Question 1

I've been having an abnormal heart rate for the past month, consistently between 90 and 110. I was on high blood pressure medication but stopped taking it two months ago based on my doctor's advice. They told me to keep an eye on my blood pressure, but I'm worried about whether my heart rate is something to be concerned about. Should I be seeing any changes, or is this normal after stopping the medication?

Accepted Answer

It is important to monitor your blood pressure regularly, especially if you have a history of high blood pressure. Since you are experiencing an abnormal heart rate, it is crucial to manage your blood pressure effectively. You can monitor your blood pressure at home using a digital blood pressure monitor. If your blood pressure remains consistently high, your doctor may recommend restarting your high blood pressure medication. In the meantime, it is important to stay hydrated, maintain a healthy diet low in sodium, and engage in regular physical activity to help manage your blood pressure.

Question 2

I'm feeling pretty concerned about my wife's situation. She's 32 years old and she's had two abortions in the past. She's currently 23 weeks into an IVF pregnancy. Before getting pregnant, her echo was normal with an EF of 67, but now it shows Grade 1 diastolic dysfunction with an EF of 57, though everything else seems alright. She's experiencing mild breathlessness during activities like bathing. Her blood pressure reads 12490 on the right and 12084 on the left. I'm wondering if I should consider starting her on Labetalol. Is this something we should be worried about?

Accepted Answer

Considering your wife's medical history and current condition, it is important to address the diastolic dysfunction and high blood pressure to ensure the well-being of both your wife and the baby. Labetalol is a suitable choice for managing hypertension in pregnancy. I recommend starting your wife on tab. labetalol at a dose of 100 mg twice daily initially, with close monitoring of blood pressure. The dosage can be adjusted as needed based on her response. It is essential to continue monitoring her symptoms, blood pressure, and cardiac function regularly throughout the pregnancy. Additionally, it would be beneficial for your wife to follow up with her obstetrician and cardiologist for further evaluation and management of her cardiac condition during pregnancy.

Question 3

I've just turned 39 and I'm a bit concerned about some results from a pre-employment medical test I took. My blood pressure came out as 110 over 70, which I think is okay but I'm not sure. My total cholesterol is at 225, should I be worried about that? Also, the ECG report mentioned sinus bradycardia and I don't really know what that means. Is this something I should be concerned about?

Accepted Answer

You have a blood pressure of 11070, total cholesterol of 225, and sinus bradycardia on your ECG report. For your blood pressure of 11070, it falls within the normal range. A total cholesterol level of 225 is slightly above the recommended level of less than 200. You may consider lifestyle changes such as a healthy diet, regular exercise, and possibly medication like atorvastatin to lower your cholesterol levels. Sinus bradycardia is a condition where your heart rate is slower than normal. If you are not experiencing any symptoms such as dizziness, fatigue, or fainting, it may not be a cause for concern. However, if you have symptoms, you may need further evaluation by a cardiologist. Overall, it would be advisable to follow up with your healthcare provider for a more personalized assessment and management plan.

Could you help me understand what it means if my mom's TMT came back mildly positive? We're trying to figure out what this actually means for her and what the potential risks could be.

it means she has cardiac dysfunction, hence need to consult cardiologist.

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