Question 1

Why does my doctor want to change my BP medication from Olmesar H 20 to T Nabicar 5Mg? My BP seems under control and my pulse rate is usually between 90-100, though it goes from 100 to 130 during the TMT. My triglycerides are at 201 but all other cholesterol and kidney tests came back normal. They've also suggested I start taking Atorva 10Mg. Can you help me understand if switching to these new meds is the right move?

Accepted Answer

Based on your doctor's recommendation, it would be advisable to switch from Olmesar H 20 to T Nabicar 5mg for better management of your blood pressure. Additionally, starting Atorva 10mg can help in lowering your triglyceride levels. It seems like a reasonable adjustment to your medication regimen to further improve your cardiovascular health.

Question 2

I'm really worried about my blood pressure lately. My 2D echo showed concentric LVH with an EF of 60 and grade 1 diastolic dysfunction. I've been on medication since September, taking one tablet in the morning and two at night. Initially, my BP seemed stable, but now in December, it's been fluctuating a lot. Previously, it was around 12082 to 12585 in the morning and 13585 to 13882 in the afternoon. But now, I'm seeing readings like 14090 in the morning and 14894 in the afternoon. I'm active, so what's causing these changes in winter? How should I take care of my BP during this season?

Accepted Answer

It is important to monitor your blood pressure regularly, especially with your medical history of Concentric LVH and diastolic dysfunction. Considering your situation, I would recommend adding or adjusting your current medication regimen to better control your blood pressure during the winter season. You can discuss with your doctor about adding a calcium channel blocker like Amlodipine 5mg in the morning and a combination of Valsartan 80mg + Hydrochlorothiazide 12.5mg in the evening. This can help in better blood pressure control throughout the day. In addition to medication, it is also important to make lifestyle modifications to help manage your blood pressure. This includes reducing salt intake, maintaining a healthy weight, regular exercise, managing stress, and avoiding smoking and excessive alcohol consumption. It is not uncommon for blood pressure to fluctuate with the change in seasons, but with the right medication and lifestyle adjustments, you can better manage your blood pressure even during the winter months. Make sure to continue monitoring your blood pressure regularly and follow up with your doctor for any further adjustments needed."

Question 3

Is my EKG normal? Can you manually check the QTc levels because last time the machine got it wrong? Also, I'm confused about what non-specific ST depression means. From what I understand, ST depression is linked to a heart attack or ischemia. I've had ECGs before, but this is the first time I've seen this in the report. Could you help explain this?

Accepted Answer

Regarding the EKG, I cannot check the QTc levels manually through this platform. Non-specific ST depression on an EKG means that there are changes in the ST segment of the EKG that are not specifically indicative of a heart attack or ischemia. It can be caused by various factors such as electrolyte imbalances, medications, or even normal variation. If you have concerns about the findings on your EKG, it would be best to discuss them with your healthcare provider for further evaluation and interpretation.

continue same medications, lipid panel is advised and physician opinion..

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