Question 1

I've noticed my blood pressure has been fluctuating between 130 to 170 recently, but from yesterday, it's been around 140 to 156. What's really been worrying me is that my diastolic pressure stays pretty high, always between 90 and 110. I had an ECG done yesterday and it came back normal, and my TMT from last month was also fine. I do have a history of anxiety and I'm on medication for it, but my blood pressure usually stays normal even when I'm anxious. It's just been high for the past 4-5 days and I'm not sure what's causing it. What do you think I should do? Oh, and why is my diastolic pressure always high? I've had some mild chest pain sometimes too. Can you help me figure this out?

Accepted Answer

Your fluctuating blood pressure readings and consistently high diastolic pressure could be due to a combination of factors, including anxiety and other underlying health conditions. Since your ECG and TMT reports are normal, it's a good sign that there may not be any significant heart-related issues causing your symptoms. Given your history of anxiety and the recent increase in blood pressure, it's important to manage your stress levels and continue taking your anxiety medication as prescribed. Additionally, lifestyle modifications such as regular exercise, a healthy diet low in sodium, and stress-reducing activities may help in controlling your blood pressure. To address your high diastolic pressure, your doctor may consider prescribing medications such as Amlodipine (5-10mg) or Lisinopril (10-40mg) to help lower your blood pressure and reduce the strain on your heart. It's essential to follow your doctor's recommendations closely and monitor your blood pressure regularly. If you experience chest pain or any concerning symptoms, seek immediate medical attention. It's crucial to stay in touch with your healthcare provider for further evaluation and personalized management of your blood pressure and anxiety.

Question 2

Lately, Ive been noticing that every time I stand up or go for a walk, my heart starts racing to around 130bpm, and it doesnt calm down until I sit or lie down. My chest hurts, and my legs feel weak and shaky during these times too. I did have an iron deficiency last year, but it never made me feel like this, and even though it's still slightly low, my recent results show it's getting better. Ive had an ECG done, and that seemed fine, so I'm wondering if I should be seeing a cardiologist. Could this be something serious?

Accepted Answer

Yes, given your symptoms of a racing heart rate when standing or walking, chest pain, and weakness in your legs, it would be prudent to visit a cardiologist. These symptoms may indicate a condition called postural orthostatic tachycardia syndrome (POTS) or other cardiovascular issues that require further evaluation. Even though your ECG is fine and your iron levels are improving, it is essential to rule out any underlying heart conditions or dysautonomia. A cardiologist can perform additional tests, such as a Holter monitor, echocardiogram, or tilt table test, to better understand the cause of your symptoms and recommend an appropriate treatment plan.

Question 3

I'm 75 years old and had bypass surgery in 1990. I've been told there's now a mild block in my artery, and I'm concerned about how to manage this. I'm also experiencing some breathing problems. Could you advise me on what steps I can take to address these issues?

Accepted Answer

For the mild blockage in your artery and breathing problem, you can take medications to help manage these conditions. 1. For the mild blockage in your artery, you can take a statin medication like Atorvastatin 20mg daily to help lower cholesterol and reduce the risk of further blockages. 2. To improve your breathing, you can use an inhaler like Salbutamol 2 puffs as needed for shortness of breath. It is important to follow up with your doctor regularly to monitor your conditions and adjust your treatment plan as needed.

I'm experiencing a mild pain on the left side of my chest, and I'm not really sure what's going on. Could you recommend a medicine that might help? If it doesn't get better, I'm thinking of coming in for a check-up and more treatment. What do you suggest?

I recommend taking Acetaminophen 500mg for your mild chest pain on the left side. You can take 1-2 tablets every 4-6 hours as needed for pain relief. If the pain persists or worsens, it is advisable to seek further medical evaluation.

More Cardiology Health Queries

I'm 75 years old and had bypass surgery in 1990. I've been told there's now a mild block in my artery, and I'm concerned about how to manage this. I'm also experiencing some breathing problems. Could you advise me on what steps I can take to address these issues?

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