- Male
- 23 Years
- 29/01/2025
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.
Answered by 1 Apollo Doctors
For hypertension and hand tremors, you can start by taking Atenolol 25mg once daily for hypertension. Additionally, you can take Propranolol 10mg twice daily for hand tremors. It is important to monitor your blood pressure regularly and follow up with your doctor for any adjustments in your treatment plan.
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allIs it really possible to have pulmonary artery hypertension even when the pulmonary artery looks normal and there's no turbulence? I'm just trying to wrap my head around how that can happen. Could there be underlying issues or does it indicate a different problem? I'm a bit concerned and just trying to understand why this might occur.
Yes, it is possible to have pulmonary artery hypertension even with normal pulmonary artery anatomy and no turbulence. In such cases, the hypertension may be due to other underlying factors such as inflammation, vasoconstriction, or other vascular abnormalities. Treatment for pulmonary artery hypertension may include medications such as Sildenafil (Revatio) or Tadalafil (Adcirca) to help relax the pulmonary arteries and improve blood flow. Dosage and duration of treatment should be determined by a healthcare professional.
Answered by 1 Apollo Doctors
I'm currently on metapro xl 50 mg and telmasartan 40 mg for about a month now because I've been dealing with spikes in blood pressure and sinus tachycardia. My doctor ruled out any secondary causes. I'm only 20 and I'm worried if I'm going to be on these medications for the rest of my life. They've helped me feel better and my heart feels calmer, but my doctor mentioned that if I dont continue, my heart might get damaged over time. Could you provide some advice on this?
It's good to hear that you are feeling better with the medications. Since you are experiencing spikes in blood pressure and sinus tachycardia, it is important to manage these conditions to prevent any potential damage to your heart in the long term. Both Metapro XL (Metoprolol) 50 mg and Telmisartan 40 mg are commonly used to control blood pressure and heart rate. It is possible that you may need to take these medications long-term to keep your condition under control and protect your heart health. It's essential to follow your doctor's advice and continue taking the medications as prescribed. If you have any concerns or experience any side effects, make sure to discuss them with your doctor for further evaluation and management.
Answered by 1 Apollo Doctors
I've been really worried about some recent health issues and could use some advice. I had an angioplasty back in 2013 and also dealt with Covid in August '20. Recently, I had some pain in my left arm, so I went to the cardiologist. The ECG came back normal, but some of my test results are concerning. My homocysteine level is at 44, triglycerides are sitting at 275, but my creatinine and cholesterol are normal. My SGPT is at 46 and B12 is at 218. I'm really anxious because I know the high homocysteine could mean a higher chance of another heart issue. Should I be considering more tests, like angiography, or is there a treatment plan you would suggest? Just hoping to get some peace of mind here.
Based on your history of angioplasty in 2013, recent Covid infection, left arm pain, and abnormal test results (homocysteine at 44, triglycerides at 275, B12 at 218), it is important to further evaluate your cardiac health to determine the best course of treatment. Given your elevated homocysteine levels and previous history of angioplasty, it is advisable to undergo further cardiac evaluation. I recommend that you undergo a coronary angiography to assess the status of your coronary arteries and determine if there is any significant blockage that may require intervention. In addition to the angiography, it would also be beneficial to optimize your lipid profile and homocysteine levels through lifestyle modifications and medications. Your cardiologist may prescribe medications such as Atorvastatin for cholesterol control, Folic Acid supplements for homocysteine reduction, and lifestyle changes such as a healthy diet and regular exercise. Regular follow-up with your cardiologist is crucial to monitor your progress, adjust medications as needed, and reduce the risk of a second cardiac event. It is important to prioritize your cardiac health and work closely with your healthcare team to manage your risk factors effectively.
Answered by 1 Apollo Doctors
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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.