Question 1

I'm a bit worried about my resting pulse rate, which is around 55 to 60, but when I work out it goes up to 75 to 80. My ECG and lipid profile are normal, and I take Telpres CT for my blood pressure, which is also normal. I'm curious if this medication could be what's making my pulse lower. Should I be concerned about my resting pulse rate, or is this within a normal range?

Accepted Answer

Your resting pulse rate of 55 to 60 beats per minute is within the normal range for adults, especially if you are physically active. When you workout, it is normal for your pulse rate to increase to 75 to 80 beats per minute. Telpres CT is a combination medication that contains Telmisartan and Chlorthalidone, which is commonly used to treat high blood pressure. Telpres CT, specifically the Chlorthalidone component, can sometimes cause a slight decrease in heart rate as a side effect. However, in your case, with a resting pulse rate of 55 to 60, it is more likely that your lower pulse rate is due to your good physical fitness rather than the medication. As your ECG and lipid profile reports are normal, and you are maintaining a normal blood pressure with Telpres CT, there is no need to be concerned about your pulse rate. It is important to continue monitoring your blood pressure regularly and follow up with your healthcare provider for any concerns.

Question 2

I'm really confused about my recent echo results. Two months ago, it showed mild tricuspid valve regurgitation, and after making some lifestyle changes and a follow-up echo, it's now showing trivial regurgitation and valve thickening. I'm not sure what these changes mean or what I should do next. Can you help me understand what's going on and what steps I should take to address this? I've included my report if that helps.

Accepted Answer

Based on the information provided, it seems like there has been an improvement in the tricuspid valve regurgitation from mild to trivial, which is a good sign. To address the trivial regurgitation and valve thickening, I recommend continuing with your healthy lifestyle changes and following up with your healthcare provider for further evaluation and management. In terms of medication, you can consider taking a diuretic like Lasix (furosemide) to help reduce any fluid buildup and ease the workload on the heart. Additionally, an ACE inhibitor like Lisinopril can help reduce blood pressure and lessen the strain on the heart. It's important to have regular follow-up appointments with your doctor to monitor any changes in your condition and adjust your treatment plan accordingly. If you have any symptoms such as shortness of breath, chest pain, or swelling, please seek medical attention promptly. Remember, lifestyle modifications, medication adherence, and regular medical follow-ups are key in managing heart conditions.

Question 3

I'm a bit concerned because my ECG results show an inversion in lead 3 and AVF. I don't really have any pain, but I do have high blood pressure. My exercise treadmill test (ETT) came back negative, and my echocardiogram is normal too. So, what's causing these inverted T waves, and should I be worried about it?

Accepted Answer

The inversion of T waves in lead 3 and aVF on your ECG could be due to various reasons, including but not limited to hypertension. Since your exercise tolerance test (ETT) is negative and your echocardiogram is normal, it is less likely to be related to coronary artery disease. However, it is important to monitor your blood pressure closely and make sure it is well controlled. In this case, medications like Amlodipine 5mg once daily can be prescribed to help manage your high blood pressure and potentially improve the T wave inversion. Regular follow-ups with your healthcare provider are essential to monitor your condition.

I'm having this annoying pricking pain just below my left shoulder and around the center of my left breast. It's happened three times today, and each time it comes and goes. I'm freaking out a bit here, could this have something to do with my heart?

cardiac opinion is advised ,ecg advised.

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