- Male
- 46 Years
- 22/01/2025
I'm on Metolar XR 25 for my blood pressure and it's been stable for 15 years now. Do you think it's still okay to keep taking it, or should I be worried about any long-term side effects?
Answered by 1 Apollo Doctors
treatment as advised.
Dr. Chandra Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0
More Cardiology Health Queries
View allI've noticed my resting heart rate has been a bit higher than usual, usually between 90 and 110. Sometimes it goes over 100, although not too often. I'm wondering if this is normal or if I should be concerned? I had an ECHO last month, and it was normal. At what point should I think about this as potentially dangerous arrhythmia?
An arrhythmia can be dangerous if it leads to symptoms such as chest pain, fainting, dizziness, or shortness of breath. The frequency of arrhythmia that could be considered dangerous varies depending on the type and underlying cause. In your case, with a resting heart rate consistently between 90-110 and occasionally above 100, it is advisable to monitor it closely. Since your ECHO was normal last month, it is reassuring that there are no structural abnormalities with your heart. However, given the increased resting heart rate, it would be prudent to consult a healthcare provider for further evaluation. In the meantime, you can consider taking a beta-blocker medication like Metoprolol at a low dose of 25mg once daily to help control your heart rate.
Answered by 1 Apollo Doctors
I've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD family history. My lipid profile reads LDL at 101, triglycerides at 139, HDL at 33, and a total of 157. I'm quite sedentary, and lately, I've noticed pinpoint pain and pressure in my chest, shoulders, and upper abdomen. It flares up intermittently during brisk walking and feels really localized. I've also been dealing with anxiety for the past four years, so I sometimes have breathing difficulties whether I'm resting or active. Is it possible to have CAD at this age without any obvious risk factors, or could this pain just be anxiety? I did have stress echo tests in the past, which were negative, just like a TMT back in 2016. Could you offer some insight?
Given your history of chest painpressure, especially with brisk walking, and the findings on your recent TMT showing mildly positive results with horizontal ST depression, it is important to consider the possibility of coronary artery disease (CAD) even in the absence of traditional risk factors. The fact that the ST depression normalizes within 15 seconds of recovery is somewhat reassuring, but further evaluation is warranted. Considering your symptoms and history of anxiety, it is also possible that the chest pain you are experiencing could be related to anxiety. However, it is crucial not to dismiss the possibility of CAD, especially with the new onset of localized chest pain and your TMT results. Given your overall profile and symptoms, I would recommend further evaluation by a cardiologist. They may consider additional tests such as a coronary angiogram to assess the extent of any possible blockages. In the meantime, it is important to continue monitoring your symptoms and seek medical attention if they worsen or become more frequent. In terms of medication, based on your lipid profile, a statin medication such as Atorvastatin (10-20mg) may be considered to help lower your LDL cholesterol levels and reduce the risk of CAD progression. Additionally, medications to manage anxiety such as Escitalopram (10mg) may be prescribed to help alleviate your symptoms. It is important to address both the cardiac and psychological aspects of your symptoms to ensure a comprehensive treatment approach.
Answered by 1 Apollo Doctors
I'm trying to understand what a left anterior hemiblock means when it shows up on an ECG. Should I be worried about it? Is there a need for any kind of treatment, or is it something that won't affect my health too much?
Left anterior hemiblock (LAHB) on an ECG indicates an abnormality in the electrical conduction pathway of the heart, specifically affecting the left anterior fascicle of the left bundle branch. While LAHB can be benign in some individuals, it can also be associated with underlying heart conditions such as hypertension, ischemic heart disease, or cardiomyopathies. Whether it requires treatment depends on the presence of symptoms and any underlying heart conditions. It's important to consult with your cardiologist for a comprehensive evaluation to determine the significance of LAHB in your case and to discuss whether any further tests or treatments are necessary.
Answered by 1 Apollo Doctors
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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.