- Male
- 36 Years
- 22/01/2025
I'm a bit concerned because my systolic blood pressure has been hovering around 130, but I've noticed that my diastolic is consistently above 90 or even 95. I'm really worried about why my diastolic BP is always on the higher side. Could you tell me what kind of tests or investigations might be needed for this?
Answered by 1 Apollo Doctors
Visit Physician for evaluation and appropriate management
Dr. Kareemulla Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI had an AVR with a mechanical valve about 9 years ago and I'm wondering about my life expectancy now. I make sure to go for my yearly checkups, and my last echo showed an EF of 60, LVDD of 50mm, LA 36mm, with PW and IVS at 1.1cm. My INR level is 2.87. Could you give me some insights on these numbers and what they mean for my future?
With a mechanical valve replacement, it is important to maintain a stable INR to prevent complications such as thrombosis or bleeding. Your current INR of 2.87 is slightly higher than the recommended range for mechanical valves, which is usually between 2.0 to 3.0. It is good that you are going for yearly checkups to monitor your condition. To help manage your INR within the target range, you can consider using Warfarin (Coumadin) at a dosage prescribed by your healthcare provider. Regular monitoring and adjustments to your medication may be necessary to keep your INR within the desired range and reduce the risk of complications. As for life expectancy after AVR with a mechanical valve, it can vary depending on various factors including overall health, adherence to medication, lifestyle factors, and regular follow-up care. It is essential to continue with your yearly checkups and follow your healthcare provider's recommendations for optimal management of your condition.
Answered by 1 Apollo Doctors
I'm curious about something. Can heart attacks cause just pain in the left arm with no chest pain at all? I've been feeling a bit of pain in my left arm, like above the elbow and sometimes near the shoulder. Should I be worried? Can heart issues manifest as only arm pain and not have any chest pain involved?
ecg and cardiac markers are advised to the pt.
Answered by 1 Apollo Doctors
I'm getting this bubble feeling in my chest and it makes me feel nervous whenever it happens. It mostly occurs when I really focus on it. Is this something to worry about? Should I be concerned or do something about it?
It sounds like you may be experiencing symptoms of anxiety. To help with the bubble feeling in your chest and nervousness, you can try taking lorazepam as needed. This medication can help calm your nerves and rduce the physical symptoms of anxiety. Remember to consult with your healthcare provider before starting any new medication.
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.