- male
- 60 Years
- 22/01/2025
I'm really worried about my health lately. I've been dealing with diabetes and high blood pressure for a year now. Last October, I went through some tests like an echo, and everything seemed normal except for some grade 1 diastolic dysfunction. The TMT was negative, and my ECG looked okay. But I'm still having chest pain and pain in my left hand every week, and my heart sometimes races to 150160 bpm, with blood pressure at 180110. I even feel like passing out once a month. I've got pain in my chest, left hand, and jaw too. The doctor said last year that it wasn't a cardiac issue, but I can't shake off these symptoms. Without my blood pressure meds, my blood pressure spikes to 170110 and my heartbeat to 130. I'm currently on metoprolol, talmisartan, and vildapride. Its been seven months since those tests; should I go for another echo or TMT? Ive attached my last years reports and recent ECG too. What do you think?
Answered by 1 Apollo Doctors
Based on your history and symptoms, it would be advisable to undergo a repeat echocardiogram and stress test (TMT) to assess your heart function and rule out any cardiac issues. Considering your persistent symptoms and the changes in your blood pressure and heart rate, it is crucial to ensure that your current medications are effectively controlling your conditions. In addition to your current medications (metoprolol 50mg twice a day, telmisartan 40mg twice a day, and vildagliptin-metformin 50500mg twice a day), your healthcare provider may need to adjust the dosages or consider adding other medications to better manage your blood pressure and heart rate. Please follow up with your healthcare provider for a thorough evaluation, including a repeat echocardiogram and stress test, to determine the underlying cause of your symptoms and to optimize your treatment plan. Regular monitoring and follow-up are essential in managing your diabetes, hypertension, and cardiac symptoms.
Dr. Anshul Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0
More Cardiology Health Queries
View allI'm really worried about my health. Every year I get a check-up done, and back in November 2019 at Narayana Hrudyalaya Bangalore, everything was fine my ECG, Echo, and cholesterol were all normal. But I recently did another cholesterol test, and the results are making me anxious: Total cholesterol is 180, Triglycerides 130, HDL 15, Direct LDL 137, and Non-HDL 165. Lately, I've been feeling this discomfort in my arms and sometimes around my neck, which only lasts a few seconds, but it's got me really concerned about a possible heart attack. My blood pressure is at 12880, and I've been on BP meds for four years now. Back in 2017, both the Holter and Ambulatory tests were normal too, just like the Echo and ECG from November 2019. I'm questioning if there's something serious happening. Should I get another Echo? Is an angiogram necessary? I'm pretty scared and would appreciate any advice.
Given your normal results from previous ECG, Echo, and Holter tests, as well as your relatively controlled blood pressure and current cholesterol levels, it's reassuring to some extent. However, the discomfort in your arms and neck, although lasting only a few seconds, deserves attention, especially given your fear of a heart attack. It would be wise to discuss these new symptoms with your cardiologist. They may recommend repeating some tests, such as an ECG or an Echo, to ensure no changes have occurred since your last evaluation. Depending on their assessment, they may also consider a stress test or a coronary angiogram to rule out any significant coronary artery disease. It's important to address these concerns promptly to alleviate your fears and ensure your heart health is appropriately managed.
Answered by 1 Apollo Doctors
So, my dad has been having this burning feeling in his feet and they found out its because of a blockage in the artery in his legs. He also has some kidney problems that we didnt know about because hes had high blood pressure for a long time without knowing it. Now theyre suggesting he gets an angiography done for both his leg and chest, and theyve started him on hypertension meds. Hes super active and has been walking for at least 2 hours every day for years without any issues. Do you think going through with the angiography and possibly angioplasty makes sense for someone his age since he doesnt really show any other symptoms?
Considering your father's age and his active lifestyle, it is important to assess the risks and benefits of angiography and angioplasty. These procedures can help in diagnosing and treating blockages in the arteries, which can improve blood flow to the legs and reduce symptoms like burning sensation in the feet. For someone with a history of undiagnosed hypertension and deteriorating kidney function, it is crucial to manage these conditions to prevent further complications. The hypertension medication prescribed will help in controlling blood pressure and protecting the kidneys. In this case, it would be best for your father to follow the advice of his healthcare provider and undergo the recommended angiography. Based on the results of the angiography, further decisions can be made regarding the need for angioplasty or other interventions. It is important to prioritize his cardiovascular health to maintain his active lifestyle and overall well-being. Additionally, it is essential for your father to continue his regular physical activity, like walking, as it is beneficial for his cardiovascular health. Ensuring a healthy lifestyle, including a balanced diet and regular exercise, is key in managing these conditions. If you have any further questions or concerns, feel free to ask.
Answered by 1 Apollo Doctors
I'm a bit concerned because I was on medication for blood pressure until November, but stopped after my doctor said my BP levels were normal. It's been fine for the past five months, but now I notice my home readings are at 13898. I've had 500 ml of beer each day for the last two days before this reading. Should I be worried about this change, or is there something I can try before considering going back on medication?
It's important to monitor your blood pressure regularly, especially after noticing an increase like 13898. Since you have a history of high blood pressure and recent alcohol consumption, it's advisable to take action to lower your blood pressure. You can start by making lifestyle changes such as reducing alcohol intake, maintaining a healthy diet low in sodium and high in fruits and vegetables, exercising regularly, and managing stress. Additionally, you can consider taking medication again as prescribed by your doctor to help control your blood pressure. If these measures do not lower your blood pressure, it's essential to consult with your doctor for further evaluation and management.
Answered by 1 Apollo Doctors
Health Articles for you
View all
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.