Question 1

I've been dealing with anxiety and blood pressure issues and was initially on betacap tr40. My doctor switched me over to telma 20, but I started experiencing palpitations. So I saw another doctor who changed my medication to nebicard 2.5, but I'm still having those palpitations. Now, my psychiatrist is suggesting I take petril beta at night. Is it okay if I take nebicard 2.5 in the morning and petril beta at night? I'm a bit concerned and just want to make sure it's safe.

Accepted Answer

u have to take petril beta at night only.

Question 2

I recently did some heart tests because I was experiencing pain in my left arm. My doctor mentioned it was muscular pain. My ECG didn't come out normal, but the TMT and 2D echo were fine. I'm really confused about whether it's okay to do strength training at the gym. I've attached my reports. Can you check them out and let me know what you think?

Accepted Answer

based on the reports you have provided, it's good to hear that your TMT and 2D echo results are normal, despite the abnormal ECG. Since your doctor has mentioned that the left arm pain is muscular in nature, it is generally safe to engage in strength training at the gym. However, it is important to start slowly and gradually increase the intensity to avoid any strain on the muscles. You can start with light weights and focus on proper form and technique. Additionally, it would be beneficial to consult with a fitness trainer at the gym to create a suitable workout plan that aligns with your health status. Remember to listen to your body and stop any exercise that causes discomfort or pain.

Question 3

I'm trying to understand my echo report and I'm a bit concerned. It says my cardiac size is normal with some terms like Lvdd being 5.4 cm, La at 3.8 cm, and mild lvh. Then it mentions good lv systolic function and an EF range of 55 to 60. Plus, normal right systolic function and no abnormal wall motion. Should I be worried about anything here? Just looking for some clarity on what all this means for my heart health.

Accepted Answer

Your echo report indicates that you have Cardiac Hypertrophy with normal left ventricular size (LVDD 5.4 cm) and mild left ventricular hypertrophy (LVH). Your left atrium is also within normal size (LA 3.8 cm). The report shows good left ventricular systolic function with an ejection fraction (EF) of 55-60%. Additionally, your right ventricular systolic function is normal with no abnormal wall motion. Based on the information provided, you may consider medications such as: - ACE Inhibitors like Lisinopril 10mg once daily to help reduce the workload on the heart and manage blood pressure. - Beta-blockers like Metoprolol 25mg twice daily to help lower blood pressure and reduce the heart's workload. - Diuretics like Furosemide 40mg once daily to help reduce fluid buildup in the body and manage symptoms of heart failure. It is important to follow up with your healthcare provider for further evaluation and management.

-It sounds like you might be experiencing muscle fatigue or strain in your calf muscles when climbing stairs. This can happen if the muscles are overworked, especially if you're not used to the activity. Try resting, stretching, and strengthening your cal

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