AboutDr Mohd Tariq Salman Expertise I can answer queries from researchers regarding internet search techniques. I can help young biomedical researchers in search of relevant literature on the internet related to drugs (including herbal drugs) such as research papers, drug information resources and other databases and to find suitable outlets for publishing their research work, including free access and open access journals. I can also help locate powerpoint presentations, simulation softwares, other teaching materials and free ebooks related to pharmacology on the internet.
Experience Teaching and training of undergraduate medical, dental and pharmacy students in Pharmacology and assisting postgraduate students and faculty in search of relevant information on the internet.
Organizations Era's Lucknow Medical College, Lucknow and JN Medical College Aligarh Muslim University, Aligarh, India
Publications British Journal of Clinical Pharmacology, JK Science, Natural Product Radiance, Hippocratic Journal of Unani Medicine, Indian Journal for the Practicing Doctor, Unimed Kulliyat.
Education/Credentials MBBS, MD (Pharmacology). Completed Training Programme on Biomedical Information Retrieval by National Informatics Centre, Department Of Information Technology, Ministry Of Communications & Information Technology, Government of India.
Suppose a 27 yo female is scheduled to undergo a coronary cat scan this coming Thursday morning. This test is being done for some symptoms she is experiencing (such as Jaw and upper body pain as well as bilateral arms) and to rule out a coronary anomaly since her sister has a cardiovascular anomaly as well. Her sister has Rt. Subclavian retroesophageal w/ left aortic arch.
She has been prescribed to take one lopressor (100mg) the night before (wednesday night) the test and one 100mg the morning of my test (Thursday morning). The concern is that her blood pressure is almost always 95/60 and my heart rate (just resting in bed at night is in the 50's), it has been captured on a holter monitor at night in the 40's. To me it does not make sense for this patient to take this pill at night (100mg metoprolol tartrate), when she is usually "hypotensive and bradycardic". I can see taking it in the morning (but not 100mg or even 50mg), epecially when B/P and HR are higher, especially since I will be nervous. She voiced her concerns to her Cardiologist and he said it "should" be okay..Although I realize that proper HR for images is pertinent, I find that the "non-invasive" Coronary CTA, can be a little dangerous in terms of vitals.
To achieve maximal and accurate images during scan...but not to put a patient in a dangerously hypotensive situation, what can a patient do to manage this? Is it the HR and BP that is important...would a sedative just work, if patient is normally below100/60 and HR 60? OR would a small oral dose an hour before scan be sufficient for CTA imaging?
Answer Good CT images can be obtained if the heart rate is below 60-65. If the HR is normally below 60, no medication is required at all. I think taking a sedative the night before the test is a good idea. It will not allow the HR to increase due to anxiety. The HR should be checked on the day of scan and if it is above 60 a low dose non selective beta blocker (e.g. propranolol 10 mg) can be given with monitoring of blod pressure.
