Question 1

I've been keeping an eye on my blood pressure and it was pretty high last year, like 140 over 90, which led to an echo test. They found lvh at 13mm, and lately, my blood pressure has been settling around 128130 over 85. I'm not on any medication right now. Should I be considering starting on blood pressure meds given these details?

Accepted Answer

Based on your current blood pressure readings and the presence of left ventricular hypertrophy (LVH) on your echo report, it is advisable to start blood pressure medication to help maintain your blood pressure within a healthy range and reduce the strain on your heart. I recommend starting with a medication like Losartan (50mg once daily) to help lower your blood pressure and protect your heart from further damage. It is important to monitor your blood pressure regularly and follow up with your healthcare provider for further guidance.

Question 2

I've been experiencing this strange body shake with every heartbeat, and its been going on for about four months now. I've had an echo and an ECG, both of which came back normal. But I can still see my fingers, hand, stomach, and even my head shake with each heartbeat. It's really puzzling me. What could be causing this?

Accepted Answer

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Question 3

I've been dealing with chest pain for the past three months that comes and goes, and it often spreads to my left shoulder, arm, and even my jaw. Sometimes I get dizzy too. I had COVID before, and now I'm also experiencing some breathing issues since last week. I saw a cardiologist, and the ECG, trop test, and chest X-ray all showed nothing unusual. I had an echo and a TMT done today. Can you help me understand what's going on? What could be causing my symptoms if all these tests are normal?

Accepted Answer

Based on your symptoms and the tests you have undergone, it seems like you may be experiencing symptoms of angina or coronary artery disease. Since your ECG, troponin test, chest X-ray, echo, and TMT are normal, it is important to continue monitoring your symptoms and follow up with your cardiologist for further evaluation. In the meantime, you can take medications like Aspirin 75mg once daily to help reduce the risk of heart attack, and medications like Atorvastatin 20mg once daily to manage cholesterol levels. Additionally, Nitroglycerin sublingual tablets can be taken as needed for chest pain relief. It is also important to make lifestyle changes such as maintaining a healthy diet, regular exercise, quitting smoking (if applicable), and managing stress to improve your overall heart health. If your symptoms persist or worsen, please consult your cardiologist for further evaluation and management.

Can I still have a heart rate of 125 and it be normal? I just recovered from being ill for two months and I'm feeling really weak. Should I be concerned about this or is it just part of my recovery?

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