Question 1

I'm really worried about this ongoing lightheadedness I've been dealing with for the past 8 months. It's like I'm under the influence of something, almost like alcohol, but I'm not. I've had these scary episodes where my chest hurts and my blood pressure shoots up to 150100. The ER told me it was a panic attack, and it's happened twice now. I've undergone so many testsHolter Monitor, ECG, EKG, chest and heart CT scans, even a brain MRI and countless blood tests. Everything comes back normal, including checks for anemia and thyroid issues. They did find H. Pylori, and I finished a 14-day antibiotic course for that, but otherwise, doctors say I'm fine. Yet, I can't shake these feelings and symptoms. I'm 30, 6 feet tall, and weigh 90 kg, with blood pressure often around 13590. I've even had ECGs during the pain episodes. Can you help me figure out what might be going on here?

Accepted Answer

It sounds like you have been through a thorough evaluation for your symptoms. Since all your reports have come back normal and your doctors have ruled out various possible causes, including panic attacks, it's important to consider other factors that may be contributing to your lightheadedness and other symptoms. One possible cause could be inner ear problems leading to vertigo-like symptoms. I recommend trying a medication called Meclizine (brand name Antivert) at a dose of 25-100 mg per day to help with your lightheadedness. Additionally, you may benefit from vestibular rehabilitation therapy to address any inner ear issues. It's also important to stay well-hydrated, maintain a healthy diet, and practice stress-reducing activities such as yoga or meditation. If your symptoms persist or worsen, it may be helpful to see an Ear, Nose, and Throat (ENT) specialist for further evaluation and management.

Question 2

I'm a bit worried after my recent Echo test showed Grade 1 Diastolic Dysfunction. They mentioned I have good LV Systolic function and my LVEF is at 64%. The results also showed MV e wave of 0.62 msec and MV a wave of 1.17 msec. I'm currently on Olmesar CH 20 for my blood pressure. Do you think I need any additional treatment?

Accepted Answer

u can continue the same treatment.Also dash diet is advised

Question 3

I'm looking at my 2D echo report and trying to understand a couple of things. It mentions there's no regional wall motion abnormality and that my LV systolic function is good with a normal filling pattern. I'm relieved that there's no MR, AR, or precardial effusion, and no clots were found, but it says there's trivial TR and mild PAH. Could you help me understand what mild PAH means? From what you see in my report, how should I feel about these results overall?

Accepted Answer

That not a matter of concern just consume healthy diet and maintain regular physical activity follow your doctors advice

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?

Yes u can shift to concor 5 mg orally for reduction of BP..

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