Question 1

I'm experiencing some pinching and squeezing chest pains, and my heart rate seems to jump between 80 and 120 with some palpitations. The pain tends to be worse in the afternoons after I eat, but it also happens in the evenings, especially when I start thinking about stuff, even small thoughts make my heart rate go up but it does slow down after I get myself to calm down. I've done multiple ECGs, TM tests, and echoes, and they've all been normal so far. There is sinus tachycardia, though. I don't smoke or drink, but I'm dealing with a lot of anxiety and worry. My cholesterol is at 240 and my blood pressure is around 13090. My sugar levels are almost normal and I weigh 70 kgs with a 5.5 height. I follow a light veg South rice diet and don't eat meat. What's causing this chest pain and geyser-like hot sensation? It's really unsettling and causing me some social anxiety. I'm not married and I don't really have much of a social life. What should I do?

Accepted Answer

patient  needs a psychiatric opinion

Question 2

I'm having some trouble with mild heart palpitations and anxiety, so my cardiologist put me on Telma 40 and propranolol 40 mg. The good news is my palpitations and angina are gone since starting propranolol, but now I'm experiencing some erection issues. I'm wondering, could I switch from propranolol to Nevivolol? Or would it be okay to take tadalafil along with the propranolol? Could you give me some advice on these two options?

Accepted Answer

1. Instead of Propranolol 40 mg, you can use Nebivolol. The recommended dosage for Nebivolol is 5 mg to 10 mg once daily. It is also effective in managing heart palpitations and anxiety, with a lower risk of causing erectile dysfunction compared to Propranolol. 2. You can take Tadalafil with Propranolol, but it is important to consult with your cardiologist or healthcare provider before combining these medications. Tadalafil is used to treat erectile dysfunction, and the combination with Propranolol may help alleviate the erection problem you are experiencing. The usual starting dose of Tadalafil is 10 mg taken prior to anticipated sexual activity, with a maximum frequency of once per day.

Question 3

I've been wondering if cold weather can affect blood pressure. I've noticed that my blood pressure is usually around 12080 to 13084 in the summer, but during the winter, it seems to go up to 13384 and sometimes even 13587. Is that something to be concerned about or is it normal for it to fluctuate with the seasons? Would really appreciate some insight.

Accepted Answer

Yes, cold weather can affect blood pressure. In colder temperatures, blood vessels tend to constrict in order to conserve heat and maintain body temperature, which can lead to an increase in blood pressure. This is why blood pressure tends to be higher in the winter and lower in the summer. To help manage your blood pressure during the winter, you can consider taking medications like Amlodipine (5mg) or Lisinopril (10mg) as prescribed by your doctor. Additionally, maintaining a healthy lifestyle with regular exercise, a balanced diet, and stress management techniques can also help regulate your blood pressure levels throughout the year.

My mom is currently taking a CTD 12.5 tablet daily as her doctor prescribed. I've heard that generic medicines can be more affordable. Is there a generic version of this tablet you could recommend for us? I'm trying to find a more cost-effective option.

Chlorthslid 12.5 mg and thalitone 12.5mg .

More Cardiology Health Queries

Health Articles for you

Heart Rate Levels Explained: Normal Vs Dangerous

Aspirin Uses for Heart Health

Understanding Your Heart Rate: The Basics

Cracking Your Neck and Stroke Risk

Infective Endocarditis Overview and Management