apollo
  • Female
  • 37 Years
  • 29/01/2025

I'm really worried because her blood pressure is staying high despite taking several medications. We've done all the tests, and everything seems fine except her LDL is a little high. What could be causing this, and what else can we do to help get her blood pressure under control?

Doctor 1

Answered by 1 Apollo Doctors

High blood pressure that is not well controlled despite taking multiple medications can be challenging. In this case, adding a medication such as Amlodipine (5mg) can help lower blood pressure effectively. Additionally, for high LDL cholesterol, Atorvastatin (20mg) can be prescribed to help lower LDL levels and reduce the risk of cardiovascular disease. It is important to follow up with regular blood pressure and cholesterol monitoring to adjust the treatment as needed.

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm a bit concerned after getting my Holter test results back. It says I had 17 ventricular beats in tachycardia at 100 bpm and no bradycardia, with a sinus tachycardia peaking at 162 bpm just once. The doctors mentioned this might be normal for someone who drinks and smokes, and they advised me to quit both. The test was done because of an irregular pulse. Could you help me understand what all this means and how serious it is?

The holter test report indicates ventricular beats at 17%, beats in tachycardia (>=100 bpm) at 15%, and no bradycardia. Sinus tachycardia was noted at 162 bpm (maximum only once). It is advisable to quit alcohol and smoking, as advised by your doctors. The irregular pulse may be related to these habits. To help with the irregular pulse, you can take Metoprolol (brand name: Lopressor) 25mg twice daily. This medication can help regulate your heart rate and reduce the occurrence of irregular beats. Regular follow-up with your healthcare provider is recommended to monitor your progress.

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Doctor 1Doctor 2

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My dad, who's 69, got really bad chest pains about five days ago and the ECG showed he had a heart attack. They did an angiography too and found there's blockage in three arteriesone's at 90 percent, another at 70, and the last one at 50 percent. The doctor said he needs surgery. I'm really worried and wanted to get your opinion on this. Is surgery the only option, and what kind of risks are we looking at? Are there any alternatives or additional things we should consider?

yes angiolasty is recommended to your father as there triple vessel disease and three arteries are blocked .

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm really concerned because my HDL is pretty low at only 29. My cholesterol is 100, triglycerides are 101, LDL is 55, and VLDL is 29. I'm wondering if there's any medication I can take to boost my HDL levels, or if it's okay to be at this level. I've attached my lipid profile reports and I'm hoping to get your opinion on whether everything looks alright or if there's anything I should be worried about. How can I improve my lipid levels further? Just for context, I'm 34 years old, weigh 83 kg, and am 5'7". There's no history of heart disease in my family, although my father does have diabetes. Could you please give me detailed advice on this?

Based on your lipid profile results, your HDL level is indeed low at 29. To improve your HDL level, you can consider taking Niacin (Vitamin B3) at a dosage of 500-2000 mg per day. Additionally, incorporating regular exercise, maintaining a healthy weight, and consuming a diet rich in fruits, vegetables, whole grains, and healthy fats can also help improve your HDL level. Your total cholesterol level of 100 is within the normal range, which is good. However, your triglyceride level of 101 is slightly elevated. To lower your triglyceride level, you can take Omega-3 fatty acids at a dosage of 1-4 grams per day. It is also important to limit your intake of sugar, refined carbohydrates, and alcohol to help lower triglycerides. Your LDL level of 55 is optimal, and your VLDL level of 29 is within the normal range. Overall, your lipid profile is generally good, but there is room for improvement in your HDL and triglyceride levels. In addition to medication and supplements, lifestyle modifications such as regular exercise, maintaining a healthy weight, and following a heart-healthy diet can further improve your lipid profile. It is also important to avoid smoking and limit alcohol consumption for overall heart health. If you have any further concerns or questions, feel free to ask.

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Doctor 1Doctor 2

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