Question 1

I've been dealing with some concerns about my blood pressure. I'm a 17-year-old guy, in pretty good shape with a BMI of 24.7, and I've noticed my blood pressure readings are often around 14060 or 13060. When I'm calm, the systolic number goes down to about 125, but the diastolic stays below 70, which I find unsettling. I do experience a bounding pulse in different areas of my body which adds to the stress. I've had health anxiety since the lockdown began, and I've been using homeopathy which has helped, and I'm also trying to keep my diet in check and exercise regularly.

What's bugging me is why my diastolic number doesn't return to a typical range even when I'm managing everything else pretty well? When people talk about high blood pressure, I usually hear both systolic and diastolic numbers rise together, but mine seems to have one high and the other low. Could this be more than just anxiety, or is there something unique about my situation?

Accepted Answer

1. Your diastolic blood pressure not returning to normal despite your efforts could be due to a combination of factors, including anxiety and possibly other underlying health conditions. It's great that you are managing your anxiety with homeopathy, but it's essential to monitor your blood pressure regularly and consult with a healthcare professional for further evaluation and management. In terms of medication, you can consider starting with a low dose of a calcium channel blocker like Amlodipine 2.5mg to help lower your diastolic blood pressure. 2. The fluctuation in your blood pressure readings, with systolic going up and diastolic going down, can be attributed to various factors such as stress, anxiety, and even the time of day when you measure your blood pressure. It's not uncommon for individuals to experience variations in their blood pressure readings, especially in response to different stimuli. However, persistent high diastolic blood pressure warrants attention and monitoring. 3. While anxiety may be a significant contributing factor to your elevated blood pressure readings, it's essential to rule out any other underlying medical conditions that could be impacting your diastolic blood pressure. Considering your age and overall fitness level, it's crucial to continue with your healthy lifestyle habits, including regular exercise and a balanced diet. Additionally, incorporating stress-reducing activities such as mindfulness or yoga may further help in managing your anxiety and potentially improving your blood pressure levels. Regular follow-ups with a healthcare provider will be beneficial in monitoring your blood pressure and adjusting your treatment plan as needed.

Question 2

I'm a bit worried about my recent ECG results that show IRBBB, but my 2D echo came back normal. I don't have any family history of heart disease, so I'm wondering if my heart's in good shape. Is it okay for me to hit the gym regularly? I already walk more than 10,000 steps a day and jog for about 5 minutes.

Accepted Answer

based on your description of having an Incomplete Right Bundle Branch Block (IRBBB) on ECG but a normal 2D echo and no family history of heart disease, it is likely that your heart is healthy and normal. IRBBB itself may not necessarily indicate a heart abnormality, especially if the 2D echo is normal. You can continue with your daily activities like walking more than 10K steps and 5 minutes of jogging. However, if you have any concerns or symptoms like chest pain, shortness of breath, or dizziness during exercise, it is advisable to consult a cardiologist for further evaluation. As a precautionary measure, you can consider taking low-dose aspirin (75-100mg) daily to reduce the risk of cardiovascular events.

Question 3

I've been having these episodes where my heart rate goes all over the place, and I keep feeling chest pain and discomfort throughout the day. I have my Holter monitor report with me, and I'm not really sure what it means. Can you help me understand what's going on and what I should do next?

Accepted Answer

Fluctuating heart rate and recurrent chest pain can be concerning, and reviewing your Holter monitor report with a healthcare provider is essential for proper diagnosis. The Holter monitor will provide detailed information about your heart's activity over 24-48 hours, capturing any irregularities or arrhythmias that might explain your symptoms. If the Holter report shows any abnormalities, your doctor may recommend further evaluation or treatment. If the report is normal, your symptoms might be related to other conditions such as anxiety, gastrointestinal issues, or musculoskeletal problems. Please ensure you discuss the Holter report findings with your cardiologist to develop an appropriate treatment plan based on your specific condition.

I'm having this pain or pressure in my chest, and sometimes my heart starts beating really fast. The pain goes from the middle of my chest up to my upper throat. What could be going on?

causes like gastritis, myocardial infraction. do one ECG and take tablet. pantop for 3 days once a day

More Cardiology Health Queries

I've been having these episodes where my heart rate goes all over the place, and I keep feeling chest pain and discomfort throughout the day. I have my Holter monitor report with me, and I'm not really sure what it means. Can you help me understand what's going on and what I should do next?

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