- male
- 34 Years
- 22/01/2025
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?
Answered by 1 Apollo Doctors
Managing hypertension with mild LVH (Left Ventricular Hypertrophy) requires a comprehensive approach.
Current Medications
- Nebivolol: A beta-blocker that helps lower blood pressure and reduce LVH.
- Amlodipine: A calcium channel blocker that helps relax blood vessels and lower blood pressure.
Additional Strategies
- 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)
- 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.
- 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.
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Answered by 1 Apollo Doctors
My mother-in-law is 65 and she's really struggling with high blood pressure that just won't seem to get under control, even though she's on a high dose of BP meds. Her echo and ECG came back normal, and all her blood tests look good except for high cholesterol. She's taking Rosuvas for that. I'm really worriedwhat else can she do to get her blood pressure in check?
Given that your mother-in-law's high blood pressure is not well controlled despite high doses of medication, it is essential to re-evaluate her treatment plan with her healthcare provider. Sometimes, resistant hypertension requires a combination of medications from different classes. These may include ACE inhibitors (like lisinopril), angiotensin II receptor blockers (ARBs, like losartan), calcium channel blockers (like amlodipine), diuretics (like hydrochlorothiazide), and beta-blockers (like metoprolol). Additionally, lifestyle changes such as a low-sodium diet, regular physical activity, weight management, and reducing alcohol intake are important. Please consult her healthcare provider for a personalized treatment plan that may include adjusting her current medications or adding new ones.
Answered by 1 Apollo Doctors
I'm a bit worried because my ECG showed a small variation, and now my doctor wants me to have an ECHO done. The thing is, I'm in a remote area, and getting to the city for the ECHO will take some effort. Do you think it's okay if I wait and get the ECHO done in about 10 days, or should I try to do it sooner?
If your doctor has recommended an ECHO after observing a small variation in your ECG, it is important to follow up with the ECHO test as advised. However, if you are in a remote location and unable to travel to the city for the ECHO immediately, it should be okay to schedule the ECHO after 10 days. Make sure to keep in touch with your doctor regarding any changes in your symptoms during this period.
Answered by 1 Apollo Doctors
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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.