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Laoshur Find out more about Laoshur
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    After I got my ICD week before last, a nurse told me that I was never to allow my blood pressure to be taken in my left arm or to have blood drawn from there. Both Ed, my husband, and I heard this. But I cannot find anything online or in any of my materials that says this. I normally take my own BP in my left arm and the vein there is really a super easy one to hit, so I would like to know if this is really true.

    My second question is about cardiogenic vs. bronchiogenic beta blockers. My allergist told me to ask to be on the beta blocker that has the most effect on the heart while having the least effect on the bronchi. I told her I was having a very hard time distinguishing the cause of my wheezing between asthma and chf. I am on 100 mg of Toprol XL and was told by the cardiologist who originally prescribed this that he would not prescribe more because it would be bad for my asthma. I looked online and found this site:
    http://www.drugdigest.org/DD/Compari...,19-17,00.html It compares beta blockers and lists metaprolol (Toprol) as one of a number that have more effect on the heart than on the bronchi, but did not find anything that would indicate which was best of this group. Does anyone have access to this info? I am rooting for Toprol because neither I nor Dr. Gilligan want to change my meds when I have so little time to adjust or check them out during my trips home.

    Finally, my allergist also said that one way to tell the difference between chf and asthma was to use a peak flow meter. I asked whether chf wouldn't have the same effect on peak flow as asthma and she said that it would have some, but not as much. Does anyone know anything about this, like how much would really make the difference.


  • #2
    Re: Questions

    Well, here is something I do not say too often - Ya got me stumped on both fronts. I have had a device in my chest for ... WOW 14 years! I have always had my BP taken in my left arm and blood drawn there too??? I can not say I have any idea what the nurse was talking about.

    Which BB is best - I am not sure - that is a good question for Dr. Gilligan.

    Now as for that CFH you can also check your BNP to know for sure. The co. that makes the BNP test is working on home systems - I do not think they are ready for "primetime"...but it is coming.

    Knowledge is power ... Stay informed!
    YOU can make a difference - all you have to do is try!

    Dx age 12 current age 46 and counting!
    lost: 5 family members to HCM (SCD, Stroke, CHF)
    Others diagnosed living with HCM (or gene +) include - daughter, niece, nephew, cousin, sister and many many friends!
    Therapy - ICD (implanted 97, 01, 04 and 11, medication
    Currently not obstructed
    Complications - unnecessary pacemaker and stroke (unrelated to each other)


    • #3
      Re: Questions

      I've no info to shed light on either question, really, except to say that I think there are some "medical legends" --like urban myths-- that nurses have.

      I had a nurse tell me that I MUST take my coumadin at night. She called it a "night medicine." Now, I have to tell you, no one else has ever mentioned this, I've never read it in any prescribing info (and I've read a lot) and I've taken it in the morning for years and it works just the same regardless.

      I'm just saying that nurse could just be out in left field.

      take care,



      • #4
        Re: Questions

        I have an ICD and have had my BP taken on my left arm many times with no problems.

        I think that Toprol and Atenolol are both heart selective beta blockers, but I think you should confirm with your doctor. I know, for example, that Inderal is one that is not heart selective.
        Daughter of Father with HCM
        Diagnosed with HCM 1999.
        Full term pregnancy - Son born 11/01
        ICD implanted 2/03; generator replaced 2/2005 and 2/2012
        Myectomy 8/11/06 - Joe Dearani - Mayo Clinic.


        • #5
          Re: Questions

          Bisoprolol Fumerate is sold as Zbeta in the US & as Monocor in Canada.
          It is regarded as the most selective beta-blocker on the market, and therefor is of potential benefit to asthmatics.


          • #6
            Re: Questions

            I have my blood work drawn out of my left arm everytime almost (pro-times) and I have had my bp taken on that side as well and I have never been told not to by my cardiologist or ICD rep. I have had my ICD for 3 years


            • #7
              Re: Questions

              Wow, you guys are GOOD!

              Thanks, Rhoda


              • #8
                Re: Questions

                Hi Rhonda
                Sometimes I have my blood pressure taken in both arms because it varies in each arm. I've also have blood drawn from both arms.
                I think the nurse that told you that should read more or go to conferences to learn....lol
                Take care


                • #9
                  Re: Questions

                  Rhoda, my husband was never advised to not have blood drawn or bp taken in his left arm. The only time I've heard that was for my sister in law, but her case is so much different. She's had a right-side mastectomy and is undergoing chemo. She'll go through radiation when that's done. They told her to never have blood drawn or bp taken in her right arm, but I think it had to do with the lymph glands they removed when they did the mastectomy. Good luck looking for answers!


                  Husband has HCM.
                  3 kids - ages 23, 21, & 19. All presently clear of HCM.