- Male
- 55 Years
- 29/01/2025
I'm really concerned about how blood pressure might affect heart health, especially since I'm diabetic. Can you explain whether high blood pressure or low blood pressure is more likely to lead to heart failure for someone in my situation?
Answered by 1 Apollo Doctors
High blood pressure (hypertension) is a common cause of heart failure in diabetic patients. Uncontrolled high blood pressure can lead to the heart working harder to pump blood, which can eventually weaken the heart muscle and result in heart failure. It is important for diabetic patients to manage their blood pressure effectively to reduce the risk of heart failure. For high blood pressure in diabetic patients, medications such as Lisinopril (brand name: Zestril) or Amlodipine (brand name: Norvasc) may be prescribed. The dosage will depend on individual factors and should be determined by a healthcare provider. On the other hand, low blood pressure (hypotension) is generally not a direct cause of heart failure in diabetic patients. However, extremely low blood pressure can lead to inadequate blood flow to the organs, including the heart, which can be harmful. It is important for diabetic patients to regularly monitor their blood pressure, follow a healthy lifestyle, and take medications as prescribed to manage both high blood pressure and diabetes effectively.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allShould I consider getting a CT angiogram even though my ECG, ECHO, TMT, and chest X-ray have all come back normal? I'm experiencing some chest tightness and occasional shortness of breath, though its just for a moment. My cholesterol levels are a bit high, with LDL at 154 and HDL at 36. I weigh 108 kg, and my blood pressure is at 13075. My dad had bypass surgery back in 2018, so I'm wondering if having a CT angiogram is something I should look into given my symptoms and family history.
Considering your symptoms of chest tightness, shortness of breath, high LDL cholesterol levels, and family history of bypass surgery in your father, it may be prudent to further investigate the possibility of coronary artery disease. A CT ANGIOGRAM can provide detailed imaging of the blood vessels in your heart and help assess for any blockages or narrowing that may not be detected by the tests you have already undergone. In your case, a CT ANGIOGRAM may be recommended to rule out any significant coronary artery disease.
Answered by 1 Apollo Doctors
I'm really worried about my high blood pressure since I'm only 27. I've been dealing with anxiety and PCOS, and I've been taking Diane 35 and Fincar for the past month. Lately, I find myself getting short of breath whenever I think about all of this. I don't want to die early and really want to improve my lifestyle. What should I do?
High blood pressure can be concerning, especially at a young age. It's important to manage your blood pressure to reduce the risk of complications. Since you are already taking Diane 35 and Fincar for PCOS, it's essential to monitor your blood pressure regularly. In addition to lifestyle modifications such as maintaining a healthy diet and regular exercise, you may benefit from medication to help control your blood pressure. I recommend consulting with your healthcare provider to discuss the possibility of starting an antihypertensive medication such as Amlodipine 5mg once daily to help lower your blood pressure and reduce the risk of complications. Remember to continue monitoring your blood pressure and follow up with your healthcare provider regularly to adjust your treatment plan as needed."
Answered by 1 Apollo Doctors
I'm a bit worried about my cholesterol levels after getting my test results. My total cholesterol is 179 mgdL, and my HDL is 54 mgdL, but my triglycerides are 255 mgdL. The LDL came in at 77 mgdL and VLDL was calculated at 50.9 mgdL. I've read that the TCHDL ratio is 3.3, and the LDLHDL ratio is 1.4are these numbers okay? Should I be concerned about my triglycerides and how they might affect my health? What should I do next?
The lipid profile results show that your total cholesterol, HDL cholesterol, LDL cholesterol, and triglyceride levels are within normal ranges. However, your VLDL cholesterol level is slightly elevated, which may increase your risk of heart disease. To help lower your triglyceride levels and VLDL cholesterol, you can consider taking a medication such as Atorvastatin (brand name Lipitor) at a dosage of 10-80 mg per day. It is important to also maintain a healthy diet and lifestyle to improve your lipid profile.
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.