Question 1

I'm 32 and dealing with anxiety and hypertension. I've been diagnosed with mild concentric left ventricular hypertrophy after a 2D echo. My doctor mentioned taking a TMT and prescribed me TelmaCT 4012.5, Inderal 10, and Rosuvastatin 20. Do you think I should go ahead with the TMT? I'm feeling a bit worried about all this.

Accepted Answer

Since you are already diagnosed with mild concentric left ventricular hypertrophy, it is important to follow your doctor's advice and go for the TMT (Treadmill Stress Test) as suggested. This test will help assess your heart's response to physical stress and evaluate any possible blockages in the arteries.

Question 2

I'm really curious and a bit concerned about something that's been happening to me lately. Every time I finish my lunch, it feels like my heart starts racing more than usual. It's really noticeable, and it only happens after I eat a meal. Just to give you a bit of context, I'm a 53-year-old woman, and I do have a history of thyroid problems. Could this be related, or is there another reason why my heart speeds up after eating?

Accepted Answer

This could be due to a condition called postprandial tachycardia, which is a rapid heart rate that occurs after eating. In your case, with a history of thyroid issues, it could be related to thyroid dysfunction affecting your heart rate. I recommend consulting with your doctor to adjust your thyroid medication if needed. In the meantime, you can try taking a beta-blocker medication such as Metoprolol (25-50mg) before meals to help control your heart rate after eating.

Question 3

I'm dealing with mitral valve prolapse with some mild regurgitation, and I've been on Cardivas for my blood pressure. My doctor mentioned it might also help with MVP. However, I've been having issues with sexual dysfunction, so my doctor switched me to Nebicard. I'm curious which medication, Cardivas or Nebicard, is better for managing both my blood pressure and mitigating any sexual side effects. Any insights would be really helpful.

Accepted Answer

Both Cardivas and Nebicard are beta blockers commonly used to treat conditions like high blood pressure and certain heart conditions. In your case, both medications can help with mitral valve prolapse (MVP) with mild regurgitation by reducing the workload on the heart and helping to control heart rate. Regarding sexual dysfunction, some beta blockers like Cardivas can potentially cause sexual side effects such as erectile dysfunction. Nebicard is a newer generation beta blocker that is less likely to cause sexual dysfunction compared to older beta blockers like Cardivas. Therefore, Nebicard may be a better option for you if sexual dysfunction is a concern. In terms of controlling blood pressure, both Cardivas and Nebicard are effective medications. However, Nebicard may be a preferred choice if you are experiencing sexual side effects with Cardivas. Ultimately, the decision between Cardivas and Nebicard should be made in consultation with your healthcare provider, taking into consideration your individual health needs and any potential side effects you may be experiencing.

yes an ECG along with cardiac markers are advised to the patient. a psychiatric opinion is also advised to the patient

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