Question 1

I'm 33 and have been dealing with high blood pressure for about a decade. I've been taking medication for it, initially just Nebicard 5 mg, but after 12 years, my doctor switched me to Covamlo. However, recently due to some family stress, my blood pressure has spiked, and my doctor prescribed me two tablets. I'm really worried about this change. Is this normal, and should I be concerned about having to take more medication?

Accepted Answer

The medication prescribed to you for high blood pressure is a combination of drugs called Covamlo. The brand name for this combination is Co-Diovan. You have been prescribed 2 tablets, so please take them as directed by your doctor. This combination medication contains Valsartan 160mg and Hydrochlorothiazide 12.5mg. Taking your medication regularly and managing stress through relaxation techniques can help control your blood pressure.

Question 2

I'm really worried about this stiffness in my left ventricle. What can I do to help it get better, and are there specific things I should avoid doing? Can it be cured? I'm not sure what steps to take, and it's a bit overwhelming. Any advice would be ...

Accepted Answer

Stiffness in the left ventricle can be managed with medications such as ACE inhibitors like Lisinopril or ARBs like Losartan to help relax the blood vessels and lower blood pressure. Beta-blockers such as Metoprolol can also be prescribed to reduce the heart rate and workload on the heart. In addition, diuretics like Furosemide may be used to reduce fluid buildup in the body. It is important to follow a low-sodium diet to reduce fluid retention and avoid alcohol and tobacco which can worsen heart conditions. Regular exercise as recommended by your healthcare provider can help improve heart function. It is also important to manage stress and get an adequate amount of sleep to support heart health. Remember to take your medications as prescribed, attend regular follow-up appointments with your healthcare provider, and report any new or worsening symptoms promptly.

Question 3

I'm a bit worried about my health as I recently got some test results back. My lipoprotein ALPA level is 39.1, and my hemoglobin count is 17.7. I've already done an ECG and a 2D echo, and those reports came back fine. Should I be concerned about thes...

Accepted Answer

Your lipoprotein (A) value of 39.1 is within normal range, which is a good sign. A high level of LP(a) is considered a risk factor for heart disease, but your value is not concerning. Your hemoglobin (HB) level of 17.7 is also within normal range. Since your ECG and 2D echo reports are fine, it is unlikely that you have any significant heart disease based on the information provided. It's important to continue monitoring your lipid levels and overall heart health regularly. No specific medication is needed at this point.

Question 4

I'm feeling a heaviness in my chest that seems to come from where the heart is, but it's only happening in the winter. During the summer, I don't experience this at all. Is it something normal or could it be a heart-related issue?

Accepted Answer

This could be due to a condition known as stable angina, where chest discomfort or pain occurs when the heart muscle doesn't get enough oxygen-rich blood flow, often triggered by cold weather. To alleviate symptoms, you can take a medication like Nitroglycerin sublingual tablets as needed for chest pain relief. The usual dosage is 0.3 to 0.6 mg sublingually every 5 minutes as necessary, up to 3 doses. However, it is important to consult with a healthcare provider for proper evaluation and management.

Question 5

I'm 86 and I've been having some issues. I've been getting occasional angina pain and my doctor told me to take Imdur isosorbide mononitrate, 30mg every day. But since I started, I've been feeling dizzy when I stand up or get out of bed, so I'm guess...

Accepted Answer

Don't stop Imdur abruptly. Consult your cardiologist  to adjust dosage or switch to alternative medications. Possible solutions:

Medical Adjustments

1. Reduce dosage: Gradually decrease Imdur to 20-10mg daily.
2. Alternative medications: Consider nitrate-free options like beta blockers or calcium channel blockers.
3. Combination therapy: Add medications to stabilize blood pressure (e.g., fludrocortisones).

Lifestyle Changes

1. Increase fluid intake.
2. Elevate head while standing.
3. Slow rising from bed.
4. Avoid sudden movements.

Monitoring

1. Regular blood pressure checks.
2. Electrocardiogram (ECG) monitoring.
3. Follow-up appointments.

Question 6

I'm trying to understand the best way to evaluate my heart health. If I get TMT and 2D echo tests done, will that give me a full picture of how my heart's working, or should I also include a lipid profile and a hemogram too?

Accepted Answer

To get a complete picture of the functioning of the heart, it is recommended to also do a lipid profile and a hemogram in addition to TMT (Treadmill Test) and 2D Echo. Lipid profile helps to assess the levels of cholesterol and triglycerides in the blood, which are important risk factors for heart disease. Hemogram provides information about the overall health of the individual, including red blood cell count, white blood cell count, and platelet count, which can also impact heart health. Therefore, including a lipid profile and hemogram along with TMT and 2D Echo can provide a more comprehensive evaluation of the heart's functioning.

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Related Questions

I'm really worried about this stiffness in my left ventricle. What can I do to help it get better, and are there specific things I should avoid doing? Can it be cured? I'm not sure what steps to take, and it's a bit overwhelming. Any advice would be ...

I'm a bit worried about my health as I recently got some test results back. My lipoprotein ALPA level is 39.1, and my hemoglobin count is 17.7. I've already done an ECG and a 2D echo, and those reports came back fine. Should I be concerned about thes...

I'm feeling a heaviness in my chest that seems to come from where the heart is, but it's only happening in the winter. During the summer, I don't experience this at all. Is it something normal or could it be a heart-related issue?

I'm 86 and I've been having some issues. I've been getting occasional angina pain and my doctor told me to take Imdur isosorbide mononitrate, 30mg every day. But since I started, I've been feeling dizzy when I stand up or get out of bed, so I'm guess...

I'm trying to understand the best way to evaluate my heart health. If I get TMT and 2D echo tests done, will that give me a full picture of how my heart's working, or should I also include a lipid profile and a hemogram too?

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