Question 1

I recently got a TMT and got the results which have left me a bit confused and concerned. The report mentions that my resting ECG is normal, and my functional capacity and heart rate response during exercise are both listed as 'appropriate'. My blood pressure response seemed to be okay too, as it says 'normal resting BP' and 'appropriate response'. I didnt experience any chest pain or arrhythmia, and there were no ST changes. However, the overall impression is marked as a 'normal stress test' but concludes with 'positive for reversible ischemia'. Should I be worried about this reversible ischemia part? What does it mean, and what should my next steps be?

Accepted Answer

Based on the findings of your TMT (Treadmill Stress Test), it appears that your overall impression is normal, but the conclusion mentions a positive result for reversible ischemia. To treat reversible ischemia, you can consider taking antiplatelet medications like Aspirin 75mg once daily, along with a statin like Atorvastatin 20mg once daily to lower cholesterol levels and reduce the risk of further ischemic events. Additionally, a medication like Metoprolol 25mg twice daily can be prescribed to help manage any underlying cardiovascular conditions. It is important to follow up with your healthcare provider for further evaluation and management.

Question 2

I've been struggling with high blood pressure for the past five or six years. I've tried Ayurvedic medicines, but they dont seem to be giving me much relief. I'm worried and wondering if I should consider other treatment options. Any advice on what I...

Accepted Answer

For the high blood pressure that you have been experiencing for the last five-six years, it is important to consider switching to allopathic medications for better control. I recommend starting with a medication called Amlodipine (brand name Norvasc) at a starting dose of 5mg once daily. This medication is commonly used to treat high blood pressure and can help lower your blood pressure effectively. However, it is important to consult with a healthcare professional for proper evaluation and monitoring of your condition.

Question 3

I'm really curious and a bit concerned about something. Can taking the beta blocker metoprolol, especially the Met XL version, lead to higher blood triglyceride levels? If that's the case, is there another beta blocker that might be a better option?

Accepted Answer

Yes, metoprolol XL can potentially cause an increase in blood triglyceride levels as a side effect. Another beta blocker that may be a better option to consider is Nebivolol (brand name Bystolic) which is less likely to affect lipid levels compared to metoprolol XL. It is important to consult with your healthcare provider to discuss the best treatment option for you.

Question 4

I've been feeling some palpitations over the past week, but didn't worry too much since my heart rate seemed okay and I was experiencing a lot of reflux. I thought they might be ectopic beats. However, today something came up that mentioned atrial fl...

Accepted Answer

Atrial flutter is a type of arrhythmia characterized by a rapid and regular heart rhythm, and it can sometimes be misdiagnosed by automatic ECG readings. Given your symptoms of palpitations and the recent diagnosis, it's crucial to have this evaluated by a healthcare professional. An atrial flutter diagnosis should be confirmed by a cardiologist through a thorough review of your ECG and possibly additional tests such as a Holter monitor or an electrophysiological study. Its important not to ignore these symptoms, as atrial flutter can increase the risk of stroke and other complications. Please schedule an appointment with your cardiologist to confirm the diagnosis and discuss appropriate treatment options.

Question 5

My dad's been having this weird acidity and nausea after meals ever since he began taking nikoran5 and rosedayA10. He's only been on these meds since yesterday. Is this normal, and what should we do about it?

Accepted Answer

use medicine

Question 6

I'm a bit confused and worried after seeing my recent health checkup report. It mentions Grade 1 diastolic dysfunction, but everything else like chamber dimension, RWMA, and LV systolic function looks normal. The report also notes trivial MR and TR, ...

Accepted Answer

grade 1 diastolic dysfunction could be due to hypertension , electrolyte imbalance and due to ischaemic heart disease.Salt restricted diet and DASH diet is advised.Also regular aerobic exercises is advised..Alcohol and cessation of smoking is advised

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I've been struggling with high blood pressure for the past five or six years. I've tried Ayurvedic medicines, but they dont seem to be giving me much relief. I'm worried and wondering if I should consider other treatment options. Any advice on what I...

I'm really curious and a bit concerned about something. Can taking the beta blocker metoprolol, especially the Met XL version, lead to higher blood triglyceride levels? If that's the case, is there another beta blocker that might be a better option?

I've been feeling some palpitations over the past week, but didn't worry too much since my heart rate seemed okay and I was experiencing a lot of reflux. I thought they might be ectopic beats. However, today something came up that mentioned atrial fl...

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