Question 1

I'm experiencing some chest and arm pain, and I've been having heart palpitations lately. It's kind of weird because I can feel my heart pounding even when I'm just resting. I'm not super active, and my BMI is around 27.5. My HDL is only 34 but my blood pressure seems normal. I got an ECG done, and it showed a heart rate of 109 bpm with sinus tachycardia, but there weren't any ST T changes. The PR interval came out at 197 ms with a high QR of 86 and QTQTc between 298 and 402. Do you think I should get more tests done? What could all this mean?

Accepted Answer

Chest pain, arm pain, heart palpitations, and a high heart rate at rest with sinus tachycardia on ECG can be concerning symptoms. With a low HDL level and a BMI of 27.5, there may be underlying cardiovascular issues that need to be addressed. The PR interval of 197ms is slightly prolonged, which could indicate an atrioventricular conduction delay. Further evaluation is warranted to assess the overall cardiac function and rule out any underlying heart conditions. I recommend consulting a cardiologist for a thorough evaluation, which may include an echocardiogram, stress test, and possibly a Holter monitor to assess heart rhythm over a longer period. Additionally, lifestyle modifications such as regular exercise, a heart-healthy diet, and possibly medication like Atorvastatin to improve HDL levels may be beneficial in managing your cardiovascular health.

Question 2

I've been on Telmasartan 40 mg for 4 days now, and ever since, I've felt super tired and just too weak to do anything. My stomachs been feeling a bit bloated too. I've had high blood pressure and pulse for a while, like for over a year now, but Ive only been on medication for about 12 months. I'm starting to wonder if my body and heart got so used to the high blood pressure that they cant handle what's supposed to be normal. Should I stop the meds and just let my body deal with the high blood pressure, or should I stick with Telma and try to manage these side effects?

Accepted Answer

u have to continue bp medications , u cannot stop the bp medications .Salt restricted diet is advised .

Question 3

My mom had an angioplasty a couple of weeks ago, and she's also got type 2 diabetes. I'm really concerned because her ESR level is at 78. Should I be worried about this? Does it mean something serious?

Accepted Answer

An elevated ESR (erythrocyte sedimentation rate) of 78 mmhr indicates inflammation or infection in the body, which can be concerning, especially in a patient who has recently undergone angioplasty and has type 2 diabetes. While a high ESR is not specific to one condition, it warrants further investigation to identify the underlying cause. It's important to consult with your mother's healthcare provider to determine the source of the elevated ESR and address it appropriately. They may recommend additional tests or treatments based on their findings. Close monitoring and managing her diabetes effectively are also crucial to avoid complications.

Patient needs expert opinion ,cardiologist opinion

More Cardiology Health Queries

My mom had an angioplasty a couple of weeks ago, and she's also got type 2 diabetes. I'm really concerned because her ESR level is at 78. Should I be worried about this? Does it mean something serious?

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