apollo
  • male
  • 45 Years
  • 29/01/2025

I'm curious about why my blood pressure spikes to 180100 during times of aggression, while it's usually around 11080 or 12080 when I'm calm. I don't have diabetes or thyroid issues, and my echo, ECG, and TMT results are normal. My lipid profile shows LDL at 60, HDL at 37, and total cholesterol at 110. Is there any underlying pathological condition that could be causing these blood pressure fluctuations?

Doctor 1

Answered by 1 Apollo Doctors

Aggression or stress can indeed cause a temporary spike in blood pressure. Since your heart tests and lipid profile are normal, the elevated blood pressure may be due to situational factors. However, it is important to monitor your blood pressure regularly and consider lifestyle modifications. In case of persistent high blood pressure, your doctor may prescribe medications like Amlodipine 5mg or Losartan 50mg to help keep it under control.

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been feeling some movement on the left side of my chest, and I've already had an ECG and a 2D echo done. The ECG showed sinus tachycardia, probably because I was feeling anxious at that moment, along with right axis deviation and a borderline result. But the 2D echo came back normal. I'm also checking my heart rate often to see if it's palpitations, but it's normal, around 70-80. I'm not sure what's causing these movementscould it be gas or maybe something to do with nerve movements? What do you think?

It sounds like you are experiencing some discomfort in your left side chest area. Based on your ECG and 2D echo reports, it is good to know that your heart seems to be functioning normally. The sinus tachycardia with right axis deviation and borderline ECG findings may be related to your anxiety at that moment. Since your heart rate is normal (around 70-80), the movements you are feeling in your chest may not be related to palpitations. It is possible that the discomfort could be due to gas or muscle movements. To help with the discomfort, you can try taking an antacid like **Ranitidine** 150mg for gas relief. Additionally, you can also consider taking a muscle relaxant like **Cyclobenzaprine** 10mg to help with any muscle spasms that may be causing the movements in your chest. Make sure to follow the recommended dosage instructions for these medications and if the symptoms persist or worsen, it would be best to follow up with your healthcare provider for further evaluation.

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I've recently had an ECG done, and it mentioned something called sinus arrhythmia. Just wondering, is this a big deal? Should I be making an appointment with a cardiologist to get it checked out further?

ECG report showing sinus arrhythmia is usually not a cause for concern, especially if you are not experiencing any symptoms. Sinus arrhythmia is a normal variation in heart rate that occurs with breathing. However, if you have any underlying heart conditions or if you are experiencing symptoms such as dizziness, chest pain, or shortness of breath, it is advisable to consult a Cardiologist for further evaluation and management. No specific medication is required for sinus arrhythmia.

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I've been having this pain in the heart area of my chest for over three months now, and it happens about twice a week. I haven't been doing any kind of exercise recently. I'm starting to get really worried about it. Could this be something I should be concerned about? What might be causing this, and what should I do?

Ecg and chest x -ray is advised to the patient.

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