apollo
  • male
  • 45 Years
  • 22/01/2025

I'm in a bit of a dilemma here. All of my tests, like ECG, echo, TMT, and chest X-ray, came back normal except for high LDL cholesterol. So the doctor put me on Rosuvas, which I've been taking. But now, after a month of feeling okay, the chest pain and tightness are creeping back. I remember the doctor saying to take BP meds if this happened, but I'm not sure which one to pick. My weight is around 110 kg, and my blood pressure was 14090 last month, but I can't check it now because of the lockdown. Should I stick with the Metoprolol I got last year, or should I go out and get Amlopidine? Which one would be better in this situation?

Doctor 1

Answered by 1 Apollo Doctors

"Based on your symptoms of chest pain and tightness, and your history of high LDL cholesterol, it is important to manage your blood pressure effectively. Considering your weight and previous blood pressure reading of 14090, you can take amlodipine to help lower your blood pressure. Amlodipine is a calcium channel blocker that can help relax the blood vessels, making it easier for the heart to pump blood. Since you already have metoprolol with you, you can also consider taking it as it is a beta-blocker that can help lower blood pressure and reduce chest pain. The usual dosage of metoprolol for high blood pressure is 25-100mg once or twice daily. However, please note that metoprolol may not be as effective in controlling chest pain compared to amlodipine. If you choose to take metoprolol, start with a lower dose and monitor your blood pressure closely. If your symptoms persist or worsen, it is important to seek medical advice promptly. Additionally, try to monitor your blood pressure regularly, especially during this time when access to healthcare may be limited due to the lockdown."

Dr. Ibrahim Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm getting really worried because my heart feels like it's beating really loudly after I eat and right before I sleep. I'm also feeling this tightness in my chest a lot. I've been taking cough and cold meds for the last ten days, but these symptoms arent going away. What could be going on?

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So I've been having this cough for the last couple of days and it's making my heart race and flutter, even when I'm trying to sleep. I got some tests done like an ECG, echo, and chest X-ray back in March. Should I be doing all those tests again? Every time I cough, it feels like my heart is either trying to jump out or like it's getting all tight, and it's really freaking me out. There's also this pain now and then, plus twitching in my feet and neck, and it's making me super anxious about my health. Is Benadryl syrup gonna help with all this? I'm also burping a lot, and my heart feels like it's pounding out of my chest. With all those tests coming back normal before, Im just wondering if I need to repeat them. And while I'm at it, what exactly is the main reason people get heart attacks? It's been like this since February, and I'm feeling really low and freaked out. My blood pressure is usually 11090 and my pulse is often above 100. I'm 25, by the way. Any ideas what's up with all this?

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I'm feeling really anxious about the possibility of heart blockages. If there are any, could you let me know what the best treatment options are to clear them up?

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