Question 1

I've been dealing with high blood pressure at 160100, and even after taking medication for four months, it hasn't improved. Yesterday, I was given two different prescriptions, and now I'm feeling dizzy in the morning and can't stand. The doctor mentioned some tests too. Is this something I should be worried about? Why isn't my blood pressure going down?

Accepted Answer

It is concerning that your blood pressure is still high despite taking medication for 4 months. The dizziness and inability to stand after taking the new medications could be due to their side effects. It is important to follow up with your doctor regarding these symptoms. Regarding why your blood pressure is not coming down, there could be various reasons such as medication resistance, underlying health conditions, lifestyle factors, or incorrect dosage. It is crucial to discuss this with your doctor to adjust your treatment plan accordingly. In the meantime, make sure to monitor your blood pressure regularly, follow a healthy diet low in sodium, engage in regular physical activity, manage stress, and avoid smoking and excessive alcohol consumption.

Question 2

I'm 29 and just had some tests done, including an ECG, ECHO, and TMT, and the results came back normal, but there was a note in my ECHO report about "LV diastolic dysfunction grade 2." My cardiologist said it's normal and nothing to worry about, but I'm still a bit concerned. I don't smoke or drink and I'm not overweight. I did some Googling and found different explanations about that note, which is making me a bit anxious. I also didn't sleep well  only about 4 hours the night before the tests  and wore double masks during them. Could any of that have impacted the results? Just want to make sure there's nothing I should be concerned about.

Accepted Answer

"Based on your description, it seems like you are concerned about the comment in your ECHO report regarding LV diastolic dysfunction grade 2. Your cardiologist has reassured you that it is normal and nothing to worry about, which is a good sign. LV diastolic dysfunction grade 2 indicates some stiffness in the left ventricle of your heart during the relaxation phase, but it is a common finding and may not necessarily indicate any serious issues. Considering your age, lifestyle habits, and the fact that all your other tests (ECG, TMT) are normal, there is likely no cause for concern. Factors such as inadequate sleep and wearing double masks during the tests could have influenced the results slightly. To further support your heart health, you can focus on maintaining a healthy lifestyle with regular exercise and a balanced diet. If you have any specific symptoms or concerns in the future, do not hesitate to follow up with your cardiologist for further evaluation. No specific medication is required for LV diastolic dysfunction grade 2 at this stage. Just continue with your healthy habits and follow up with your cardiologist as recommended for routine check-ups."

Question 3

I've been dealing with young hypertension since I was 15, and now I'm 18. I had symptoms like constant headaches, and after all the tests  from ultrasounds to ECGs  everything came out fine. The doctor said it was hereditary since my great-grandfather had it from age 13, my grandfather from 32, and my dad from 40. So, I've been on antihypertensive medication, taking 2 Nicardia 10 and 1 Metolar 25 daily. My blood pressure is always in the normal range, around 12080 or 13080, and I'm doing well otherwise. With my height at 180 cm and weight at 94 kg, I'm wondering if there's any way I could stop or reduce the medicines. How can I maintain long-term health while on medication?

Accepted Answer

since you have a family history of hypertension and were diagnosed with young hypertension, it is important to continue taking your antihypertensive medications as prescribed by your doctor to help control your blood pressure and reduce the risk of complications in the future. To maintain a long and healthy life while on medication, it is important to also focus on lifestyle modifications such as maintaining a healthy weight, eating a balanced diet low in sodium, engaging in regular physical activity, managing stress, and avoiding smoking and excessive alcohol consumption. If you are considering stopping or reducing your medications, it is crucial to consult with your doctor first. They can assess your current health status, review your blood pressure readings, and determine if any adjustments to your medication regimen are necessary. It's always best to follow your doctor's advice when it comes to managing your hypertension.

Ent opinion.

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