Question 1

I've been dealing with high blood pressure for the past two months and have been taking metoprolol 50 mg since the first month. Initially, everything was going well, and my blood pressure was 11070, but lately, over the past week, my diastolic pressure is sticking around 85 to 90. It seems like the meds aren't working as well now. I've increased to 50 mg twice a day. What should I do?

Accepted Answer

Its important to effectively manage your blood pressure, especially if it has started to rise again despite medication. It might be necessary to adjust your treatment plan. Continue monitoring your blood pressure regularly, and consider keeping a log of your readings to discuss with your doctor.

In addition to adjusting your dose of Metoprolol, your healthcare provider might consider adding another antihypertensive medication to your regimen. There are several classes of medications that can be used in combination with beta-blockers, such as ACE inhibitors, calcium channel blockers, or diuretics.

I recommend scheduling an appointment with your healthcare provider to review your current treatment plan and discuss potential adjustments. They can also evaluate for any underlying factors that might be contributing to the increased blood pressure.

Question 2

My final diagnosis shows mitral annular calcification with concentric LVH and RWMA in the LCX territory. There's mild LV dysfunction with an LVEF of 49%, trivial MR, and grade 1 diastolic dysfunction. No TR or PE was noted. Do I need surgery for this, or what treatment options should I consider? I'm 65 and a bit worried about the next steps.

Accepted Answer

Given your diagnosis of mitral annular calcification, concentric LVH, RWMA in the LCX territory, mild LV dysfunction (LVEF 49%), trivial MR, and grade 1 diastolic dysfunction, you don't necessarily need surgery for the mitral annular calcification itself. The focus should be on managing the LV dysfunction, coronary artery disease (CAD), and potential issues related to the RWMA.

Question 3

I'm really concerned about my husband's heart; his heartbeat is always too fast. He says it's been like this since he was a child. Should I be worried about this?

Accepted Answer

Hi, if your husband's heart rate is consistently fast, it is important to have him evaluated by a doctor to determine the underlying cause. One common condition that can cause a fast heart rate is supraventricular tachycardia (SVT). Medications like Metoprolol (25-100mg) can be prescribed to help control the heart rate. However, a proper diagnosis is necessary to determine the most appropriate treatment plan.

I'm worried about my blood pressure and I'm not taking any medication for it right now. My cholesterol level is 209. Is there a way I can get my blood pressure back to normal without using medicine?

Continue same treatment .Salt restricted diet and diet changes ,regular aerobic exercises is recommended..

More Cardiology Health Queries

I'm really concerned about my husband's heart; his heartbeat is always too fast. He says it's been like this since he was a child. Should I be worried about this?

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