Question 1

I've been experiencing this really strong heartbeat almost every day, and it's not like palpitations. It happens for no reason, even when I'm just sitting or trying to relax. It's so intense that, for a second, it feels like my heart has stopped. It's really uncomfortable, and I'm not sure what's going on. Could there be a reason for this?

Accepted Answer

ecg ,cardiac biomarkers is advised and to review in the opd is advised to the patient,if any changes in the ecg cardiac opinion

Question 2

I'm really worried about my blood pressure lately. My 2D echo showed concentric LVH with an EF of 60 and grade 1 diastolic dysfunction. I've been on medication since September, taking one tablet in the morning and two at night. Initially, my BP seemed stable, but now in December, it's been fluctuating a lot. Previously, it was around 12082 to 12585 in the morning and 13585 to 13882 in the afternoon. But now, I'm seeing readings like 14090 in the morning and 14894 in the afternoon. I'm active, so what's causing these changes in winter? How should I take care of my BP during this season?

Accepted Answer

It is important to monitor your blood pressure regularly, especially with your medical history of Concentric LVH and diastolic dysfunction. Considering your situation, I would recommend adding or adjusting your current medication regimen to better control your blood pressure during the winter season. You can discuss with your doctor about adding a calcium channel blocker like Amlodipine 5mg in the morning and a combination of Valsartan 80mg + Hydrochlorothiazide 12.5mg in the evening. This can help in better blood pressure control throughout the day. In addition to medication, it is also important to make lifestyle modifications to help manage your blood pressure. This includes reducing salt intake, maintaining a healthy weight, regular exercise, managing stress, and avoiding smoking and excessive alcohol consumption. It is not uncommon for blood pressure to fluctuate with the change in seasons, but with the right medication and lifestyle adjustments, you can better manage your blood pressure even during the winter months. Make sure to continue monitoring your blood pressure regularly and follow up with your doctor for any further adjustments needed."

Question 3

I've been noticing these small heart flutters and tiny head rushes almost every day in the early evening, and they're always really brief. I had an ECG about a year ago and everything seemed alright back then, but last night around 8 pm, I had a much more intense one while I was just sitting down, and it really caught me off guard. I'm an ex-smoker, keep myself decently fit with moderate exercise, and I'm not overweight. Should I be worried about this bigger episode, or could it be related to something specific?

Accepted Answer

patient requires ecg,cardiac markers tests and a physicisn opinion

I'm 30 and lately, I've been experiencing this weird sinking feeling in my chest, almost like a jump-sinking sensation. It just pops up randomly, any time of the day, and can last for a while. It's got me feeling uneasy, and I'm not sure what's going on. Can anyone help me figure this out?

stess,alcohol and lack of sleep ,exercisecould be acute causes of jump in the heart rate ,rythm. Few investigations like ECG ,cardiac markers and echo if symptoms persist for more than 3 weeks is advised

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