Cardiozem is Diltiazen which is a CCB (calcium channel blocker) basically it’s a blood pressure medicine.
On the list of anti angina or vasospasm drugs it’s one of the least effective.
Name Brand Norvasc (Amlodipine Besylate) being on the top. However here’s a catch, “Generics don’t !!!” I preach this all the time it’s the salts used to produce Norvasc which is a preparatory formula held by Pfizer!!!
The generics work good on BP but not vasospasm’s or angina.
CCB’s are also used for tachycardia also because it relaxes the heart muscle also just like it relaxes the arteries intima muscle.
However trying to get a insurance company to pop for name brand Norvasc get’s met with outrageous Co-Pays! So!!!! Diltiazen might be a good place to start.
My choice on Diltiazen is Cartia XT (120mg.) which is a time release once a day formula. Which gives better patient compliance since they only have to take it once a day. It also doesn’t throw her BP, “which is a little high on the diastolic giving a 32 on pulse pressure (should be 40-50 or age if over 50 then age -5),” DOWN to the point of danger which immediate release may cause.
I agree that she needs to get into see a Real Cardiologist!
ARNP/C are good for follow up’s, work ups and emergencies Not diagnostic’s !!
She needs to see someone that has the training and experience so they can pinpoint her problem!
Holter monitor’s are usually only worn for 24 or 48 hours to get a grip on what’s going on over a period of time. A month would be just peat-repeat!!
https://en.wikipedia.org/wiki/Holter_monitor I also thinking if he spots some kind of arrhythmia they’ll probably put her on something like Plavix or Effient or some other form of blood thinner to reduce her risk of a stroke. However I wouldn’t be surprised if he didn’t refer her to a Endo Doc to see what’s going on with the high cortisol.
As far as being a little confused and very concerned about the whole situation. I like to assure her that she’s doing the right thing by trying to find the cause before it get’s serious and getting it fixed, not just throwing more medicines on the fire!
As I said in post #3 here!
Additionally by getting going on Pauling therapy to give the heart what it needs to stay healthy during this crisis as while as after to keep things ticking properly.
To steal ideas from one person is plagiarism. To steal from many is
research!