Question 1

I'm 25 and dealing with prehypertension. My blood pressure is at 14090. I've had tests done and everything seems normal, like my lipid profile, liver function, and kidney function test. I've been eating mostly green veggies and getting some exercise every morning, but I still can't seem to get my blood pressure under control. Do you think I should consider medication?

Accepted Answer

Since your blood pressure is not controlled despite lifestyle changes, medication may be necessary to help manage your pre-hypertension. I recommend starting with a low-dose of a medication like Losartan (brand name: Cozaar) 25mg once daily. It is important to monitor your blood pressure regularly and follow up with your healthcare provider to adjust the dosage if needed.

Question 2

I've noticed that my resting pulse rate usually hovers around 90, although it can dip slightly below that sometimes. Is this normal for me? Also, I've observed that my pulse rate spikes to around 120 after I eat and take a light walk, like after lunch. Is this something I should be concerned about? Just a month ago, I went for a health check-up, and both the ECG and 2D echo turned out normal. I'd love to get your thoughts on this.

Accepted Answer

A resting pulse rate of around 90 beats per minute can be considered within the normal range, although it is on the higher side. It is normal for the pulse rate to increase after eating or during physical activity. A pulse rate of around 120 beats per minute while walking after lunch is also within normal limits, especially if you were engaging in mild physical activity. Since your ECG and 2D echo results were normal one month back, it is reassuring that there are no underlying heart conditions causing these pulse rate variations. However, if you continue to have concerns about your pulse rate, it would be advisable to monitor it regularly and consult with your healthcare provider for further evaluation and advice on managing your pulse rate.

Question 3

I've noticed that my resting heart rate usually falls between 53 and 60, and my blood pressure seems fine. I don't experience shortness of breath, weakness, or any faintness. I don't get tired during physical activities, either. Over the past couple of years, I've had ECG, TMT, and Echo tests done; they didn't show anything concerning. The only thing that came up was a grade I diastolic dysfunction on the Echo test, but my doctor said that was normal. I play cricket almost every weekend without any issues. Is having a heart rate between 53-60 something I should worry about? Do you think I should get it checked out or need any treatment?

Accepted Answer

Your resting heart rate of 53 to 60 beats per minute is considered to be on the lower side but can be normal for some individuals, especially those who are physically active like yourself. Since you do not experience any symptoms like shortness of breath, weakness, fainting, or exhaustion during physical activity, and your ECG, TMT, and Echo tests have not shown any significant abnormalities, there may not be a cause for concern. However, if you are still worried about your low heart rate, you can consult with your doctor to rule out any underlying issues. In the meantime, continue to stay active and monitor your heart rate during physical activities. If further evaluation is needed, your doctor may recommend additional tests or monitoring.

I've had an angioplasty with a drug-eluting stent placed back in March, and I'm currently on medication. I'm really wondering if it's okay for me to have alcohol socially. I used to enjoy whiskey about twice a week before all of this. Can you give me some advice on whether that's still safe?

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