Question 1

So, my diastolic pressure is usually in the 85 to 95 range, though it mostly stays below 90, and my systolic is around 115 to 130. I've had an ECG done, and my lipid profile and urine checkup came back fine. But I'm still wondering why my diastolic is sometimes high. I've noticed a light burning sensation on the left side of my chest whenever my blood pressure goes up. Can you help me figure out what's going on and what I should do about this?

Accepted Answer

Period started: April 12th
2. Unprotected sex: April 16th (Day 5 of period)
3. Emergency contraceptive pill (ECP): April 18th (within 72 hours)
4. Bleeding: May 3rd (not as heavy as regular period, lasted 4-5 days)
5. Current date: May 20th (no period yet)

Considering your situation:

- The bleeding on May 3rd was likely withdrawal bleeding caused by the ECP.
- Since you haven't gotten your period yet, there is a small chance of pregnancy.

Next steps:

1. Take a pregnancy test: Wait a few more days and take a home pregnancy test (HPT) or visit a healthcare provider for a blood test.
2. Consult a healthcare provider: Discuss your situation with a healthcare provider to determine the best course of action.

Question 2

I'm 33 and my blood pressure can fluctuate - sometimes it's around 13590, other times closer to 13085. I've noticed that my heart rate isn't always consistent; sometimes I can really feel it, and other times not so much. It seems to get worse at night. Should I be worried about this? Is it something risky?

Accepted Answer

Your blood pressure readings are slightly elevated, but not in the high risk range. It is important to monitor your blood pressure regularly and make lifestyle changes such as reducing salt intake, exercising regularly, and managing stress.

Question 3

I'm experiencing shortness of breath when I run, and my ECG and Echo reports both came back normal. I'm trying to figure out what's going on. Should I consider getting a CT angiography? Oh, and I've noticed my Echo report lists an ejection fraction of 60, but the stroke volume and EDV fields are blankhow was the EF calculated? I've attached the report too.

Accepted Answer

Shortness of breath during exercise despite normal ECG and Echo reports could be due to other factors such as asthma, anemia, or even deconditioning. Since your Echo report shows a normal ejection fraction of 60%, the calculation is typically done using the formula EF = (SVEDV) x 100. However, since the SV and EDV values are missing in your report, it may be challenging to accurately calculate the EF. Considering your symptoms and the inconclusive nature of the Echo report, it may be advisable to consult with a cardiologist to determine the need for further testing such as a CT angiography to rule out any coronary artery disease.

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