- female
- 62 Years
- 07/02/2025
I'm just trying to understand what the next steps are for my treatment based on my recent test results. I'm a 62-year-old woman and my 2D Echo Report shows Mild LVH and Mild diastolic dysfunction, with an LVEF at rest of 50. Thankfully, there are no regional wall motion abnormalities, and my RV contractile function is adequate. The report also notes no pulmonary hypertension or pericardial effusion, and no intracardiac clot or vegetation. My chest X-ray mentions a mild unfolding of the aorta but no pluroparenchymal abnormality. Should I be worried about any of these findings, and what kind of treatment might be necessary?
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View allI'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?
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.
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I'm kind of worried because all of a sudden my heart started racing, and when I went to the hospital, they checked my blood pressure and gave me these BP tablets. I've been taking them, but I'm wondering if I should keep taking them or if it's okay to stop. What should I do?
Sudden increase in heart rate can be concerning. It's important to follow the advice of your healthcare provider regarding the medication. If you were given medication for high blood pressure, it's important to continue taking it as prescribed. Stopping the medication abruptly can be harmful. If you have any concerns or experience any side effects, please consult your healthcare provider for further guidance.
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What is a heart cough?
Heavy breathing accompanied by spells of wet cough with frothy sputum that may be tinged with blood is called as "Cardiac cough or Heart cough". It is a sign of congestive heart failure. Additional symptoms such as shortness of breath on exertion or rest, leg swelling, waking up from sleep in the middle of night gasping and coughing differentiate heart cough from cough due to lung conditions.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.






