apollo
  • Male
  • 84 Years
  • 22/01/2025

I'm having this pain in my left leg that's been bothering me for about 15 days now. I'm 84 and have a history of heart issues, so I'm regularly on medications like Ecospirin, Amlokind for my blood pressure, and some others like Nitrolong and Losar, though I've recently stopped taking Renozex. The pain hits me when I walk. Can you help me figure out what's going on?

Doctor 1

Answered by 1 Apollo Doctors

ortho opinion

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I recently bought an oximeter and noticed something that puzzled me. When I checked my levels while resting, it showed 95 bpm, 99 SpO2, and 7 PI. But after a little exercise, it went up to 130 bpm, 99 SpO2, and the PI dropped to 2. Ive experienced palpitations and panic attacks before, so my heart rate sometimes spikes to 180 during exercise. I had medical tests done a few months ago, which were all normal. What I'm confused about is why my PI drops so low with higher bpm? Can you shed some light on this?

The Perfusion Index (PI) is a measure of the strength of your pulse and the blood flow to your finger. A low PI% can indicate poor circulation or weak pulse strength. In your case, the decrease in PI% after exercising may be due to increased heart rate and blood flow redistribution to other parts of the body, leading to a weaker pulse signal at the oximeter sensor. This is common during physical activity when the body prioritizes blood flow to muscles and organs. To address this concern, you can try to ensure a good sensor placement on your finger, stay well-hydrated, and avoid excessive movement during oximetry readings. If you continue to have concerns about your PI% readings, it would be advisable to consult with your healthcare provider for further evaluation and guidance

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I've been keeping an eye on my blood pressure and it was pretty high last year, like 140 over 90, which led to an echo test. They found lvh at 13mm, and lately, my blood pressure has been settling around 128130 over 85. I'm not on any medication right now. Should I be considering starting on blood pressure meds given these details?

Based on your current blood pressure readings and the presence of left ventricular hypertrophy (LVH) on your echo report, it is advisable to start blood pressure medication to help maintain your blood pressure within a healthy range and reduce the strain on your heart. I recommend starting with a medication like Losartan (50mg once daily) to help lower your blood pressure and protect your heart from further damage. It is important to monitor your blood pressure regularly and follow up with your healthcare provider for further guidance.

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