Question 1

I'm experiencing some pain near my chest, specifically above my heart, and sometimes it even shifts to the right side of that area. It's been going on for about two months now. I'm not really sure if this could be related to a heart issue, a nerve problem, or maybe something like gas. Any thoughts on what might be causing this?

Accepted Answer

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Question 2

I'm wondering if it's normal to have tachycardia because both my ECG and echo tests came back normal, but I still experience it. My heart feels like it's beating really loudly, and when I check my pulse with an oximeter, it can shoot up to around 120, then it settles back to normal after a while. It's pretty scary when my heart rate spikes like that. Are there any more tests I should consider to figure out what's going on?

Accepted Answer

Tachycardia, or a fast heart rate, can be concerning even if your ECG and echo are normal. Since you are experiencing symptoms such as a loud heartbeat and fluctuations in your pulse rate, it is important to further investigate the underlying cause. To address your tachycardia and associated symptoms, you may consider undergoing additional tests such as a Holter monitor to continuously record your heart's activity over 24-48 hours, a stress test to evaluate your heart's function during physical activity, and blood tests to check for any underlying medical conditions. In the meantime, to help manage your tachycardia symptoms, you can consider taking medications such as Metoprolol (25-50mg) to help regulate your heart rate and reduce the sensation of palpitations. It is important to follow up with your healthcare provider for further evaluation and management.

Question 3

I'm really worried about my blood pressure lately. My 2D echo showed concentric LVH with an EF of 60 and grade 1 diastolic dysfunction. I've been on medication since September, taking one tablet in the morning and two at night. Initially, my BP seemed stable, but now in December, it's been fluctuating a lot. Previously, it was around 12082 to 12585 in the morning and 13585 to 13882 in the afternoon. But now, I'm seeing readings like 14090 in the morning and 14894 in the afternoon. I'm active, so what's causing these changes in winter? How should I take care of my BP during this season?

Accepted Answer

It is important to monitor your blood pressure regularly, especially with your medical history of Concentric LVH and diastolic dysfunction. Considering your situation, I would recommend adding or adjusting your current medication regimen to better control your blood pressure during the winter season. You can discuss with your doctor about adding a calcium channel blocker like Amlodipine 5mg in the morning and a combination of Valsartan 80mg + Hydrochlorothiazide 12.5mg in the evening. This can help in better blood pressure control throughout the day. In addition to medication, it is also important to make lifestyle modifications to help manage your blood pressure. This includes reducing salt intake, maintaining a healthy weight, regular exercise, managing stress, and avoiding smoking and excessive alcohol consumption. It is not uncommon for blood pressure to fluctuate with the change in seasons, but with the right medication and lifestyle adjustments, you can better manage your blood pressure even during the winter months. Make sure to continue monitoring your blood pressure regularly and follow up with your doctor for any further adjustments needed."

I'm experiencing some issues and I'm pretty worried. I've been diagnosed with hypertension and I'm also noticing my hands are trembling quite a bit. Can you tell me what steps I should take or any advice on how to manage these? I would really appreciate your help.

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