- male
- 67 Years
- 22/01/2025
I'm a 67-year-old who's been taking Revelol XL 50, but my blood pressure numbers always seem to hang around 15090. I've decided to switch to Concor 5 in hopes of getting them down to 12080. Is this a good move, and could you explain what I might expect during this transition?
Answered by 1 Apollo Doctors
Yes u can shift to concor 5 mg orally for reduction of BP..
Dr. Anshul Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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View allI've been noticing that when I'm lying down, I can hear my heartbeat clearly, and it's even visible through my shirt and in my stomach area. At night, while trying to fall asleep, I sometimes feel a sense of fear in my chest and stomach. What could be causing this?
These symptoms could be due to anxiety or stress, which can cause palpitations (feeling of heart beating fast or irregularly), visible pulsations in the abdomen, and a sensation of fear or unease in the chest and stomach. It is important to manage stress and anxiety through relaxation techniques, exercise, and possibly counseling. Additionally, you can take a beta-blocker like Propranolol 20mg to help reduce palpitations and visible pulsations. Make sure to consult with a healthcare provider for proper evaluation and management.
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I'm dealing with high blood pressure and taking amlodipine. My doctor also gave me sertraline because I mentioned I was having anxiety attacks, but I'm not sure if that's what they really are or if they're related to my hypertension. When these episodes happen, it feels like I have a noise in my head, like static or the sound of the sea, and I get a weird sensation like I'm bouncing on springs, even when I'm just sitting. It also occurs when I'm walking. Is this connected to my medications, or should I be concerned about something else?
consult psychiatrist
Answered by 1 Apollo Doctors
I've been really worried about some recent health issues and could use some advice. I had an angioplasty back in 2013 and also dealt with Covid in August '20. Recently, I had some pain in my left arm, so I went to the cardiologist. The ECG came back normal, but some of my test results are concerning. My homocysteine level is at 44, triglycerides are sitting at 275, but my creatinine and cholesterol are normal. My SGPT is at 46 and B12 is at 218. I'm really anxious because I know the high homocysteine could mean a higher chance of another heart issue. Should I be considering more tests, like angiography, or is there a treatment plan you would suggest? Just hoping to get some peace of mind here.
Based on your history of angioplasty in 2013, recent Covid infection, left arm pain, and abnormal test results (homocysteine at 44, triglycerides at 275, B12 at 218), it is important to further evaluate your cardiac health to determine the best course of treatment. Given your elevated homocysteine levels and previous history of angioplasty, it is advisable to undergo further cardiac evaluation. I recommend that you undergo a coronary angiography to assess the status of your coronary arteries and determine if there is any significant blockage that may require intervention. In addition to the angiography, it would also be beneficial to optimize your lipid profile and homocysteine levels through lifestyle modifications and medications. Your cardiologist may prescribe medications such as Atorvastatin for cholesterol control, Folic Acid supplements for homocysteine reduction, and lifestyle changes such as a healthy diet and regular exercise. Regular follow-up with your cardiologist is crucial to monitor your progress, adjust medications as needed, and reduce the risk of a second cardiac event. It is important to prioritize your cardiac health and work closely with your healthcare team to manage your risk factors effectively.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.