apollo
  • 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?

Doctor 1

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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I'm a bit concerned about my medication. I had an ASD closure with a device on October 3rd, 2020, and I've been taking aspirin 75 and clopidogrel 75 every afternoon since then. Is there any issue with continuing these meds? Can I stop them? I just recovered from COVID on May 18th and have my echo report with me. Should I be aware of anything specific?

Having an ASD (atrial septal defect) device closure and taking aspirin 75 mg and clopidogrel 75 mg are standard protocols to prevent blood clots. It is crucial to continue these medications unless advised otherwise by your cardiologist. Stopping them abruptly could increase the risk of clot formation around the device. Given that you have recently recovered from COVID-19, it's even more important to follow your prescribed medication regimen as COVID-19 can increase clotting risks. Please consult your cardiologist before making any changes to your medications. They can provide individualized advice based on your current health status and recent recovery.

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I've been dealing with chest pain for quite a while now, and I just found out from an ECG that everything's normal. The pain isn't in one specific spot; sometimes it's on the left side, right side, or even lower down. Im starting to think it might be muscle-related. Is there something specific I can take for muscle pain? On top of that, I've noticed I get short of breath easily. I've been really inactive the past few months, barely moving at all, so Im wondering if this lack of exercise could be causing my stamina to drop and making me feel breathless. Could that be the case?

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I'm 29 and since 2018, I've been experiencing skipped or missed heartbeats, which make me feel really uneasy. In 2019, I had an ECG, an echo, and a TMT done, and they didn't find anything. Recently, I've had two more ECGs and still nothing showed up. The doctor prescribed ivabradine and some anxiety medicine. I also discovered I have hyperthyroidism. I got some relief, but the symptoms have started again, and I'm really scared and worried that something serious is going on. Can you help me figure out what's happening and where I should go to find out the exact cause?

It's understandable to feel anxious and concerned about your symptoms. Skipped or missed heartbeats, known as palpitations, can be distressing but are often benign, especially with normal ECG, echo, and TMT results. Hyperthyroidism can contribute to palpitations and should be managed effectively. Since you have already been prescribed ivabradine and an anxiety medication, it's important to continue following your doctor's advice and taking your medications as directed. Given your ongoing symptoms and anxiety, it might be beneficial to seek a comprehensive evaluation at a specialized center, such as a tertiary care hospital with a cardiology and endocrinology department. They can conduct further tests, such as a Holter monitor to track your heart rhythms over 24-48 hours, and refine your treatment plan. Additionally, managing anxiety through therapy, relaxation techniques, and lifestyle changes can also help alleviate your symptoms. Please consult with your healthcare provider to discuss your concerns and consider a referral to a specialist if needed.

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