- 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 a bit worried because I've been taking Rosukem A1075 after getting diagnosed with T2DM in September 2018. The cardiac doctor I visited then suggested this medication for a normal ECG and echo. But I've just got my annual health checkup reports, and both the ECG and TMT turned out fine. Now I'm unsure if I should keep taking this tablet. My diabetologist says I should continue with Rosuvas 5. Could you help me figure out what to do?
Since you were advised Rosukem A1075 by the cardiologist, it is important to follow their recommendation for your heart health. Rosukem A1075 contains Rosuvastatin 10mg and Aspirin 75mg, which helps in managing cholesterol levels and reducing the risk of cardiovascular events. As for your diabetologist's advice to continue Rosuvas 5, it contains Rosuvastatin 5mg which also helps in lowering cholesterol. It is important to follow both specialists' advice for optimal management of your conditions. So, you can continue taking Rosukem A1075 as advised by the cardiologist and Rosuvas 5 as advised by the diabetologist for your overall health."
Answered by 1 Apollo Doctors
I've been feeling some heaviness in my chest, not so much pain but more like there's something pressed against it. It's also affecting my sleep. My left shoulder and fingers feel a bit numb too, but it's more discomfort than pain. I used to smoke occasionally, like one or two cigarettes every few months, and I drink less than three days a month. All these chest discomforts have been around for about two years now. I saw a doctor back then and they said everything was fine, but it got worse with numbness and lightheadedness, and they said I had spondylosis. I've also had a shoulder injury since 2009, which I didn't really take care of. I'm trying to figure out if this is heart-related, gastric problems, or something due to my shoulder injury. It's really starting to affect me a lot. What could be causing these issues?
Visit your Physician for evaluation and appropriate management
Answered by 1 Apollo Doctors
I'm really worried because I've been having chest pain whenever I move around for about a year now. I even had a chest CT scan done, but the doctor said everything looked normal. I'm confused about what could be causing this pain, especially since it seems to be worse in the morning. Any thoughts on what might be going on?
Probable diagnosis is Gerd, patient is advised pan d ,orally.once daily for 14 days before food..Avoid spicy foods.
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.