Question 1

I've been having these heart palpitations lately, and honestly, they really freak me out. I saw a doctor and felt better for a while, but it seems like they still happen about once a month. The last episode was pretty intenseI was just sleeping, and suddenly it felt like my heart was racing around 200 beats per minute, maybe even more. What could be causing this, and should I be worried?

Accepted Answer

Hlo Sriram, it sounds like you are experiencing episodes of tachycardia, where your heart beats very fast. This can be concerning and may require further evaluation. One possible medication that can be prescribed for such episodes is Metoprolol (brand name: Lopressor) at a starting dose of 25-50mg twice daily. However, it is important to consult with a healthcare professional for a proper diagnosis and treatment plan.

Question 2

I'm really worried about my dad's blood pressure. It's just not going down, even though he's taking Olmesar H 40 in the morning and Prolomate XL 50 at night. I came across something called Metocard AM and was wondering if it might be better for him than Prolomate XL 50. Also, do you think Prolomate XL 50 could lead to other health issues?

Accepted Answer

Metocard AM is a combination medication containing Metoprolol and Amlodipine, which can be effective in managing high blood pressure. In comparison to Prolomate XL 50, Metocard AM may be a better option for some individuals, but it ultimately depends on your dad's specific health condition and response to the medications. Prolomate XL 50 (Metoprolol) is generally well-tolerated, but like any medication, it can have side effects. While it is unlikely to cause "disease problems," common side effects of Metoprolol can include tiredness, dizziness, and slow heart rate. It is important to monitor for any unusual symptoms and consult with your healthcare provider if any concerns arise. It is recommended to discuss with your dad's healthcare provider or a pharmacist about the potential benefits and risks of switching to Metocard AM and to ensure the most appropriate treatment for his blood pressure management.

Question 3

I've been dealing with anxiety since the pandemic started, and it's been causing my blood pressure to creep up to around 140100. I was on Metasartan 25mg for a while but stopped it following my doctor's advice. All my heart-related tests like TMT, ECHO, ECG, and Troponin have come back normal. I checked my blood pressure a couple of weeks ago over four days, and it was 13084, 10282, 12485, and 12082. This was after stopping the BP meds. Are these readings normal, and should I be worried? My TSH is 2, lipid total is 197, LDL is 124, triglycerides are 244, and HDL is 37. There's no family history of heart issues, and all the elders in my family are pretty healthy, with many living past 70. What do you think?

Accepted Answer

It is good that your TMT, ECHO, ECG, and Troponin tests were normal. Your blood pressure readings seem to be within an acceptable range, although it is important to monitor them regularly. Considering your lipid profile, you may benefit from lifestyle modifications such as a healthy diet and regular exercise to improve your lipid levels. In addition, since you have a history of anxiety disorder, managing stress and anxiety through relaxation techniques or therapy may also help in controlling your blood pressure. If your blood pressure continues to fluctuate or if you have any concerning symptoms, it is advisable to follow up with your healthcare provider for further evaluation and management.

I'm 23 and had some tests done recently where my ECG and ECHO came back normal, but my QRS duration was 98ms. I'm kind of worried about whether this might have any implications for my health in the future. Can you explain if this is something I should be concerned about?

QRS duration of 98ms is considered to be within normal limits for adults. It is unlikely to cause any issues in the future. No specific treatment is needed for this. Just continue to follow up with your healthcare provider for routine check-ups.

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