Question 1

I recently did some exercise for about half an hour, and afterward, I felt my heartbeat kind of radiating up to my head, which was really unusual. I could actually hear my heartbeat and felt this throbbing in my head. I did an ECG and echo2D a couple of weeks ago, and everything seemed okay back then. Is this something I should be worried about or should I go see a doctor?

Accepted Answer

It is not uncommon to experience a sensation of your heartbeat in your head after exercise, especially if you have been exerting yourself. This is known as pulsatile tinnitus and can be a normal response to physical activity. However, if you are also experiencing head throbbing along with this sensation, it may be worth monitoring and discussing with your physician. In the meantime, you can consider taking a mild pain reliever such as Acetaminophen 500mg to help alleviate any discomfort.

Question 2

I've been tracking my blood pressure for the past six months, and I've noticed my diastolic pressure is consistently between 95 to 106 and my systolic pressure is from 118 to 135. My pulse rate stays between 95 to 113. Occasionally, I feel this heaviness in my chest and get a bit short of breath. When my readings are high, I usually take half a tablet of nebistar h, and sometimes an anxit, but never at the same time. Could you help me understand what's going on and what I should do?

Accepted Answer

Your symptoms suggest that you may be experiencing hypertension and anxiety. Nebistar H is a combination medication containing Nebivolol and Hydrochlorothiazide, which helps in lowering blood pressure. I recommend taking one tablet of Nebistar H (Nebivolol 5mg + Hydrochlorothiazide 12.5mg) once daily in the morning. For anxiety, Anxit tablet can be helpful. Anxit contains Alprazolam, which is used to manage anxiety disorders. You can take one tablet of Anxit (Alprazolam 0.25mg) as needed when you feel anxious. However, it is important to monitor your blood pressure regularly and follow up with a healthcare provider for further evaluation and management.

Question 3

My dad had an angioplasty on the 14th of last month, and now hes been dealing with a persistent cough. We've already seen our regular physician, but it hasn't improved. He's on Ramistar, Rampril, and has a reduced left ventricular function with an EF of 44. Should we be worried about this cough not getting better? Could it be related to his heart medications, or is something else going on? I'm looking for advice on what we should do next.

Accepted Answer

Ramipril can sometimes cause cough as a side effect. If it is too severe, then the medication may need to be replaced with another anti-hypertensive. It is best to consult your regular cardiologist before making any changes to your regular medication.

Ent opinion.

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