- male
- 50 Years
- 29/01/2025
I'm monitoring my blood pressure, and it's been around 15595 for the past three days. I've been feeling a slight sensitive vibration in my head, too. This is the first time my blood pressure has been high like this, and I haven't taken any medication before. What would you recommend I do? Is there a specific tablet I should consider?
Answered by 1 Apollo Doctors
Visit your gen medicine doc for evaluation and appropriate management
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0
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View allI'm really struggling to understand my heart issues. For someone who's been dealing with heart problems for 34 years, it's tough to know what's happening. I have diastolic relaxation abnormality, and my TMT was mildly positive, but that was dismissed with a normal CT angiography. I often feel my heart skip a beat with a thud during exercise and even at rest. My exercise tolerance seems to be getting worse, and my heart rate jumps past 130 after just a few minutes of daily activity, though it calms to 60s bpm in the morning. I often feel dizzy, weak, and fatigued. The ECGs say I have LVH, but the echo says normal LVM. Can diastolic relaxation abnormality indicate heart failure? Is the ECG more reliable than the echo for identifying LVH? And should I be comfortable trusting the CT angio results? Any insights would really help clarify things for me.
1. Diastolic relaxation abnormality does not necessarily mean you have heart failure, but it does indicate that your heart's ability to relax and fill with blood is impaired. It is a condition that can progress and should be monitored and managed carefully by your healthcare provider. 2. The echocardiogram (echo) is generally considered more accurate for assessing left ventricular mass (LVM) and structure, so you can trust the echo results over the ECG for diagnosing LVH. 3. A normal CT angiography report is generally reliable and indicates that your coronary arteries do not have significant blockages. Given your symptoms of skipped heartbeats, exercise intolerance, dizziness, and fatigue, it's important to follow up with your cardiologist. They may need to reassess your condition and consider other diagnostic tests or treatment changes. Continuous monitoring and a thorough evaluation by your healthcare provider are essential to address your concerns and ensure proper management of your heart health.
Answered by 1 Apollo Doctors
I'm feeling concerned because my heart has been pumping really fast for a while before calming down to normal. When it speeds up, it feels like it's going to jump out of my chest. What could be causing this, and should I be worried?
It sounds like you may be experiencing episodes of palpitations. Palpitations are sensations of a rapid or irregular heartbeat. One common cause of palpitations is atrial fibrillation, where the heart beats irregularly and often rapidly. It is important to consult a doctor for proper evaluation and management. In the meantime, you can try taking a beta-blocker medication such as Metoprolol (brand name: Lopressor) to help slow down your heart rate. The usual starting dose for Metoprolol is 25-50 mg twice daily. However, please consult a doctor before starting any new medication.
Answered by 1 Apollo Doctors
I'm 29 years old and I've noticed that my resting heart rate is usually between 50 and 60. However, sometimes when I check it in the morning right after getting up, it shows numbers like 46 to 48. During a 2 km run, my heart rate shoots up to 160 or 170, and while walking, it's around 90 to 120. My ECG results have all come back normal, so Im wondering if my low resting heart rate is something I should be concerned about. Is this normal?
A resting heart rate between 50 to 60 beats per minute is considered normal for adults, especially for individuals who are physically active. It can be a sign of good cardiovascular fitness. However, if you are experiencing symptoms such as dizziness, fainting, chest pain, or shortness of breath along with the low heart rate, it is important to consult a doctor for further evaluation. Since your ECG reports are normal, the low resting heart rate is likely due to your good physical fitness level. During exercise, it is normal for the heart rate to increase significantly, as you mentioned reaching 160-170 beats per minute while running. This response is expected and shows that your heart is able to adapt and meet the increased demand for oxygen during physical activity. Overall, based on the information provided, your heart rate variations seem to be within normal ranges for someone who is physically active and with normal ECG results.
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.