Question 1

I'm 22 and I've been dealing with some blood pressure issues. I was on propranolol, but it didn't seem to help much, so my doctor switched me to telmisartan and metoprolol. I'm a bit concerned about switching meds so quicklycan stopping one and starting another suddenly cause problems? Also, since I'm pretty young, are these medications going to have any negative effects on me? I think my BP might be more of a "white coat" issue than a constant problem. What do you think?

Accepted Answer

Yes you can take it ,follow your doctors advice

Question 2

I'm having this persistent pain on the left side of my chest, and I've already seen a cardiologist about it. They had me do a bunch of tests like an ECG, 2D echo, TMT, CT coronary angiography, and even conventional angiography. Everything came back n...

Accepted Answer

Hello, based on your history and the recent ECG findings showing T wave abnormality suggesting anterior ischemia, it is important to further evaluate the cause of your chest pain. Since your cardiac tests have all come back normal, the T wave abnormality may be due to other factors such as coronary artery spasm, inflammation, or even non-cardiac causes. I recommend discussing with your doctor about starting medication like Nitroglycerin sublingual tablets for immediate relief during chest pain episodes. Additionally, you may benefit from medications like Beta-blockers (e.g. Metoprolol) and Calcium channel blockers (e.g. Amlodipine) to help prevent chest pain episodes. It would also be helpful to consider a referral to a gastroenterologist to rule out any gastrointestinal causes of chest pain, as well as a follow-up with a cardiologist for further evaluation and management. Remember to follow up with your healthcare provider for a personalized treatment plan.

Question 3

I'm 29 and just had some tests done, including an ECG, ECHO, and TMT, and the results came back normal, but there was a note in my ECHO report about "LV diastolic dysfunction grade 2." My cardiologist said it's normal and nothing to worry about, but ...

Accepted Answer

"Based on your description, it seems like you are concerned about the comment in your ECHO report regarding LV diastolic dysfunction grade 2. Your cardiologist has reassured you that it is normal and nothing to worry about, which is a good sign. LV diastolic dysfunction grade 2 indicates some stiffness in the left ventricle of your heart during the relaxation phase, but it is a common finding and may not necessarily indicate any serious issues. Considering your age, lifestyle habits, and the fact that all your other tests (ECG, TMT) are normal, there is likely no cause for concern. Factors such as inadequate sleep and wearing double masks during the tests could have influenced the results slightly. To further support your heart health, you can focus on maintaining a healthy lifestyle with regular exercise and a balanced diet. If you have any specific symptoms or concerns in the future, do not hesitate to follow up with your cardiologist for further evaluation. No specific medication is required for LV diastolic dysfunction grade 2 at this stage. Just continue with your healthy habits and follow up with your cardiologist as recommended for routine check-ups."

Question 4

I'm feeling really confused right now. My ECG showed something called inferolateral ischemia, but then both my TMT and 2D echo tests came back normal. I'm not sure what's going on, and it's making me anxious. On top of that, my cholesterol and trigly...

Accepted Answer

lipid profile is derranged, u can start tab fenofibrate 160 mg bed time for 3 months, review with lipid profile reports after 3 months.

Question 5

My mom's been dealing with hypothyroidism for about 2 years now, and lately, whenever she gets anxious, her blood pressure spikes, although she's not hypertensive. Since last night, her BP's been consistently high, with systolic ranging from 146 to 1...

Accepted Answer

The high blood pressure readings along with anxiety symptoms in your mother could be due to a combination of factors, including her underlying hypothyroidism. In this situation, it would be advisable to add a medication specifically for controlling blood pressure. I recommend starting her on a medication called Amlodipine 5mg once daily. Additionally, it would be beneficial to address the anxiety symptoms with a medication such as Lorazepam 0.5mg as needed for anxiety. However, it is important to monitor her blood pressure regularly and follow up with her healthcare provider for further evaluation and management.

Question 6

I recently had a TMT and an ECG done, and the ECG is attached for reference. The TMT report mentioned no ischemia, but I'm still getting some random chest pains, especially when I'm lost in thought. I've been given an antacid for it. How long is the ...

Accepted Answer

The validity of a TMT (Treadmill Test) can vary depending on individual circumstances, but generally, it is valid for 1-2 years for individuals with a low risk of heart disease. Since your TMT report shows "No Ischemia" and you are experiencing random chest pain, it is important to follow up with your healthcare provider for further evaluation. In the meantime, you can continue taking the antacid as prescribed. If the chest pain persists or worsens, please consult your doctor for further assessment and management.

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Related Questions

I'm having this persistent pain on the left side of my chest, and I've already seen a cardiologist about it. They had me do a bunch of tests like an ECG, 2D echo, TMT, CT coronary angiography, and even conventional angiography. Everything came back n...

I'm 29 and just had some tests done, including an ECG, ECHO, and TMT, and the results came back normal, but there was a note in my ECHO report about "LV diastolic dysfunction grade 2." My cardiologist said it's normal and nothing to worry about, but ...

I'm feeling really confused right now. My ECG showed something called inferolateral ischemia, but then both my TMT and 2D echo tests came back normal. I'm not sure what's going on, and it's making me anxious. On top of that, my cholesterol and trigly...

My mom's been dealing with hypothyroidism for about 2 years now, and lately, whenever she gets anxious, her blood pressure spikes, although she's not hypertensive. Since last night, her BP's been consistently high, with systolic ranging from 146 to 1...

I recently had a TMT and an ECG done, and the ECG is attached for reference. The TMT report mentioned no ischemia, but I'm still getting some random chest pains, especially when I'm lost in thought. I've been given an antacid for it. How long is the ...

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