apollo
  • male
  • 40 Years
  • 29/01/2025

I've been dealing with heart anxiety since 2011 and had a bunch of tests done back in 2015. Everything seemed normal then but recently, I got an echo done in August that showed mild MRTR grade 1 DD. I also did some ECGs and they showed issues likely because of a fast heart rate or tachycardia. The doctor suggested a stress echo and I went through that last week. Could you take a look at the report? I'm a bit worried because my tests were normal in 2015 and now there's something going on. What do you think?

Doctor 1

Answered by 1 Apollo Doctors

You have a history of heart anxiety since 2011 and have undergone multiple tests, including an echo in August which showed mild mitral regurgitationtricuspid regurgitation grade 1 and grade 1 diastolic dysfunction. After experiencing issues with fast heart rate tachycardia on recent ECGs, your doctor suggested a stress echo which you have completed. It would be helpful to review the report to provide a more accurate recommendation. Please provide the details of the stress echo report for further evaluation.

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really worried about my health lately. I've been dealing with diabetes and high blood pressure for a year now. Last October, I went through some tests like an echo, and everything seemed normal except for some grade 1 diastolic dysfunction. The TMT was negative, and my ECG looked okay. But I'm still having chest pain and pain in my left hand every week, and my heart sometimes races to 150160 bpm, with blood pressure at 180110. I even feel like passing out once a month. I've got pain in my chest, left hand, and jaw too. The doctor said last year that it wasn't a cardiac issue, but I can't shake off these symptoms. Without my blood pressure meds, my blood pressure spikes to 170110 and my heartbeat to 130. I'm currently on metoprolol, talmisartan, and vildapride. Its been seven months since those tests; should I go for another echo or TMT? Ive attached my last years reports and recent ECG too. What do you think?

Based on your history and symptoms, it would be advisable to undergo a repeat echocardiogram and stress test (TMT) to assess your heart function and rule out any cardiac issues. Considering your persistent symptoms and the changes in your blood pressure and heart rate, it is crucial to ensure that your current medications are effectively controlling your conditions. In addition to your current medications (metoprolol 50mg twice a day, telmisartan 40mg twice a day, and vildagliptin-metformin 50500mg twice a day), your healthcare provider may need to adjust the dosages or consider adding other medications to better manage your blood pressure and heart rate. Please follow up with your healthcare provider for a thorough evaluation, including a repeat echocardiogram and stress test, to determine the underlying cause of your symptoms and to optimize your treatment plan. Regular monitoring and follow-up are essential in managing your diabetes, hypertension, and cardiac symptoms.

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I've been having an abnormal heart rate for the past month, consistently between 90 and 110. I was on high blood pressure medication but stopped taking it two months ago based on my doctor's advice. They told me to keep an eye on my blood pressure, but I'm worried about whether my heart rate is something to be concerned about. Should I be seeing any changes, or is this normal after stopping the medication?

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