- 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 a family member who's been diagnosed with severe calcific aortic stenosis. Ive heard about treatments like surgery, but I'm wondering if there are any other options out there, like medication or non-surgical approaches, that could help in managing this condition? I'm not very familiar with all the treatment possibilities and just want to explore anything that might be less invasive. What are our options here?
Severe calcific aortic stenosis typically requires surgical intervention, as medications alone are generally insufficient to treat the condition. The primary treatments include surgical aortic valve replacement (SAVR) or transcatheter aortic valve replacement (TAVR), depending on the patient's overall health and suitability for surgery. While medications can help manage symptoms and associated conditions such as heart failure or high blood pressure, they do not address the underlying valve obstruction. Consulting with a cardiologist and a cardiac surgeon will provide the best treatment plan tailored to the patient's needs.
Answered by 1 Apollo Doctors
I've noticed my heart rate usually stays between 80 to 92. Should I be worried about this, or is it normal? Just want to know if there's any concern with my heart.
Hi, Heart rate between 60 to 100 beats per minute is considered normal. A heart rate of 80 to 92 falls within this range and is generally not a cause for concern. However, if you are experiencing any other symptoms such as chest pain, shortness of breath, dizziness, or fainting, it is advisable to consult a healthcare professional for further evaluation.
Answered by 1 Apollo Doctors
My sister was diagnosed with an SVT problem and the doctor prescribed her calaptin 120 mg. He did an echo and an ECG and mentioned everything looked normal. But when I checked the echo report myself, it mentioned trivial MR and trivial TR. The doctor didn't mention these. Should I be concerned about them?
The presence of trivial mitral regurgitation (MR) and trivial tricuspid regurgitation (TR) in the echo report is usually not a cause for concern. These are common findings in many individuals and are often considered normal variations. Trivial MR and TR typically do not require any specific treatment and do not usually impact a person's overall health. In your sister's case, since the doctor did not mention these findings and stated that the echo was normal, it is likely that these minor regurgitations are not clinically significant. However, if you have any concerns or if your sister experiences any new or worsening symptoms, it is always best to follow up with the prescribing doctor for further clarification and guidance. As for the prescribed medication, Calaptin 120 mg is a brand name for the drug Verapamil. It is commonly used to treat certain heart conditions, including supraventricular tachycardia (SVT). The usual dosage for Calaptin 120 mg in the treatment of SVT is typically one tablet to be taken orally, once or twice daily, as directed by the doctor.
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.