Question 1

I've been tracking my blood pressure for the past six months, and I've noticed my diastolic pressure is consistently between 95 to 106 and my systolic pressure is from 118 to 135. My pulse rate stays between 95 to 113. Occasionally, I feel this heaviness in my chest and get a bit short of breath. When my readings are high, I usually take half a tablet of nebistar h, and sometimes an anxit, but never at the same time. Could you help me understand what's going on and what I should do?

Accepted Answer

Your symptoms suggest that you may be experiencing hypertension and anxiety. Nebistar H is a combination medication containing Nebivolol and Hydrochlorothiazide, which helps in lowering blood pressure. I recommend taking one tablet of Nebistar H (Nebivolol 5mg + Hydrochlorothiazide 12.5mg) once daily in the morning. For anxiety, Anxit tablet can be helpful. Anxit contains Alprazolam, which is used to manage anxiety disorders. You can take one tablet of Anxit (Alprazolam 0.25mg) as needed when you feel anxious. However, it is important to monitor your blood pressure regularly and follow up with a healthcare provider for further evaluation and management.

Question 2

Is it okay to use hot water steam for a cough if I've just had an angioplasty? I'm worried about whether the steam could affect the stent, especially since it's only been a week since the procedure. Would it be safe to try this, or should I avoid it?

Accepted Answer

Taking hot water steam for cough after Angioplasty is generally safe, as it can help to soothe the throat and loosen mucus. However, it is important to avoid inhaling steam directly through the nose, as this can potentially irritate the nasal passages and sinuses. As for the stent, steam inhalation is unlikely to have any direct effect on the stent itself. Just make sure to keep a safe distance from the hot water to prevent any burns.

Question 3

I'm really worried about my health lately. I've been dealing with diabetes and high blood pressure for a year now. Last October, I went through some tests like an echo, and everything seemed normal except for some grade 1 diastolic dysfunction. The TMT was negative, and my ECG looked okay. But I'm still having chest pain and pain in my left hand every week, and my heart sometimes races to 150160 bpm, with blood pressure at 180110. I even feel like passing out once a month. I've got pain in my chest, left hand, and jaw too. The doctor said last year that it wasn't a cardiac issue, but I can't shake off these symptoms. Without my blood pressure meds, my blood pressure spikes to 170110 and my heartbeat to 130. I'm currently on metoprolol, talmisartan, and vildapride. Its been seven months since those tests; should I go for another echo or TMT? Ive attached my last years reports and recent ECG too. What do you think?

Accepted Answer

Based on your history and symptoms, it would be advisable to undergo a repeat echocardiogram and stress test (TMT) to assess your heart function and rule out any cardiac issues. Considering your persistent symptoms and the changes in your blood pressure and heart rate, it is crucial to ensure that your current medications are effectively controlling your conditions. In addition to your current medications (metoprolol 50mg twice a day, telmisartan 40mg twice a day, and vildagliptin-metformin 50500mg twice a day), your healthcare provider may need to adjust the dosages or consider adding other medications to better manage your blood pressure and heart rate. Please follow up with your healthcare provider for a thorough evaluation, including a repeat echocardiogram and stress test, to determine the underlying cause of your symptoms and to optimize your treatment plan. Regular monitoring and follow-up are essential in managing your diabetes, hypertension, and cardiac symptoms.

More Cardiology Health Queries

Is it okay to use hot water steam for a cough if I've just had an angioplasty? I'm worried about whether the steam could affect the stent, especially since it's only been a week since the procedure. Would it be safe to try this, or should I avoid it?

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