- male
- 60 Years
- 29/01/2025
I've been keeping an eye on my health and just found out that my blood pressure is at 14090. My ECG report shows that my right bundle branch is blocked, and now my doctor wants me to start taking CYTOGARD and MONIT GTN 2.6. To be honest, I'm a bit nervous about starting these medications since I don't really have any symptoms. Is it really necessary to take them, or should I hold off until there's something more serious going on?
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View allI just got my ECG report back, and it says "sinus rhythm with marked sinus arrhythmia." Should I be concerned about this? Do I need to see a specialist or get a further consultation? How serious could this be?
Sinus rhythm with marked sinus arrhythmia is a common finding in ECG reports and is usually not a cause for concern. It typically does not require any specific treatment unless it is causing symptoms such as dizziness or fainting. In most cases, it does not indicate a serious underlying heart condition. If you are not experiencing any symptoms, no further consultation is necessary.
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I'm a bit worried after reading my 2D echo report. It mentions mild tricuspid regurgitation and mild pulmonary hypertension with PASP by TR jet measuring 38 mmHg. Does this mean I definitely have pulmonary hypertension? And should I be concerned about it getting worse over time, like becoming moderate or even severe?
Mild pulmonary hypertension is indicated by a PASP (Pulmonary Artery Systolic Pressure) of 36-50 mmHg. This means that there is increased pressure in the pulmonary arteries. To manage mild pulmonary hypertension, your doctor may recommend lifestyle changes and medications such as sildenafil (Revatio) or tadalafil (Adcirca) to help lower the pressure in the pulmonary arteries and improve blood flow. It is possible for pulmonary hypertension to progress to moderate or severe levels in the future, but with proper management and regular follow-ups with your healthcare provider, the progression can be slowed down or even prevented. Regular monitoring and adherence to treatment plans are crucial in managing pulmonary hypertension.
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Should I consider getting a CT angiogram even though my ECG, ECHO, TMT, and chest X-ray have all come back normal? I'm experiencing some chest tightness and occasional shortness of breath, though its just for a moment. My cholesterol levels are a bit high, with LDL at 154 and HDL at 36. I weigh 108 kg, and my blood pressure is at 13075. My dad had bypass surgery back in 2018, so I'm wondering if having a CT angiogram is something I should look into given my symptoms and family history.
Considering your symptoms of chest tightness, shortness of breath, high LDL cholesterol levels, and family history of bypass surgery in your father, it may be prudent to further investigate the possibility of coronary artery disease. A CT ANGIOGRAM can provide detailed imaging of the blood vessels in your heart and help assess for any blockages or narrowing that may not be detected by the tests you have already undergone. In your case, a CT ANGIOGRAM may be recommended to rule out any significant coronary artery disease.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.






