem.
Do you have any other questions for me?
While taking Diltiazem at home, you will need to monitor & keep a log of your BP at home, watch for swelling in legs, change positions slowly & notify yourdoctor if you experience chest pain, swelling,or if your HR is <50 bmp or systolic BP is <90 mmHg
Can I still drink my grapefruit juice with breakfast?
I will make sure to talk to my doctor before taking any of the medications that may interact with Diltiazem.
76 BP: 120/70 98%
I will make sure not to prepare grapefruit juice for him & help him take his BP at home.
Diltiazem is used to treat angina pectoris (coronary vasodilation),hypertension (systemic vasodilation) & cardiac dysrythmias such as atrial fibrillation (decreased ventricular rate), atrial flutter, & SVT. It works by blocking calcium channels in the peripheral arteries & the heart muscle and AV & SA nodes causing arterial vasodilation & decreased force of contraction, decreased heart rate, and slows the rate of conduction through the AV node.
I have also scheduled an electrophysiology study so we can identify the cause of your afib, locate accessory pathways, and make sure this medicine is effective.
Potential complications include orthostatic hypotension, widened QRS complex and prolonged QT interval, peripheral edema, constipation, badycardia, heart failure due to suppression of cardiac function, acute toxicity, & Stevens-Johnson Syndrome.
Diltiazem increases digoxin levels, causes bradycardia, AV block, or heart failure when taken with beta-blockers, & may cause bradycardia & decreased cardiac output when given with amiodarone. Taking azole antifungals, clarithromycin, erythromycin, or HIV drugs may increase Diltiazem levels & effect. Taking Diltiazem with statins increases risk of statin toxicity & can cause toxicity when taken with cyclosporines. Consult your provider before taking any of these medications.
Not right now, but I have the number to call if I do at home.