- male
- 65 Years
- 29/01/2025
I've been taking cilametxl 50mg, moxvas 0.3mg, and minipress XL 5mg every morning and night, but I've noticed that my blood pressure drops temporarily and then spikes to around 17598 or 18595 by 4 p.m. and is high again early in the morning around 6 a.m. Why does this happen, and what can I do to manage these fluctuations better?
Answered by 1 Apollo Doctors
Its important to work closely with your doctor to adjust your treatment plan, as fluctuating high blood pressure can be a serious concern over time. Regular check-ups, monitoring, and lifestyle changes will also help manage your blood pressure more effectively. Make sure to follow your doctors advice closely to achieve better blood pressure control.
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
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I'm looking at my 2D echo report and I'm a bit worried about my heart health. It says my mean PAP is 23.18 and PASP is 38mm Hg. There's also something about a peak tricuspid regurgitation velocity of 2.6, and it's noted as mild tricuspid regurgitation. The report mentions my ejection fraction is 60 and that I have good systolic function, with no diastolic dysfunction. I'm just wondering if there's a risk of pulmonary hypertension with these numbers?
Based on your 2D echo report, with a mean PAP of 23.18 and PASP of 38mm Hg, along with a peak tricuspid regurgitation velocity of 2.6 and mild tricuspid regurgitation, it indicates that there is a possibility of pulmonary hypertension. However, further evaluation and monitoring by a healthcare professional are recommended to determine the severity and appropriate treatment.
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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 causing this high heart rate, or should I be concerned about something else?
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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.

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