Question 1

I'm a 33-year-old guy, weighing 70 kg and standing at 5'10". I've noticed that my diastolic blood pressure has been consistently between 90 to 100 for the past few months. Do you think I should start taking medication for this? I'm really not sure what the best course of action is and could use some guidance.

Accepted Answer

Hello, as your diastolic blood pressure has been consistently between 90 to 100 mmHg for several months, it is recommended to start medication to help lower your blood pressure and reduce the risk of complications. You can start taking Amlodipine 5mg once daily to help lower your diastolic blood pressure. It is important to monitor your blood pressure regularly and make lifestyle changes such as reducing salt intake, exercising regularly, and maintaining a healthy weight.

Question 2

I'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.

Accepted Answer

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.

Question 3

I've noticed that my heart rate is usually somewhere between 68 to 83 bpm during the day. But for the past week, it's been up between 90 and 118 bpm, and it doesn't drop below 85 even when I'm sitting for a while. When I'm asleep, it goes from 50 to 75 bpm. I started going to the gym for cardio and strength training about a month ago, hitting it 5 days a week. Nothing's really changed with my diet or work hours. Had my ECG, ECO, and BP checked and everything seemed normal. What could be causing this increase in my heart rate? Should I be worried about it?

Accepted Answer

Based on the information provided, the increase in your heart rate could be due to the increased physical activity from your gym routine. It is common for heart rate to be elevated during and after exercise, especially if you have recently started a new workout regimen that includes both cardio and strength training. To help regulate your heart rate, you can consider taking a beta-blocker medication such as Metoprolol. I recommend starting with a low dose of Metoprolol 25mg once daily, and you can adjust the dosage as needed based on your heart rate response. It is important to monitor your heart rate regularly and consult with your healthcare provider for further guidance on medication management. In addition to medication, make sure to stay hydrated, get an adequate amount of rest, and listen to your body during workouts. If you experience any concerning symptoms such as chest pain, dizziness, or shortness of breath, seek medical attention immediately.

I'm wondering if mild pulmonary hypertension can be cured or if there are treatments that can prevent it from becoming more severe. Can you help with this?

yes it can be cured

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