Question 1

I'm really stressed about my recent health issues. My blood pressure was 190100 two weeks ago, and I've been on medication since then. I've checked a couple of times after starting the meds, and my bp was 15090 and another time 17090. It's worrying me, and to top it off, I've been getting random pains in my left neck and shoulder, which makes sleeping hard. The cardiologist said my ECG and echo are normal. My cholesterol is fine, but I'm low on vitamin D and B12, so I'm taking supplements. Also just found out my blood sugar is high, so I'm on meds for that too. One doctor mentioned that the medicine might be causing the pain and that it might take weeks for my bp to stabilize. Is that true? Would love some insight into this.

Accepted Answer

It is common for blood pressure levels to take some time to stabilize after starting medication. In your case, since your initial blood pressure reading was high at 190100, it may take a few weeks for the medication to fully lower your blood pressure to a normal range. The random pains in your left neck and shoulder could be related to muscle tension or other factors, but it's good that you have already consulted a cardiologist who found your ECG and echo to be normal. Regarding your vitamin deficiencies and high blood sugar, it's important to continue taking your supplements and medication as prescribed. For high blood pressure, it's essential to follow your doctor's advice and medication regimen consistently. One commonly prescribed medication for high blood pressure is Losartan, typically starting at a dosage of 50mg once daily. It's crucial to monitor your blood pressure regularly and report any persistent symptoms or concerns to your healthcare provider for further evaluation and management.

Question 2

I'm really worried about my blood pressure lately. My 2D echo showed concentric LVH with an EF of 60 and grade 1 diastolic dysfunction. I've been on medication since September, taking one tablet in the morning and two at night. Initially, my BP seemed stable, but now in December, it's been fluctuating a lot. Previously, it was around 12082 to 12585 in the morning and 13585 to 13882 in the afternoon. But now, I'm seeing readings like 14090 in the morning and 14894 in the afternoon. I'm active, so what's causing these changes in winter? How should I take care of my BP during this season?

Accepted Answer

It is important to monitor your blood pressure regularly, especially with your medical history of Concentric LVH and diastolic dysfunction. Considering your situation, I would recommend adding or adjusting your current medication regimen to better control your blood pressure during the winter season. You can discuss with your doctor about adding a calcium channel blocker like Amlodipine 5mg in the morning and a combination of Valsartan 80mg + Hydrochlorothiazide 12.5mg in the evening. This can help in better blood pressure control throughout the day. In addition to medication, it is also important to make lifestyle modifications to help manage your blood pressure. This includes reducing salt intake, maintaining a healthy weight, regular exercise, managing stress, and avoiding smoking and excessive alcohol consumption. It is not uncommon for blood pressure to fluctuate with the change in seasons, but with the right medication and lifestyle adjustments, you can better manage your blood pressure even during the winter months. Make sure to continue monitoring your blood pressure regularly and follow up with your doctor for any further adjustments needed."

Question 3

I'm experiencing some pain on the left side of my chest and shoulder when I walk. My TMT was negative, and everything else like the Echo and ECG came back normal. I don't have a history of illness, nor do I smoke or drink. Is there something I should be worried about?

Accepted Answer

Left side chest pain and left shoulder pain on walking without any history of illness, smoking, or drinking could be due to musculoskeletal issues or even anxiety. However, it is important to rule out any cardiac issues. I recommend taking a low dose of aspirin (75-100mg) daily to prevent any potential cardiac events. Additionally, you can take acetaminophen (500mg) for pain relief as needed. If the symptoms persist or worsen, further evaluation by a healthcare professional is recommended.

Ejection fraction of the heart is very low , causes would be heart attack,cardiomyopathy,coronary artery disease, high blood pressure,aortic stenosis, mitral regurgitatin,myocarditis,arrhythmia etc , u can continue the same medications . An echocardiogram is advised and a cardiac opinion.

More Cardiology Health Queries

I'm experiencing some pain on the left side of my chest and shoulder when I walk. My TMT was negative, and everything else like the Echo and ECG came back normal. I don't have a history of illness, nor do I smoke or drink. Is there something I should be worried about?

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