Question 1

I'm trying to understand the difference between the results of my echo and my CT scan regarding my heart condition. My echo shows mild concentric LVH with lvpwdd 12.2 and ivs d 12, and my LVEF is at 73. But my CT scan, which was a 128-slice MDCT of the heart, suggests normal LVH and a normal LV cavity with normal thickness, having a zero calcium score. Also, my TMT came out negative for any chest pain-related issues. I'm kind of confused here. Which result should I rely on when it comes to the left ventricular hypertrophy? Which is considered more accurate or should I be concerned about something else here?

Accepted Answer

Both CT angiography and echocardiogram are valuable tools for assessing left ventricular hypertrophy (LVH), but they provide different types of information. In your case, since the CT angiography showed normal left ventricular cavity with normal thickness and normal coronary arteries, and zero calcium score, it indicates a healthy heart without any structural abnormalities or blockages. On the other hand, the echocardiogram reported mild concentric LVH with specific measurements of left ventricular posterior wall thickness (LVPWd) and interventricular septum thickness (IVSd). Given the discrepancy between the two imaging modalities, it is important to consider the clinical context and overall picture. In this scenario, the findings from the CT angiography showing a normal heart structure and function, along with a negative TMT (treadmill test), are more indicative of a healthy heart. Therefore, the CT angiography results are more reliable in this case. To address the chest pain related problem, you can consider taking medications like Amlodipine (5mg) for blood pressure control and Metoprolol (25mg) for heart rate control. Additionally, Nitroglycerin sublingual tablets can be used for chest pain relief as needed. It is also important to follow up with your healthcare provider for further evaluation and management.

Question 2

I'm having this issue where my blood pressure keeps going up and downlike, sometimes it's around 143120 and other times it drops to 11063. I'm really not sure why this is happening, and it's making me anxious. Could you help me figure this out?

Accepted Answer

Fluctuating blood pressure readings can be concerning and may be influenced by various factors, including stress, anxiety, diet, and lifestyle habits. It is important to monitor your blood pressure regularly and consult with a healthcare professional for proper evaluation and management. In your case, since you are also experiencing anxiety, it is crucial to address both issues. For your fluctuating blood pressure, you can consider taking medications like Amlodipine 5mg for high blood pressure and Propranolol 20mg for anxiety. It is important to follow the prescribed dosage and consult with a healthcare provider for further guidance. Additionally, lifestyle modifications such as reducing salt intake, regular exercise, and stress management techniques can also help in managing your blood pressure and anxiety.

Question 3

I'm trying to figure out whether I should stick with telmikind AMH or switch to triolmesar CH 40. My first doctor recommended telmikind AMH, but then a second doctor said I should try triolmesar CH 40 instead. My blood pressure is usually high, so I'm kind of worried if the medication change might make a difference. What would be the best approach here?

Accepted Answer

Both **Telmikind AMH** and **Triolmesar CH 40** are effective medications for managing high blood pressure. Telmikind AMH contains telmisartan and amlodipine, which help relax blood vessels and reduce pressure. Triolmesar CH 40 combines telmisartan with hydrochlorothiazide, which also works to reduce blood pressure by removing excess fluid. If your blood pressure remains elevated, its important to follow up with your doctor to determine which combination works best for you based on your overall health and response to treatment.

u can continue the same treatment.Also dash diet is advised

More Cardiology Health Queries

I'm having this issue where my blood pressure keeps going up and downlike, sometimes it's around 143120 and other times it drops to 11063. I'm really not sure why this is happening, and it's making me anxious. Could you help me figure this out?

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