Question 1

I just got a new Dr. Morepen pulse oximeter and while checking my heart rate and oxygen levels, it showed a message about a suspected occasional short pulse interval. Should I be concerned about this? I had a mild Covid infection last year and experienced some palpitations afterward, which have since improved over time. After recovering, I did a holter monitor test that was normal except for Sinus Arrhythmia, which my doctor said was normal. My Echo test in October also came back normal. I often check my pulse rate and oxygen because of occasional palpitations since the Covid infection. Do you think I need more tests because of this short pulse interval message?

Accepted Answer

An echo is advised to the patient.

Question 2

I'm really worried about my father. He's had high blood pressure for about 20 days now. He's already a BP patient, but lately, his pressure is shooting up to around 16090. He was on promolate xl 25 before and now he's been switched to telvas 40 by the doctor. It doesn't seem to be helping control his blood pressure, though. Can you suggest anything that might help us manage this better?

Accepted Answer

It seems like your father's blood pressure is not well controlled with Telvas 40. In this case, the doctor may consider adding or adjusting the dosage of another medication. One common combination for high blood pressure is Telvas 40 (Telmisartan 40mg) along with Amlodipine (usually 5mg to 10mg). Amlodipine helps to further lower blood pressure by relaxing the blood vessels. However, the final decision on the medication and dosage should be made by your father's treating physician after a thorough evaluation. It is important to continue monitoring his blood pressure regularly and follow up with his doctor for further management.

Question 3

I'm a bit worried about my heart because I was told I have left bundle branch block and that I had a silent heart attack, even though I'm not diabetic. I had an angiography done before my knee surgery, and it showed no major blockages, just a 20% one in my right coronary artery. I've also been dealing with hypertension. Can you help me understand what might be causing the LBBB?

Accepted Answer

Possible causes for left bundle branch block (LBBB) include underlying heart conditions such as coronary artery disease, hypertension, cardiomyopathy, and heart valve disease. Since you mentioned that you are suffering from hypertension, it could be a contributing factor to your LBBB. It is important to manage your hypertension effectively to reduce the risk of further heart complications. In terms of medication, you may benefit from taking an ACE inhibitor like Lisinopril to help control your blood pressure and protect your heart. The typical dosage for Lisinopril is 10-40mg once daily. Additionally, a beta-blocker such as Metoprolol can also be prescribed to help regulate your heart rate and blood pressure. The usual dosage for Metoprolol is 25-100mg once or twice daily. It is essential to follow up with your healthcare provider regularly to monitor your heart health and adjust your treatment plan as needed.

I'm dealing with chest pain and heaviness for about 2 years now, and Montair FX helps, but if I stop taking it, the symptoms come right back. Plus, I get side effects like stomach gas from it. What should I do? Is there a way to stop using Montair FX, or maybe there's another option I can consider?

Yes,continue same treatment.Ecg and x-ray chest pa view is advised to the patient.

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