apollo
  • Male
  • 28 Years
  • 22/01/2025

I'm on Amlovas 5 mg for high blood pressure, but it's causing me acid reflux and chest pain. Is it okay if I stop taking this medication?

Doctor 1

Answered by 1 Apollo Doctors

No, u have to continue BP medications life-long.

Dr. Dr Khaleel Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm trying to make sense of some health concerns and could use a bit of guidance. I recently had an abnormal ECG that showed RBBB with sinus tachycardia, and my CT angiogram revealed 0 calcium deposits. But I'm still feeling some discomfort in my chest and experiencing breathlessness. Could I still have some kind of heart problem even with these results?

1) Despite the absence of calcium deposits on the CT angiogram, it is still possible to have a cardiovascular issue. Given your symptoms and abnormal ECG findings, further evaluation is necessary. I recommend starting treatment with a beta-blocker like Metoprolol (25-50mg) to help with the sinus tachycardia and chest discomfort. 2) The chest discomfort and breathlessness you are experiencing may be related to your cardiac condition. In addition to the beta-blocker, you can also take Aspirin (81mg) daily to reduce the risk of cardiovascular events. However, it is important to follow up with a cardiologist for a comprehensive assessment and management plan.

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I've been having some health issues that are making me anxious. My ECG today showed a low T wave in V4 and a slight ST depression in V6. I'm not sure what that means, and I'm a bit worried about it. I also tend to get high blood pressure sometimes, and my lipid and cortisol levels are up. What can I do about all this? Should I be getting any more tests done?

Based on your ECG findings of low T wave in V4 and slight ST depression in V6, along with your history of anxiety, high blood pressure, high lipid levels, and high cortisol levels, it is important to further evaluate your cardiac health. I recommend you to consult a cardiologist for a detailed evaluation and management plan. Further tests that may be recommended include: 1. Stress test (Treadmill test) to assess your heart's response to physical activity. 2. Echocardiogram to evaluate the structure and function of your heart. 3. Holter monitor or event monitor to monitor your heart's activity over a period of time. 4. Blood tests to assess your cholesterol levels, blood sugar levels, and other cardiac markers. In the meantime, it is important to manage your anxiety, high blood pressure, high lipid levels, and high cortisol levels. You can consider medications such as Atorvastatin for high cholesterol, Amlodipine for high blood pressure, and Alprazolam for anxiety. However, the specific dosage and duration of these medications should be determined by your healthcare provider after a thorough evaluation.

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I recently went through a treadmill test (TMT) around mid-April, and just a few days after, I found out I had COVID. I got better by the end of April, but ever since, I've noticed that my heart races, especially when I'm doing things like climbing stairs. I went to a cardiologist, and both my ECG and echo tests looked fine, and he mentioned it might be anxiety. But, while my heartbeat is mostly normal now when I'm resting, I do notice a slight chest pain when I walk for more than 20-25 minutes. I'm curious, should I consider doing another TMT? And I'm really wondering, could having COVID possibly lead to plaque build-up in my arteries, even if the first TMT showed everything was fine? Any advice would be great.

It is unlikely that COVID infection would cause plaque in the arteries directly. However, COVID-19 can lead to inflammation in the body which may indirectly affect the heart and blood vessels. Since your previous TMT was fine, it may not be necessary to repeat it unless your symptoms worsen or persist. The chest pain you are experiencing while walking could be due to various reasons, including muscular pain or anxiety-related issues. To alleviate your symptoms, you can try medications like Ranitidine for acid reflux and Paracetamol for chest pain. If the symptoms persist, it is advisable to consult with your doctor for further evaluation and management.

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