Question 1

I've been dealing with palpitations and high blood pressure diagnosed at 140 over 90 around four months ago. They did an ECG and ECHO, and those came back normal. I was prescribed Telma 20 and Ivabradine 5mg for the BP and palpitations. I recently stopped taking Telma 20 for a few days to keep an eye on my BP, and it settled at a constant 130 over 76. Do you think I should stop taking the BP meds altogether, or is it better to keep going with them? I've also made some lifestyle and diet changes. What do you suggest?

Accepted Answer

Yes you can stop the drug and check your BP daily for 2 weeks if its maintained normal,you can pause the drug an dcontinue healthy life style

Question 2

I've been having some chest pain that moves around a bit - sometimes it's on the left side, other times in the middle. I walk 5 km every day and I don't feel any pain when I walk, which is odd. About a year and a half ago, I had a TMT, Echo, and ECG done, and everything came back normal. Since then, I've had four more ECGs, and they're all normal too. I attached my latest ECG here. I'm just wondering, is there anything else I can do to really make sure this isn't a heart-related issue? The pain mostly hits when I'm sitting, so I can't figure out what's going on. Could it really be non-cardiac?

Accepted Answer

"Hello, based on your description and the normal results of your TMT, Echo, and multiple ECG tests, it is less likely that the chest pain is related to a cardiac issue. Since the pain occurs mostly when you are sitting, it could be musculoskeletal or related to gastric issues. I recommend trying over-the-counter antacids like **Ranitidine** 150mg twice daily before meals to see if it helps with the pain. Additionally, you can take **Acetaminophen** 500mg as needed for pain relief. If the pain persists or worsens, further evaluation by a healthcare provider may be necessary."

Question 3

I'm a 36-year-old unmarried woman with a slim build and usually pretty active, but lately due to lockdown, Ive been sitting and working a lot. Today, I decided to do some cleaning, like mopping and sweeping, and afterwards, I started having really strong palpitations and felt restless, especially around my neck where the carotid artery is. I'm still experiencing palpitations with any physical work and feel a bit breathless because of them. I don't have diabetes or thyroid issues, but after looking it up online, Im worried it might be a heart attack. My citys still in lockdown, so I cant visit a doctor, and I'm scared something serious is going on. Can you advise on what might be happening and what I should do?

Accepted Answer

It sounds like you are experiencing palpitations and restlessness after doing physical work. These symptoms can be concerning, but it is important not to jump to conclusions like a heart attack without proper evaluation. It is possible that the increased physical activity after a period of inactivity is causing these symptoms. To help alleviate your symptoms, you can try taking a rest and lying down in a comfortable position. Make sure to stay hydrated and avoid any stimulants like caffeine. If the symptoms persist or worsen, you can take a tablet of propranolol 10mg for palpitations. However, if you continue to feel unwell or if the symptoms are severe, it is important to seek medical attention. I would recommend monitoring your symptoms closely and if they continue or worsen, please seek medical help as soon as possible

As an emergency medicine you can take half tablet and visit Your doctor as soon as possible

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