Why Do I Need To Take Rampril

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I had a mild heart attack in November 2005. It was corrected with a single stent to LDA. I was prescribed Lipitor 20mg (never had high cholesterol <4 at time of heart attack), aspirin 100mg, and Rampril 2.5mg (never had high blood pressure, at time of heart attack BP was around 125/80, currently around 115/70). I now train daily and compete in sprint, olympic and long distance (half ironman) triathlons, and road running including half and full marathons (3hrs 30mins for last marathon of 42.195km). My question therefore is, why am I prescribed ramipril? I would think that I am at a signficantly lower risk than the general population of suffering heart failure or of a further cardiac event. I understand that there is not such thing as "no risk" as we are all at risk of these events, but with my lifestyle I would consider myself to be the closest thing to no risk that you could achieve - so why the ACE medication?

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1

i am no expert but in my opinion the ramparil is keeping your BP normal. heart disease is no joke and as active as you are having a normal BP is crutial. but like i said i am no professional, so just take it for what its worth.

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2

Yes but... my blood pressure was normal before my heart attacj (125/80 average), so again it beggars the question, why am I prescribed ramipril?

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3

As you noted in your original post, Ramipril is an ACE inhibitor and they can also help improve heart function, there aren't solely used to help lower blood pressure.

Since you're questioning why you're taking it, you should talk to your doctor about it, but it is highly likely that it is a preventative that's been given to help keep your heart working smoothly.


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4

Maybe this will help: I had an NSTEMI in August and Ramipril is part of my post-hospital regime. (Also diuretics, aspirin etc. and beta blockers. Seven pills a day!) I take Ramipril 2.5mg once a day. It is not only for blood pressure: the effect on that may be minimal. According to my doc, beta blockers make more of a difference to that. However, Ramipril also 'smooths out' the heart pumping action by 'softening' the blood vessels so they offer less resistance to each heartbeat. Thus they take some of the stress off the heart and help to prevent a further 'event'. This is also the story behind the diuretics and beta blockers - probably more to do with prevention than treatment.

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5

I'm in pretty much the same situation, heart attack, LDA stent and I'm on Lipitor, Aspirin, Carvedilol and Ramipril. I have ocassionally shortness of breath because of Ramipril but it looks like it has a lots of benefits for people like us. Androsupial's reply is correct.

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