Could my mother's recent COVID-19 infection or her use of the steroid Medrol be causing her high resting heart rate of around 100 beats per minute and resting blood pressure of 135/82, despite taking Nebivol-5, Telmisartan 40, Amlip 2.5, and Indinol 1.5, and does she need any changes to her current treatment plan, which now includes Apixaban 2.5 mg for a high D-dimer blood test result of 1250?
It is very common for both a recent COVID-19 infection and the steroid methylprednisolone (Medrol) to temporarily raise heart rate and blood pressure, even while taking nebivolol, telmisartan, and amlodipine. The apixaban is very important to protect her given her elevated D-dimer level. Please do not alter her current treatment plan without consulting her physician first. They may need to temporarily adjust her heart rate or blood pressure medications as she recovers. These fluctuations are usually temporary post-viral and steroid effects. Please seek immediate medical attention if she develops chest pain, shortness of breath, or dizziness.