- male
- 60 Years
- 29/01/2025
I'm really worried about my blood pressure lately. My 2D echo showed concentric LVH with an EF of 60 and grade 1 diastolic dysfunction. I've been on medication since September, taking one tablet in the morning and two at night. Initially, my BP seemed stable, but now in December, it's been fluctuating a lot. Previously, it was around 12082 to 12585 in the morning and 13585 to 13882 in the afternoon. But now, I'm seeing readings like 14090 in the morning and 14894 in the afternoon. I'm active, so what's causing these changes in winter? How should I take care of my BP during this season?
Answered by 1 Apollo Doctors
It is important to monitor your blood pressure regularly, especially with your medical history of Concentric LVH and diastolic dysfunction. Considering your situation, I would recommend adding or adjusting your current medication regimen to better control your blood pressure during the winter season. You can discuss with your doctor about adding a calcium channel blocker like Amlodipine 5mg in the morning and a combination of Valsartan 80mg + Hydrochlorothiazide 12.5mg in the evening. This can help in better blood pressure control throughout the day. In addition to medication, it is also important to make lifestyle modifications to help manage your blood pressure. This includes reducing salt intake, maintaining a healthy weight, regular exercise, managing stress, and avoiding smoking and excessive alcohol consumption. It is not uncommon for blood pressure to fluctuate with the change in seasons, but with the right medication and lifestyle adjustments, you can better manage your blood pressure even during the winter months. Make sure to continue monitoring your blood pressure regularly and follow up with your doctor for any further adjustments needed."
Dr. Ibrahim Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI've been really worried about some recent health issues and could use some advice. I had an angioplasty back in 2013 and also dealt with Covid in August '20. Recently, I had some pain in my left arm, so I went to the cardiologist. The ECG came back normal, but some of my test results are concerning. My homocysteine level is at 44, triglycerides are sitting at 275, but my creatinine and cholesterol are normal. My SGPT is at 46 and B12 is at 218. I'm really anxious because I know the high homocysteine could mean a higher chance of another heart issue. Should I be considering more tests, like angiography, or is there a treatment plan you would suggest? Just hoping to get some peace of mind here.
Based on your history of angioplasty in 2013, recent Covid infection, left arm pain, and abnormal test results (homocysteine at 44, triglycerides at 275, B12 at 218), it is important to further evaluate your cardiac health to determine the best course of treatment. Given your elevated homocysteine levels and previous history of angioplasty, it is advisable to undergo further cardiac evaluation. I recommend that you undergo a coronary angiography to assess the status of your coronary arteries and determine if there is any significant blockage that may require intervention. In addition to the angiography, it would also be beneficial to optimize your lipid profile and homocysteine levels through lifestyle modifications and medications. Your cardiologist may prescribe medications such as Atorvastatin for cholesterol control, Folic Acid supplements for homocysteine reduction, and lifestyle changes such as a healthy diet and regular exercise. Regular follow-up with your cardiologist is crucial to monitor your progress, adjust medications as needed, and reduce the risk of a second cardiac event. It is important to prioritize your cardiac health and work closely with your healthcare team to manage your risk factors effectively.
Answered by 1 Apollo Doctors
I'm feeling kind of worried. I don't have any intense pain in my chest or heart, but it feels like something weird is going on with my heart. Whenever this happens, I end up drinking a lot of water until I fall asleep. What's also freaking me out is there's swelling under my left collarbone. This whole thing makes me feel weaker and more scared. What's going on?
take tablet zerodol twice a day for 3 days
Answered by 1 Apollo Doctors
I'm experiencing this mild pain that sort of comes and goes in random parts of my chest. It's like someone's pressing down on it. Sometimes it's on the right side, other times on the left, and occasionally in the center. Should I be worried about this?
It sounds like you may be experiencing random chest pains. This could be due to various reasons such as muscle strain, anxiety, or even digestive issues. However, it is important to rule out any serious conditions. I recommend taking over-the-counter pain relief medication like Acetaminophen (Tylenol) 500mg as needed for the pain. If the pain persists or worsens, it is advisable to seek medical attention for further evaluation and management.
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.