Question 1

I'm concerned about my blood pressure spiking in the evenings. It goes up to 16090, but stays under 12580 throughout the day until around 5pm. I'm 36, weigh 78kgs, and my height is 5 feet 4.5 inches. Is there something specific causing this? Any advice on what I should do?

Accepted Answer

To help manage your blood pressure spikes in the evening, you can consider taking a medication like Amlodipine (brand name Norvasc) 5mg daily in the evening. Additionally, lifestyle modifications such as reducing salt intake, regular exercise, maintaining a healthy weight, and managing stress can also be beneficial in controlling your blood pressure. Remember to consult with your doctor before starting any new medication.

Question 2

I've been dealing with high blood pressure at 160100, and even after taking medication for four months, it hasn't improved. Yesterday, I was given two different prescriptions, and now I'm feeling dizzy in the morning and can't stand. The doctor mentioned some tests too. Is this something I should be worried about? Why isn't my blood pressure going down?

Accepted Answer

It is concerning that your blood pressure is still high despite taking medication for 4 months. The dizziness and inability to stand after taking the new medications could be due to their side effects. It is important to follow up with your doctor regarding these symptoms. Regarding why your blood pressure is not coming down, there could be various reasons such as medication resistance, underlying health conditions, lifestyle factors, or incorrect dosage. It is crucial to discuss this with your doctor to adjust your treatment plan accordingly. In the meantime, make sure to monitor your blood pressure regularly, follow a healthy diet low in sodium, engage in regular physical activity, manage stress, and avoid smoking and excessive alcohol consumption.

Question 3

My dad is 55 and just had a treadmill test that showed inducible ischemia. The doctor recommended an angio does this mean there's a blockage? Can this be treated with meds or will he need surgery? If it gets treated, could it come back later? Also, does this raise his risk of heart failure? Really concerned about what this means for him.

Accepted Answer

TMT positive suggests that certain part of the heart is not receiving adequate blood supply in the time of stress which means that there has to be some amount of blockage in the blood vessels supplying blood to the heart so 2 things should be done Medications like blood thinners cholesterol and others heart medication used to be started and will continue for at least a long time if not life long And a coronary or CT angiography needs to be done to check the percentage of blockage and the location and intensity of severity of disease according to to which the treatment will depend so I will advise you to get the above tests done as soon as possible because he carries a risk of eminent heart attack with TMT positive

ecg and cardiac markers are advised to the pt.

More Cardiology Health Queries

I'm concerned about my blood pressure spiking in the evenings. It goes up to 16090, but stays under 12580 throughout the day until around 5pm. I'm 36, weigh 78kgs, and my height is 5 feet 4.5 inches. Is there something specific causing this? Any advice on what I should do?

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