- male
- 50 Years
- 22/01/2025
I'm worried because my blood pressure has been 14090 for the past 20 days, and I've started having mild chest pain. I've done all the heart-related tests like ECG, echo, and TMT, and they all came back normal. Should I be taking blood pressure medicine? My doctor hasn't prescribed anything for it yet, but I'm thinking maybe I should start at least for a few days. I weigh 110 kg, and my doctor only put me on cholesterol medication since my cholesterol is high. What do you think about starting bp medicine?
Answered by 1 Apollo Doctors
Your blood pressure reading of 14090 mmHg falls into the category of Stage 1 Hypertension according to most guidelines Since your heart-related tests (ECG, ECHO, TMT) are normal, and your doctor has not prescribed blood pressure (BP) medication, they may believe that your condition can initially be managed with lifestyle changes and monitoring. However, your weight (110 kg) and high cholesterol are additional risk factors for cardiovascular disease, and managing your blood pressure is crucial.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0
More Cardiology Health Queries
View allI'm having these weird palpitations and transient jerks in my chest that last for a couple of seconds. They seem to happen randomly, and it's really unsettling because it feels like my heart stops during those moments. I exercise regularly and don't feel any chest pain, which is odd. My ECG, 2D ECHO, and HOLTER ECG came back normal, so now I'm left wondering. Could I have some kind of cardiac blockage? Are these jerks something I should worry about, like signs of a potential cardiac arrest or another serious heart issue? If it's none of those, what could possibly be causing these sensations?
Based on your normal ECG, 2D ECHO, and HOLTER ECG reports, it's unlikely that you have cardiac blockage or are at risk of cardiac arrest; the transient jerks and palpitations could be caused by benign conditions such as premature atrial contractions (PACs), premature ventricular contractions (PVCs), anxiety, stress, caffeine, or dehydration; to better understand the cause, consider consulting a cardiologist for further evaluation,
Answered by 1 Apollo Doctors
I'm feeling a little concerned because I've noticed a pulsing sensation on the right side of my neck. It's like I can actually see the pulse, and I think it might be from my carotid artery. It's only happening on the right side. Could you help me figure out what might be going on?
Feeling a pulsing sensation in the right side of your neck, particularly if it corresponds with the carotid pulse, can be due to several reasons. It might simply be your normal carotid artery pulse, which can sometimes become more noticeable due to factors like anxiety, increased heart rate, or hypertension. However, if the pulsing is new, pronounced, or accompanied by other symptoms such as dizziness, headaches, or visual changes, it could indicate an underlying vascular or cardiac condition that requires evaluation. It would be prudent to consult your healthcare provider for a thorough assessment to rule out conditions such as carotid artery disease or other vascular abnormalities.
Answered by 1 Apollo Doctors
I've been dealing with hypertension for the past year and recently found out I have mild LVH. I'm currently taking nebivolol and amlodipine, but my blood pressure still won't go below 13585. I'm only 34, and I'm worried about why these meds aren't working. Is there something else I should consider doing or trying?
Managing hypertension with mild LVH (Left Ventricular Hypertrophy) requires a comprehensive approach. _Current Medications_ 1. _Nebivolol_: A beta-blocker that helps lower blood pressure and reduce LVH. 2. _Amlodipine_: A calcium channel blocker that helps relax blood vessels and lower blood pressure. _Additional Strategies_ 1. _Lifestyle Modifications_: - Regular aerobic exercise (at least 150 minutesweek) - Weight management (aim for a BMI between 18.5 and 24.9) - Balanced diet (emphasize fruits, vegetables, whole grains, and lean protein) - Stress reduction techniques (meditation, yoga, or deep breathing) 2. _Monitor and Adjust Medications_: - Regularly monitor blood pressure and adjust medications as needed. - Consider adding a diuretic or an ACE inhibitorARB to enhance blood pressure control. 3. _LVH Monitoring_: - Regular echocardiograms to monitor LVH progression - Adjust medications and lifestyle modifications accordingly _Consult a Specialist_ Consider consulting a cardiologist to reassess your treatment plan and provide personalized guidance.
Answered by 1 Apollo Doctors
Health Articles for you
View all_2.webp)
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.