Question 1

I'm 36, and my blood pressure is pretty high at 142 over 94. I'm worried that if I start taking blood pressure meds, it might lead to erectile dysfunction or affect my sex life somehow. I'm getting married in four months, so this is really on my mind, especially since I haven't had morning erections for the past five months. I already walk about 2 km every day, but can I manage this with lifestyle changes alone? What's the best way forward?

Accepted Answer

Starting blood pressure medication is important to manage your blood pressure and reduce the risk of complications. Some blood pressure medications, such as beta-blockers and diuretics, may have side effects like erectile dysfunction. However, there are other options like calcium channel blockers or ACE inhibitors that are less likely to cause this issue. Lifestyle changes such as maintaining a healthy diet, regular exercise, limiting alcohol intake, and managing stress can also help control blood pressure and improve erectile function. I recommend discussing with your doctor about starting a blood pressure medication that is less likely to cause erectile dysfunction, such as a calcium channel blocker like Amlodipine 5mg once daily. Additionally, continue with your daily walks and consider incorporating other healthy habits to improve your overall health and sexual function.

Question 2

I'm a bit confused about the changes in my LVEF readings. Initially, my echo showed an LVEF of 55, but a month later, it increased to 70, just 30 minutes after undergoing a TMT. Is it normal to have such variations, and should I be concerned about this?

Accepted Answer

The increase in Lvef from 55 to 70 after 30 minutes of tmt could be due to the positive effects of the medication. To maintain and improve your heart function, you can continue taking medications like Carvedilol 6.25 mg twice daily and Lisinopril 10 mg once daily as prescribed by your healthcare provider. Regular follow-up with your doctor is important to monitor your heart function and adjust your treatment plan if needed.

Question 3

I've noticed that when I'm at rest, my pulse is usually around 65, but when I stand up, it shoots up to around 90-95 for a few seconds before settling back to around 75-80. Could this be a sign of POTS? I'm a bit concerned and curious about what's happening in my body.

Accepted Answer

Based on your description of a significant increase in heart rate upon standing, it is possible that you may be experiencing symptoms of Postural Orthostatic Tachycardia Syndrome (POTS). To help manage the symptoms of POTS, you can try increasing your fluid and salt intake, wearing compression stockings, and engaging in regular exercise. Medications such as Fludrocortisone or Midodrine may also be prescribed by your doctor to help regulate your heart rate. However, it is important to consult with a healthcare professional for a proper diagnosis and treatment plan.

tab pantop 40 mg for 5 days 12hrly , and timely eating habits, stop junk food , stop tea coffee and review

More Cardiology Health Queries

I'm a bit confused about the changes in my LVEF readings. Initially, my echo showed an LVEF of 55, but a month later, it increased to 70, just 30 minutes after undergoing a TMT. Is it normal to have such variations, and should I be concerned about this?

I've noticed that when I'm at rest, my pulse is usually around 65, but when I stand up, it shoots up to around 90-95 for a few seconds before settling back to around 75-80. Could this be a sign of POTS? I'm a bit concerned and curious about what's happening in my body.

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