- Male
- 28 Years
- 22/01/2025
I'm really concerned about some pain I've been experiencing. It started about four months ago with chest pain and pain in my left arm. I went to a doctor who said it might be gastric issues, but I was worried so I saw a cardiologist. They did a chest X-ray, a TMT, and an echo 2D, and everything came back negative. My relative, who's a doctor, suggested it might be muscle pain or cervical spondylosis, but I still have this persistent pain in my left arm along with a burning sensation. I've read about anxiety causing these kinds of symptoms, but the pain is also in my neck, jaw, left arm, shoulder, and chest. I'm really hoping for some clarification on what might be going on. What could be causing these symptoms, and what should I do next?
Answered by 1 Apollo Doctors
Visit your Physician for evaluation and appropriate management
Dr. Ibrahim Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Answered by 1 Apollo Doctors
I'm a bit worried about my resting pulse rate, which is around 55 to 60, but when I work out it goes up to 75 to 80. My ECG and lipid profile are normal, and I take Telpres CT for my blood pressure, which is also normal. I'm curious if this medication could be what's making my pulse lower. Should I be concerned about my resting pulse rate, or is this within a normal range?
Your resting pulse rate of 55 to 60 beats per minute is within the normal range for adults, especially if you are physically active. When you workout, it is normal for your pulse rate to increase to 75 to 80 beats per minute. Telpres CT is a combination medication that contains Telmisartan and Chlorthalidone, which is commonly used to treat high blood pressure. Telpres CT, specifically the Chlorthalidone component, can sometimes cause a slight decrease in heart rate as a side effect. However, in your case, with a resting pulse rate of 55 to 60, it is more likely that your lower pulse rate is due to your good physical fitness rather than the medication. As your ECG and lipid profile reports are normal, and you are maintaining a normal blood pressure with Telpres CT, there is no need to be concerned about your pulse rate. It is important to continue monitoring your blood pressure regularly and follow up with your healthcare provider for any concerns.
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I'm really worried about what's happening with my health. So, I had a brain stroke about 2 months ago, and my doctor recommended getting an Echo cardiogram. The test showed something called "Reduced diastolic compliance". I'm not sure what this means. Is this something serious? Should I be really concerned about it?
This means that the heart is having difficulty relaxing and filling with blood during the resting phase of the cardiac cycle. This condition can lead to symptoms such as shortness of breath, fatigue, and fluid retention. To improve diastolic compliance, the doctor may prescribe medications such as ACE inhibitors like Lisinopril at a dosage of 10-20mg daily. Additionally, Beta-blockers like Metoprolol at a dosage of 25-50mg daily may also be recommended. It is important to follow up with the doctor regularly to monitor and manage this condition.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.