Question 1

I've been keeping an eye on my blood pressure using a digital machine and noticed my systolic pressure seems normal at around 120-135. But I'm a bit concerned because my diastolic pressure readouts are showing between 90 and 96. Should I be worried about this or consider starting any kind of medication?

Accepted Answer

no need to worry,maintain salt restricted healthy diet,cut down fats in your diet maint regular Physical activity,and have a regular check on your BP if it is still the same visit Physician for appropriate management

Question 2

I'm trying to understand the difference between the results of my echo and my CT scan regarding my heart condition. My echo shows mild concentric LVH with lvpwdd 12.2 and ivs d 12, and my LVEF is at 73. But my CT scan, which was a 128-slice MDCT of t...

Accepted Answer

Both CT angiography and echocardiogram are valuable tools for assessing left ventricular hypertrophy (LVH), but they provide different types of information. In your case, since the CT angiography showed normal left ventricular cavity with normal thickness and normal coronary arteries, and zero calcium score, it indicates a healthy heart without any structural abnormalities or blockages. On the other hand, the echocardiogram reported mild concentric LVH with specific measurements of left ventricular posterior wall thickness (LVPWd) and interventricular septum thickness (IVSd). Given the discrepancy between the two imaging modalities, it is important to consider the clinical context and overall picture. In this scenario, the findings from the CT angiography showing a normal heart structure and function, along with a negative TMT (treadmill test), are more indicative of a healthy heart. Therefore, the CT angiography results are more reliable in this case. To address the chest pain related problem, you can consider taking medications like Amlodipine (5mg) for blood pressure control and Metoprolol (25mg) for heart rate control. Additionally, Nitroglycerin sublingual tablets can be used for chest pain relief as needed. It is also important to follow up with your healthcare provider for further evaluation and management.

Question 3

I'm a 17-year-old guy and for the past three months, I've been having really frequent heart palpitations, like 4 to 5 times a day, sometimes even 6 or 7. It's just that feeling of my heart skipping a beat for a couple of seconds before it goes back t...

Accepted Answer

It is important to investigate the cause of your frequent heart palpitations and elevated resting pulse rate. One possible connection between your symptoms of heart palpitations and hair thinning could be an underlying thyroid issue. I recommend consulting with a healthcare provider for further evaluation and testing. In the meantime, you can consider taking **Propranolol 10mg** for symptomatic relief of palpitations. However, this is not a definitive treatment and a proper diagnosis is necessary.

Question 4

I'm a bit worried because my heart rate is around 113 BPM even when I'm just resting, but my ECG came back normal. I have to admit, I'm pretty lazy and don't get much exercise, and my breathing gets heavier when I try to run. Could my lifestyle be ca...

Accepted Answer

A heart rate of 113 BPM at rest can be caused by various factors, including physical inactivity and a sedentary lifestyle. Since you mentioned that your ECG is normal, it is less likely to be due to a heart condition. The increase in respiratory rate on running suggests that your body is not efficiently adapting to physical exertion. To address this issue, I recommend starting with lifestyle modifications such as regular exercise and physical activity. Additionally, you can consider taking medication like Metoprolol to help lower your heart rate and improve cardiovascular health. It is important to consult with a healthcare professional before starting any medication regimen.

Question 5

I'm currently taking Telma 40 in the morning and half a tablet of Ivabradine 5 in the evening, both after meals. I'm wondering if I could possibly take both the Telma and the half Ivabradine together in the morning after breakfast instead of spreadin...

Accepted Answer

Taking Telma 40 and Ivabradine 5 together in the morning after breakfast instead of at different times is not recommended. It is important to follow the prescribed dosing schedule to ensure the effectiveness of the medications. Telma (Telmisartan) 40 should be taken in the morning after food, while Ivabradine 5 should be taken in the evening after food. It is best to follow the prescribed timing to achieve the desired therapeutic effects of both medications.

Question 6

I'm really concerned about how blood pressure might affect heart health, especially since I'm diabetic. Can you explain whether high blood pressure or low blood pressure is more likely to lead to heart failure for someone in my situation?

Accepted Answer

High blood pressure (hypertension) is a common cause of heart failure in diabetic patients. Uncontrolled high blood pressure can lead to the heart working harder to pump blood, which can eventually weaken the heart muscle and result in heart failure. It is important for diabetic patients to manage their blood pressure effectively to reduce the risk of heart failure. For high blood pressure in diabetic patients, medications such as Lisinopril (brand name: Zestril) or Amlodipine (brand name: Norvasc) may be prescribed. The dosage will depend on individual factors and should be determined by a healthcare provider. On the other hand, low blood pressure (hypotension) is generally not a direct cause of heart failure in diabetic patients. However, extremely low blood pressure can lead to inadequate blood flow to the organs, including the heart, which can be harmful. It is important for diabetic patients to regularly monitor their blood pressure, follow a healthy lifestyle, and take medications as prescribed to manage both high blood pressure and diabetes effectively.

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Related Questions

I'm trying to understand the difference between the results of my echo and my CT scan regarding my heart condition. My echo shows mild concentric LVH with lvpwdd 12.2 and ivs d 12, and my LVEF is at 73. But my CT scan, which was a 128-slice MDCT of t...

I'm a 17-year-old guy and for the past three months, I've been having really frequent heart palpitations, like 4 to 5 times a day, sometimes even 6 or 7. It's just that feeling of my heart skipping a beat for a couple of seconds before it goes back t...

I'm a bit worried because my heart rate is around 113 BPM even when I'm just resting, but my ECG came back normal. I have to admit, I'm pretty lazy and don't get much exercise, and my breathing gets heavier when I try to run. Could my lifestyle be ca...

I'm currently taking Telma 40 in the morning and half a tablet of Ivabradine 5 in the evening, both after meals. I'm wondering if I could possibly take both the Telma and the half Ivabradine together in the morning after breakfast instead of spreadin...

I'm really concerned about how blood pressure might affect heart health, especially since I'm diabetic. Can you explain whether high blood pressure or low blood pressure is more likely to lead to heart failure for someone in my situation?

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