Question 1

I'm really worried about my grandfather who's 76. He was hospitalized twice because his blood pressure went up to 200100. We have the ECG from when he was in the hospital and his prescription too. Since getting discharged, his blood pressure is fine during the day, but at night it gradually rises to somewhere between 16080 and 18090. Does the ECG indicate he's had a heart attack? Are the medications he's on appropriate?

Accepted Answer

If the ECG shows sinus rhythm with no signs of acute myocardial infarction. The medications prescribed are Amlodipine 5mg once daily and Atenolol 25mg once daily. These are appropriate medications for controlling high blood pressure. However, since your grandfather's blood pressure is still increasing during the night, a medication adjustment may be needed. I recommend consulting with the doctor who prescribed these medications to discuss the possibility of increasing the dosage or adding another medication to better control his blood pressure during the night.

Question 2

Im a bit worried about my heart rate. Ive noticed that when I wake up or when Im sleeping, it's usually around 80 to 90 beats per minute. But once Im up and about during the day, it jumps to over 100 and sometimes even hits 120 beats per minute. Im curious about why this is happening and what I can do to manage it. Any advice on how to handle this situation?

Accepted Answer

It sounds like you may be experiencing episodes of tachycardia, which is a condition where your heart rate is consistently elevated. I recommend you to consult with a doctor for proper diagnosis and treatment plan. To help manage your symptoms, you can try using a beta-blocker medication such as Metoprolol (25-50mg) once daily to help regulate your heart rate. Additionally, practicing stress-reducing techniques, maintaining a healthy diet, and staying hydrated can also help in managing your heart rate.

Question 3

I'm getting these weird feelings where it seems like my heart is struggling to beat at times. Sometimes, out of nowhere, I get these intense palpitations that eventually settle down, but it's really unsettling. Another thing I've noticed is that just when I'm about to burp, the palpitations get much stronger and faster, which honestly freaks me out a bit. Any idea what might be happening?

Accepted Answer

These symptoms could be related to acid reflux causing irritation of the esophagus, which in turn can trigger palpitations. I recommend trying over-the-counter antacids like Tums (500mg) or Maalox (5ml) to help with the acid reflux. Additionally, you can try avoiding trigger foods like spicy or fatty foods, caffeine, and alcohol. If the symptoms persist, it's important to consult with a healthcare provider for further evaluation and management.

I'm really anxious about my mom's recent TMT test results. They came back as mildly positive and I'm not sure if that's a good sign or something we should be worried about. Can you help me understand what this might mean for her health?

An echo is advised and also caediac markers

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