Question 1

I'm in a bit of a dilemma here. All of my tests, like ECG, echo, TMT, and chest X-ray, came back normal except for high LDL cholesterol. So the doctor put me on Rosuvas, which I've been taking. But now, after a month of feeling okay, the chest pain and tightness are creeping back. I remember the doctor saying to take BP meds if this happened, but I'm not sure which one to pick. My weight is around 110 kg, and my blood pressure was 14090 last month, but I can't check it now because of the lockdown. Should I stick with the Metoprolol I got last year, or should I go out and get Amlopidine? Which one would be better in this situation?

Accepted Answer

"Based on your symptoms of chest pain and tightness, and your history of high LDL cholesterol, it is important to manage your blood pressure effectively. Considering your weight and previous blood pressure reading of 14090, you can take amlodipine to help lower your blood pressure. Amlodipine is a calcium channel blocker that can help relax the blood vessels, making it easier for the heart to pump blood. Since you already have metoprolol with you, you can also consider taking it as it is a beta-blocker that can help lower blood pressure and reduce chest pain. The usual dosage of metoprolol for high blood pressure is 25-100mg once or twice daily. However, please note that metoprolol may not be as effective in controlling chest pain compared to amlodipine. If you choose to take metoprolol, start with a lower dose and monitor your blood pressure closely. If your symptoms persist or worsen, it is important to seek medical advice promptly. Additionally, try to monitor your blood pressure regularly, especially during this time when access to healthcare may be limited due to the lockdown."

Question 2

I've been experiencing some chest tightness on and off for the past 1.5 years. It'll usually happen and last for about 2 minutes, making it hard to breathe or move my upper body. Recently, I woke up in the middle of the night to get some water and felt the same tightness with a slight pain in my chest and heart. I went to a cardiologist and had an ECG and a 2D echo test, but they both came back normal. The doctor advised me to rest, and I did, but the chest tightness keeps happening. Why is this still going on? Could there be another cause, and should I see someone else for this? Any ideas on what might be causing it?

Accepted Answer

consult a pulmonologist

Question 3

I woke up this morning and suddenly started sweating and felt really dizzy, but it only lasted for about 5 minutes. Could you help me understand what might have caused this?

Accepted Answer

Sudden sweating and dizziness upon waking, lasting only 5 minutes, could be due to various factors, including a temporary drop in blood pressure, low blood sugar, anxiety or panic attack, dehydration, or even a minor vasovagal episode, but if such episodes recur or worsen, consult a doctor to rule out underlying conditions.

Ecg and chest x-ray pa view is advised to the patient.

More Cardiology Health Queries

I woke up this morning and suddenly started sweating and felt really dizzy, but it only lasted for about 5 minutes. Could you help me understand what might have caused this?

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