Patient 76 years Old. Female - a Non Diabetic, non asthmatic with HIGH BP Stage II. Hypothyroidism on regular drug therapy - AMLP , ATLP and with AF with controlled VR [ On Acitrom] was admitted on 22.04.2014 with the c/o breathlessness and palpitaions. No H/O chest pain / sweating / giddiness / nausea or vomiting. PR 144/min, irregular [AF with Fast VR] BP 150/9O. Patient was conscious, oriented, afebrile. Became Stable with Torsemide and Amiodarone 300 mg over 30 min given intially. CAHD
Hi dear. Given your detailed history of triple vessel disease and mitral leaflet prolapse and tricuspid regurgitation. I would suggest you to continue with the same medications. You can consult your doctor regarding dose adjustments of citron. Keep your INR under the reference range. And also ask your doctor about tab brilliant. I feel you do need citron because of your valve disease. Thank you .hope my answer helped you. Please do rate my answer