I'm really worried about my dad's health. He's been dealing with high blood pressure for a while and has been on medication. Lately, his blood pressure has been spiking a lot, so we got an ECG and echo done, which showed mild concentration LVH. He's been taking the meds shown in the report, and he's also been having trouble sleeping, so there are meds for that too. Even with all this, he still has some sleeping issues. Do you think he might need surgery, or can this situation be stabilized with just meds? What would you suggest as the next step?

To help stabilize his blood pressure and improve his sleep, the ideal next step would be to optimize his current medication regimen. In addition to his current medications, adding a medication like Amlodipine 5mg once daily for blood pressure control and prescribing a sleep aid like Zolpidem 5mg at bedtime for his sleep issues can be considered. Surgery is not typically indicated for mild LVH and can usually be managed with medications and lifestyle modifications. It's important for your father to continue monitoring his blood pressure regularly, follow a healthy diet, engage in regular physical activity, and manage stress effectively. Regular follow-up with his healthcare provider is essential to adjust his treatment plan as needed.