Question 1

I'm 42 and my doctor just recently told me I have high blood pressure, so I've been taking TetanH and it's helped to get it under control. I'm thinking about trying intermittent fasting because I've heard it might help with lowering blood pressure too. Do you think that's a good idea for me? Also, I'm curious if there are any side effects from using TetanH over a long period. Can you give me some advice on this?

Accepted Answer

It's great to hear that your blood pressure is now under control with Tetan-H. Intermittent fasting can potentially help lower blood pressure, but it's essential to approach it cautiously, especially when you're on medication. Before starting any new diet regimen, it's important to discuss it with your doctor to ensure it's safe given your specific health condition.

Regarding Tetan-H, which contains telmisartan and hydrochlorothiazide, it can have some long-term side effects like any medication. These may include dizziness, increased uric acid levels, or kidney function changes. Close monitoring by your doctor can help manage any potential side effects.

Question 2

I had an AVR with a mechanical valve about 9 years ago and I'm wondering about my life expectancy now. I make sure to go for my yearly checkups, and my last echo showed an EF of 60, LVDD of 50mm, LA 36mm, with PW and IVS at 1.1cm. My INR level is 2.87. Could you give me some insights on these numbers and what they mean for my future?

Accepted Answer

With a mechanical valve replacement, it is important to maintain a stable INR to prevent complications such as thrombosis or bleeding. Your current INR of 2.87 is slightly higher than the recommended range for mechanical valves, which is usually between 2.0 to 3.0. It is good that you are going for yearly checkups to monitor your condition. To help manage your INR within the target range, you can consider using Warfarin (Coumadin) at a dosage prescribed by your healthcare provider. Regular monitoring and adjustments to your medication may be necessary to keep your INR within the desired range and reduce the risk of complications. As for life expectancy after AVR with a mechanical valve, it can vary depending on various factors including overall health, adherence to medication, lifestyle factors, and regular follow-up care. It is essential to continue with your yearly checkups and follow your healthcare provider's recommendations for optimal management of your condition.

Question 3

I'm really worried because I've been having chest pain for a few weeks now. Sometimes it spreads to my left arm and upper back, which is really scary. I've noticed that my heart's been beating really fast a couple of times this month, and when that happens, I start sweating and feel hot all over. I actually thought I might be having a heart attack. I went ahead and had an ECG done, and it says sinus tachycardia and nonspecific t abnormalities in the inferior leads. Should I be concerned about this? Also, I've taken medication for depression beforecould that be connected somehow?

Accepted Answer

sinus tachycardia in ecg , u need to take treatment for that which includes betablockers ,calcium channel blockers,cardiac opinion is advised

Ecg and cardiac markers are advised to the patient.

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