- 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 a 33-year-old guy, weighing 70 kg and standing at 5'10". I've noticed that my diastolic blood pressure has been consistently between 90 to 100 for the past few months. Do you think I should start taking medication for this? I'm really not sure what the best course of action is and could use some guidance.
Hello, as your diastolic blood pressure has been consistently between 90 to 100 mmHg for several months, it is recommended to start medication to help lower your blood pressure and reduce the risk of complications. You can start taking Amlodipine 5mg once daily to help lower your diastolic blood pressure. It is important to monitor your blood pressure regularly and make lifestyle changes such as reducing salt intake, exercising regularly, and maintaining a healthy weight.
Answered by 1 Apollo Doctors
Hey there doc, I'm a 38-year-old guy working in software, and I've noticed something strange lately. My resting heart rate used to be between 60-65 bpm when I'd check it after waking up, and that's when I was working out regularly. I was doing weight training five days a week focusing on different muscle groups each day. But ever since the lockdown and not being able to hit the gym for about two months, I've seen my resting heart rate drop to 50-55 bpm. It's weird because I thought it'd go the other way around without my workouts. Do you think this is something I should be concerned about or is it normal? What's happening here?
it's great that you are monitoring your resting heart rate regularly. A decrease in resting heart rate can be a normal response to regular exercise and improved cardiovascular fitness. Since you have stopped your weight training routine for the past 2 months due to the lockdown, it is expected to see a decrease in your resting heart rate. However, if you are not experiencing any other symptoms such as dizziness, fainting, chest pain, or shortness of breath, a resting heart rate of 50-55 bpm is generally considered normal for physically active individuals. I recommend staying physically active with alternative home workouts or activities to maintain your cardiovascular fitness. Additionally, ensure you are getting adequate rest and managing stress levels. If you have any concerns or experience any unusual symptoms, it is always best to consult with a healthcare professional for personalized advice and evaluation
Answered by 1 Apollo Doctors
I'm 22 and was recently at the cardiologist because I've noticed more skipped heartbeats. They did some tests like a TMT echo and an X-ray and said my heart's fine, but during the echo, there were some skipped beats. The doctor saw this and put me on Met XL 25, saying it's for long-term use. I've got a few worries thoughshould I be taking this medication at such a young age? Is it going to cause any issues in the future, especially if I occasionally forget a dose? My blood pressure is normal. Can you help me understand this better?
The medication prescribed to you by your cardiologist, Met XL 25, is a commonly used brand name for Metoprolol, which is a beta-blocker. It is often prescribed to manage various heart conditions, including irregular heartbeats. The dosage for Met XL 25 is usually one tablet once a day. Starting Metoprolol at a younger age, like 22 years old, is not uncommon, especially if you have been experiencing skipped heartbeats. It is important to follow your doctor's advice and take the medication as prescribed. In the long run, taking Metoprolol as directed should help manage your symptoms and improve your heart health. If you forget to take a dose of Met XL 25, simply take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. It is important not to double up on doses to make up for a missed one. Overall, Met XL 25 can be beneficial for managing your skipped heartbeats, and as long as you take it as prescribed by your doctor, there should not be any significant issues in the long run.
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.