apollo
  • 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?

Doctor 1

Answered by 1 Apollo Doctors

for conformation do 2d echo

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really concerned about my mom's health. She's had a history of cardiac attacks and has been on various medications since her last one. Right now, she takes Arkamin in the morning and night, and Ecosprin 75 in the afternoon. She also uses Nexpro 40 and Ganaton 50mg for acidity. The problem is that her blood pressure is consistently around 160-170100 throughout the day, even with medication. There are times it might drop to 13070, but it doesn't last. We've had all these tests done, like Thyrocare X, ECG, and ECO, and everything comes back normal. What's puzzling and worrying is that she's very sensitive to light and sound, her heartbeat increases when exposed to these, especially in the evening. Plus, she feels like her heart skips a beat when there's noise. She's been eating really light and avoiding spicy food, following her angiography back in 2013 where the doctor recommended sticking to medication. I'm really trying to understand why these symptoms are persisting now and what steps we should take next. Any insights?

It seems like your mother is experiencing uncontrolled high blood pressure despite taking Arkamin and Ecosprin. Given her symptoms of sensitivity to light and sound, along with the fluctuating blood pressure readings, it is important to address this issue promptly. Considering her history of cardiac issues, it is crucial to optimize her blood pressure control. I would recommend adding a medication like Telma 40mg once daily to help lower her blood pressure more effectively. Additionally, since she is experiencing acidity, she can continue taking Nexpro 40 for that. In order to address her sensitivity to light and sound, it may be beneficial to consult with an ophthalmologist and an ENT specialist to rule out any underlying issues. It is also important to continue monitoring her blood pressure regularly and make lifestyle modifications such as reducing stress, maintaining a healthy diet, and engaging in regular physical activity. Overall, the addition of Telma 40mg to her current medication regimen may help better control her blood pressure and alleviate some of her symptoms. Regular follow-up with her healthcare provider is essential to monitor her progress.

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Today I was feeling really breathless, so I decided to see a cardiologist. They had me do an ECG, and after looking it over, the doctor recommended getting another one in 23 days. Should I be worried about what my ECG showed? I'm also on antidepressants, and I've heard they can sometimes cause long QT syndrome. Could that be what's going on with my QTc interval? I've attached my ECG, and I'm just hoping you can let me know if there's anything abnormal.

The QTc interval on your ECG appears to be prolonged, which can be a concern as it may lead to arrhythmias. Since you are on antidepressant medication, it is important to monitor this closely as some antidepressants can indeed prolong the QT interval. I recommend discussing this with your cardiologist and considering a change in medication if necessary. In the meantime, you may benefit from taking a medication like Escitalopram at a lower dose to reduce the risk of QT prolongation.

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