- 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 confused about what's going on with my heart. My ECG came back positive, but my TMT, Echo, and CT Coronary Angiogram are all normal. I constantly feel this pain that seems to start in my left hand and move to my chest. What could this mean? Should I be worried about this combination of results and symptoms?
The pain radiating from your left hand to your chest could be indicative of musculoskeletal pain, such as costochondritis or muscle strain. I would recommend taking over-the-counter pain relievers like acetaminophen or ibuprofen for pain relief. Additionally, applying a warm compress to the affected area and practicing relaxation techniques may also help alleviate your symptoms. If the pain persists or worsens, it is advisable to follow up with your healthcare provider for further evaluation and management.
Answered by 1 Apollo Doctors
I'm really worried because her blood pressure is staying high despite taking several medications. We've done all the tests, and everything seems fine except her LDL is a little high. What could be causing this, and what else can we do to help get her blood pressure under control?
High blood pressure that is not well controlled despite taking multiple medications can be challenging. In this case, adding a medication such as Amlodipine (5mg) can help lower blood pressure effectively. Additionally, for high LDL cholesterol, Atorvastatin (20mg) can be prescribed to help lower LDL levels and reduce the risk of cardiovascular disease. It is important to follow up with regular blood pressure and cholesterol monitoring to adjust the treatment as needed.
Answered by 1 Apollo Doctors
I've been dealing with high blood pressure and tachycardia since 2012 and it's been pretty frustrating. I've done all sorts of tests and nothing seems to be working out. It's especially annoying with the tachycardia because whenever I start on medication, it works for a bit, then just stops being effective after a while. Right now, I'm taking a mix of meds including metoprolol 150mg (50mg three times a day), ntp 25mg, prazosin 5mg, diltiazem 90 Sr, cilnidipine 10mg, and losartan 50mg among others. This whole situation is starting to feel a bit hopeless. I'm curious if there's anything else I should be trying, or if there's some reason these meds lose effectiveness so quickly. Any insight you could give would be really appreciated.
Thats unusual,visit General Physician for appropriate approach.and maintain balanced diet and healthy lifestyle
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.