- 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 allHey, I've been feeling really worried lately. So, I'm a 29-year-old guy and back in December, I had this scary episode where my heart was racing like crazy and I had chest pain. I rushed to the hospital, they did an ECG, and said everything looked fine. I even saw another senior cardiologist who also checked me out and didn't find anything alarming. They gave me some meds like clonozopam and betacap tr 40, and things were okay for a while. But the past few weeks, I've been getting this weird fluttering or vibrating feeling in my heart, especially in the evenings. I don't have any chest pain or other symptoms now, but I'm really stressed about it. With the lockdown, I'm having trouble seeing a doctor again. Do you think this could just be anxiety, or is there something else going on? What should I do? I've attached the ECG from that time, if that helps.
That could be due to anxiety,if your previos medicines are avaialable with you you can take those medicines and visit psychiatrist for appropriate management
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I'm really concerned about something and wanted to get your advice. I'm 61 and just had some tests done. They said my LV function is normal with an EF of 60 and no RWMA, but I have trivial MR and Grade 1 LV diastolic dysfunction with concentric LVH. The valves check out fine and there are no clots, vegetation, or pericardial effusion. My chamber dimensions are normal too. But when I did a stress TMT, it showed some significant ST changes in leads II, III, AVf, V4, V6, although I had no arrhythmia or chest pain, and my heart rate and blood pressure responded normally. Should I be worried about these ST changes? What does this all mean for my heart health?
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