Question 1

I'm feeling really anxious because my heartbeat keeps increasing suddenly, and I get this chest pain. I had an echo test, and it came back normal. I also did Holter monitoring, which showed my maximum heart rate was 141, the minimum was 59, and the average was 80. What could be going on with me, and what should I do next?

Accepted Answer

Your symptoms of increased heartbeat, ghabrahat (anxiety), and chest pain could be due to anxiety or a heart condition. Since your echo and halter monitoring results are normal, it is less likely to be a serious heart issue. To manage your symptoms, you can try taking a beta-blocker medication like Metoprolol (brand name: Lopressor) at a low dose of 25mg once daily. This can help control your heart rate and reduce the feelings of palpitations and chest pain. Additionally, practicing relaxation techniques such as deep breathing exercises, yoga, or meditation can also help alleviate anxiety symptoms. It is important to stay hydrated, get regular exercise, and maintain a healthy diet to support your overall heart health. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.

Question 2

I've been dealing with hypertension for the past year and recently found out I have mild LVH. I'm currently taking nebivolol and amlodipine, but my blood pressure still won't go below 13585. I'm only 34, and I'm worried about why these meds aren't working. Is there something else I should consider doing or trying?

Accepted Answer

Managing hypertension with mild LVH (Left Ventricular Hypertrophy) requires a comprehensive approach.

_Current Medications_

1. _Nebivolol_: A beta-blocker that helps lower blood pressure and reduce LVH.
2. _Amlodipine_: A calcium channel blocker that helps relax blood vessels and lower blood pressure.

_Additional Strategies_

1. _Lifestyle Modifications_:
    - Regular aerobic exercise (at least 150 minutesweek)
    - Weight management (aim for a BMI between 18.5 and 24.9)
    - Balanced diet (emphasize fruits, vegetables, whole grains, and lean protein)
    - Stress reduction techniques (meditation, yoga, or deep breathing)
2. _Monitor and Adjust Medications_:
    - Regularly monitor blood pressure and adjust medications as needed.
    - Consider adding a diuretic or an ACE inhibitorARB to enhance blood pressure control.
3. _LVH Monitoring_:
    - Regular echocardiograms to monitor LVH progression
    - Adjust medications and lifestyle modifications accordingly

_Consult a Specialist_

Consider consulting a cardiologist to reassess your treatment plan and provide personalized guidance.

Question 3

I'm struggling with high cholesterol levels and I'm trying to figure out what to do. My total cholesterol is sitting at 221, with an LDL of 146, HDL is 36, and VLDL is 39. Plus, my triglycerides are at 280. I also smoke, but I've been cutting back bit by bit. Do I need to start taking statins because of this? And if I do start them, is it possible to stop once my cholesterol levels go down?

Accepted Answer

Yes you have to start statins and quit smoking completely,maintain healthy lifestyle and stay physically active,use statins for a period of 3 months and check your lipid profile for followup

Ecg and chest x -ray is advised to the patient.

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