- 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
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View allI'm feeling really confused and worried. Last year, my echocardiogram showed diastolic dysfunction, but when I did it again this year, it showed everything was fine with no sign of it. I'm trying to understand if diastolic dysfunction can reverse itself? I read online that it usually happens to older people, but I'm not that old and my blood pressure, sugar, and thyroid levels are all normal. Why did this happen to me, and should I be worried about it?
Your present echocardiogram is normal, previous report may reflect your clinical condition on that time. At present your reports are within normal limits.
Answered by 1 Apollo Doctors
I'm really concerned about my blood pressure shooting up to 14090 all of a sudden. I've had high BP since I was 33, and now I'm 38. My weight is around 110 kg and I'm 5 feet 7 inches tall, so I know I'm quite obese. I stress out easily and can get pretty angry. There's been times I've broken stuff at home when my family doesnt listen to me. I had my heart checked by a cardiologist 1.5 years ago with an Echo and a TMT, and everything seemed fine, but my BP still spikes. I was initially prescribed Telma 40 mg, and now Im on Stamlo 5 mg daily. My heart rate jumps to 130 if I walk fast for just a kilometer. Is this normal? I'm also an asthma patient, and I find myself taking deep breaths a lot. Why do these sudden BP spikes and high heart rates happen to me?
Based on your description, it seems like you are experiencing episodes of sudden high blood pressure due to various factors such as obesity, stress, and possibly uncontrolled anger. The combination of these factors can contribute to spikes in blood pressure. It's good that you have been evaluated by a Cardiologist and have undergone tests to rule out any underlying heart issues. To help manage your blood pressure, you are currently taking Stamlo 5mg, which is a brand name for Amlodipine. This medication helps to relax the blood vessels, allowing blood to flow more easily and lowering blood pressure. In addition to this, it is important to make lifestyle changes such as maintaining a healthy weight, reducing stress through relaxation techniques or counseling, and addressing anger management. Regarding your heart rate reaching 130 beats per minute during physical activity, it can be considered normal for some individuals, especially if you are not used to regular exercise. However, since you are also an Asthma patient, it is important to monitor your heart rate during physical activity and consult with your healthcare provider if you experience any concerning symptoms. Overall, it is essential to continue taking your medication as prescribed, make necessary lifestyle modifications, and keep track of your blood pressure regularly. If you have any further concerns or if your symptoms persist, please consult with your healthcare provider for a personalized treatment plan.
Answered by 1 Apollo Doctors
Im experiencing some pain in the lower part of my breastbone on the left side of my chest, and it's getting worse when I exhale. What should I do? Could you give me some advice?
take ecg and confirm
Answered by 1 Apollo Doctors
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