Question 1

I've been taking medicine for blood pressure for a few years now, and I'm 45. Lately, even short walks or a couple of stairs have been really tough. I used to handle longer walks and more stairs without any issues. I had an ECG done three months ago, and it looked normal. I don't have trouble just going about my day, but my blood sugar is kind of borderline too. I'm wondering what test would be better to figure out what's going onan echo or a TMT?

Accepted Answer

Based on your symptoms and medical history, it would be advisable to go for a TMT (Treadmill Test) to assess your cardiac function and determine if there are any underlying issues causing your symptoms. TMT is a stress test that helps evaluate how well your heart responds to exertion. It can provide valuable information about your heart's health and function, especially in cases where there are symptoms like shortness of breath and decreased exercise tolerance. It is a non-invasive test that can help in diagnosing any potential heart problems.

Question 2

My grandfather has been diagnosed with a sclerotic aortic valve and also has COPD. I'm really concerned about his health. Could you suggest any treatments or tests that we should consider? I'm just worried about how these conditions might affect him and would appreciate some advice on what steps we should take.

Accepted Answer

For sclerotic aortic valve, the treatment usually involves managing symptoms and monitoring the condition. Medications such as ACE inhibitors, beta blockers, or diuretics may be prescribed to manage symptoms. In severe cases, aortic valve replacement surgery may be necessary. For COPD, treatment may include bronchodilators, inhaled corticosteroids, oxygen therapy, and pulmonary rehabilitation. It is important to avoid smoking and minimize exposure to lung irritants. Tests that may be recommended for further evaluation include echocardiogram to assess the aortic valve function, pulmonary function tests to evaluate lung function, and chest X-ray or CT scan to assess the lungs. Regular follow-up with a cardiologist and pulmonologist is essential to monitor the conditions and adjust treatment as needed.

Question 3

I've been trying to lose weight but whenever I exercise, I feel this tightness in my chest and get out of breath super quickly, like even just climbing stairs or walking. It's hard to breathe and my heart starts beating really fast. My blood pressure is on the high side too, usually around 135100, and I have a fatty liver. What should I do about all this?

Accepted Answer

consult a physician

I'm curious about my pulse after exercising. I did a brisk walk for about 3 kilometers, which took me around 30 minutes, and when I checked my pulse rate right after, it was between 130 and 135. Is this considered normal? My resting pulse usually sits between 70 and 80. Should I be concerned?

A pulse rate of 130-135 after brisk walking is within a normal range, especially considering your resting pulse is 70-80. As long as you do not experience any symptoms such as chest pain, dizziness, or shortness of breath, this pulse rate is considered normal for your level of physical activity.

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