- 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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Visit your Physician for appropriate management
Answered by 1 Apollo Doctors
I'm having trouble with a high heart rate. Sometimes it spikes over 100, and if I walk for just 5 minutes, it quickly jumps to around 120-130. Doing even a little bit of exercise can push it to 150. I've already had a 2D echo and TMT, but my doctor said everything looks normal. I'm really confused about what's causing this and wondering if there are other tests that might help diagnose the issue. How can I prevent these spikes from happening?
Given that your 2D echo and TMT results are normal, the elevated heart rate could be due to factors such as anxiety, deconditioning, thyroid issues, or other non-cardiac causes. It might be helpful to check your thyroid function with blood tests like TSH, Free T4, and Free T3, as hyperthyroidism can elevate heart rate. Monitoring for conditions like anemia with a complete blood count (CBC) and checking electrolyte levels might also be beneficial. To manage and prevent a high heart rate, consider stress-reduction techniques like mindfulness or yoga, ensure adequate hydration, and gradually increase your physical activity to improve cardiovascular fitness. Consult your healthcare provider to discuss these potential tests and management strategies further.
Answered by 1 Apollo Doctors
I'm 86 and I've been having some issues. I've been getting occasional angina pain and my doctor told me to take Imdur isosorbide mononitrate, 30mg every day. But since I started, I've been feeling dizzy when I stand up or get out of bed, so I'm guessing it's because my blood pressure drops. Should I stop taking Imdur, or is there something else I can do? I'm not sure what's best and would really appreciate some advice.
Don't stop Imdur abruptly. Consult your cardiologist to adjust dosage or switch to alternative medications. Possible solutions: Medical Adjustments 1. Reduce dosage: Gradually decrease Imdur to 20-10mg daily. 2. Alternative medications: Consider nitrate-free options like beta blockers or calcium channel blockers. 3. Combination therapy: Add medications to stabilize blood pressure (e.g., fludrocortisones). Lifestyle Changes 1. Increase fluid intake. 2. Elevate head while standing. 3. Slow rising from bed. 4. Avoid sudden movements. Monitoring 1. Regular blood pressure checks. 2. Electrocardiogram (ECG) monitoring. 3. Follow-up appointments.
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.