- 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've been dealing with high blood pressure for the last month, consistently around 170110, even after taking my medication. I'm really concerned about why it's not coming down and what I should do next. Could there be something else going on that I need to check?
It seems like your current medication may not be effectively controlling your blood pressure. I recommend discussing with your doctor about adjusting your medication. In addition to your current treatment, adding a medication like Amlodipine (5mg) or Lisinopril (10mg) can help lower your blood pressure. Remember to follow up with your doctor regularly to monitor your blood pressure levels.
Answered by 1 Apollo Doctors
I've been noticing some strange smells for the past monthmost foods just don't smell right to me. It hasn't gone away, and on top of that, I've been dealing with chest pains for the last couple of days, especially when I lie down to sleep. Do you think I should see a doctor about this? Also, why do things smell so weird to me? Plus, I'm feeling really tense all the time.
Ecg and x-ray chest pa view is advised to the patient.
Answered by 1 Apollo Doctors
What is an echocardiogram used to diagnose?
An echocardiogram can help your doctor diagnose heart conditions. An echocardiogram uses sound waves to produce images of your heart. This common test allows your doctor to see your heart beating and pumping blood.
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.