Question 1

I'm really worried about my dad's blood pressure. It was high at 160110 before, but after he started taking Metocard XL 25 and Triolmesar 20 for about a month, it's dropped to 8772, measured with a digital Omron monitor. Do you think he should keep taking his current medication or adjust the dose? Also, he's diabetic and taking Glyciphage SR 500 and Tenlimac 20. Plus, he's being treated for prostate issues with Maxvoid 8. Could all these medications be affecting his blood pressure too much? What would be the best course of action?

Accepted Answer

Given the significant drop in blood pressure from 160110 to 8772, it is important to reassess the medication regimen. In this case, it is advisable to consult with your father's healthcare provider to adjust the dosage or possibly consider discontinuing one of the antihypertensive medications. Lowering the dose of Metocard XL 25 or Triolmesar 20 may be necessary to prevent hypotension, especially considering his current blood pressure readings. Regular monitoring and coordination with his healthcare provider are essential to ensure optimal management of his hypertension while taking into account his diabetes and prostate issues.

Question 2

I'm really worried about my 62-year-old diabetic relative. He's had angina for over a year, and his ECG showed some troubling signs like a Q wave with T wave inversion. The echocardiogram was apparently normal, but the treadmill test came back positive, and the coronary angiogram revealed triple vessel coronary artery disease. He's stable now, thankfully, but they recommended PCI for the LCx and RCA. I'm just wondering what all this really means and where would be the best place for him to get this treatment? I'm feeling a bit lost here.

Accepted Answer

If he is having triple vessel disease,he needs to u dergo Bypass surgery if not there is higher risk of sudden cardiac arrest, visit Cardiologist and follow their advice

Question 3

I'm really worried because I'm 26 and I've been having some heart pain, shortness of breath, and light dizziness. My lipid profile is normal, but my 2D Echo showed a Left ventricle size of 4.0 x 3.0 cm, IVSD 0.8 cm, LVPW 0.8 cm, EF 47, and FS 23. Everything else seemed normal. Is this something I should be really concerned about? Is it fixable, and can I get back to my normal life? I'm feeling scared and unsure about what steps to take.

Accepted Answer

Based on your symptoms and the findings from your 2D Echo, it is important to further evaluate your condition. The slight heart pain, shortness of breath, and dizziness could be indicative of a cardiac issue. With an EF of 47% and FS of 23%, there may be some impairment in your heart's pumping function. To address this, you may benefit from medication to improve your heart function and symptoms. I recommend starting with a beta-blocker such as Metoprolol (25-50 mg once daily) to help reduce your heart's workload and improve its efficiency. Additionally, an ACE inhibitor like Enalapril (5-10 mg once daily) can also be beneficial in improving heart function. It is important to follow up with a cardiologist for further evaluation and management. Lifestyle modifications such as a heart-healthy diet, regular exercise, and stress management are also crucial in improving your heart health. With proper treatment and lifestyle changes, many individuals can lead a normal life with cardiac conditions. Remember, early detection and management are key in addressing any potential heart issues. Take care and follow up with your healthcare provider for personalized care and guidance

See a specialist for accurate diagnosis and targeted treatment.

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