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've noticed that my heart rate is usually pretty high, hovering around 90 to 100 beats per minute. Is this something I should be concerned about? What steps can I take to address this, and what kind of treatment would be recommended?

A heart rate of 90 to 100 beats per minute can be considered high, especially at rest. This condition is known as tachycardia. To lower your heart rate, you can try lifestyle changes such as reducing stress, avoiding stimulants like caffeine, and staying hydrated. However, if these measures do not work, medication may be necessary. You can take **Metoprolol** at a dosage of 25-50mg once daily to help lower your heart rate. This medication is a beta-blocker that can effectively reduce heart rate and blood pressure. It is important to consult with a healthcare professional before starting any medication to ensure it is safe and appropriate for you.

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I'm feeling a bit worried because all my tests like ECG, echocardiography, TMT, and CT coronary angiogram came back normal, but I'm still having symptoms every day. Could it be microvascular angina or maybe spasms in my arteries, or is it something else entirely?

Based on your normal test results and everyday symptoms, it is possible that you may be experiencing microvascular angina or spasms in the arteries. In such cases, medications like Nitroglycerin sublingual tablets can be helpful in relieving symptoms. The usual dosage is 0.3 to 0.6 mg sublingually as needed. Additionally, medications like Calcium channel blockers such as Amlodipine can also be prescribed to help with vasospasms. The typical dosage for Amlodipine is 5 to 10 mg once daily. It is important to follow up with your healthcare provider for further evaluation and management.

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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.