Question 1

I'm really worried about my husband. He's been waking up in the middle of the night sweating and struggling to breathe, and this has happened twice in just three days. We checked his blood pressure both times he woke up, and it was 148110 with a pulse of 75 the first time, and 140100 with a pulse of 85 the second time. He usually takes TeldayH every day for his high blood pressure, which generally keeps it under control. His blood sugar levels were also normal when we checked them yesterday, and his ECG was fine in January. He did have a gout attack around the same time, and his uric acid levels were 8.7 then, and he's also dealing with high cholesterol. Right now, he's on Febuxostat and Jupiros. I'm just trying to figure out why he's having these night sweats and breathing problems. Could it be related to his medication or something else?

Accepted Answer

Ecg and cardiac markers are advised to the patient. Rest contine all the medications.Also tablet levocetrizine 10 mg at bedtime,orally for 5 days is advised . Steam inhalation and saline gargles is also advised to the patient.

Question 2

I'm 26 and I've been having anxiety symptoms. A couple of months ago, I experienced episodes of sinus tachycardia, and the ECG showed sinus tachycardia with ST and T wave depression in leads II, III, and AVF. I've had more ECGs since then with similar results, but my 2D echo was normal. My doctor suggested a TMT, which returned borderline positive with a low likelihood of significant CAD. During the TMT, METS was 8.8, BP was 15080, and the max heart rate was 187. I didn't feel any chest pain during the exercise. Do you think an angiogram is necessary, and what could be causing those ST and T wave changes?

Accepted Answer

Angiogram is needed any heart blocks..

Question 3

I'm really worried about my husband. About eight months ago, he had some chest pain, so we went for a check-up. They did an ECG, an echo, and a stress test, and thankfully everything seemed normal, but he had high blood pressure and his triglycerides were around 250. He's been on medication for BP since then, including Prolomet XL 50, Hytel H, Tonact D, and Nulong 5mg. But just yesterday, he experienced chest pain again. We went to the doctor and did another ECG, which came back normal. The doctor said it might be muscle pain and gave him some pain medicine. I'm still worried it could be related to his heart. Should we be looking at other tests, like an echo again or something else, to be sure everything's okay with his heart?

Accepted Answer

It is good that your husband's ECG results have been normal. Since he has a history of chest pain and high triglycerides, it is important to monitor his heart health closely. Given the symptoms of chest pain, it would be advisable to follow up with an echocardiogram (echo) to assess the structure and function of the heart. Additionally, considering his risk factors, a stress test or a coronary angiography may also be recommended by the doctor to further evaluate his heart health and rule out any underlying heart conditions. In the meantime, continue with the prescribed medications including Prolomet XL 50 for blood pressure, Hytel H for hypertension, Tonact D for cholesterol, and Nulong 5mg.

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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