- male
- 40 Years
- 20/02/2025
I've been dealing with palpitations and high blood pressure diagnosed at 140 over 90 around four months ago. They did an ECG and ECHO, and those came back normal. I was prescribed Telma 20 and Ivabradine 5mg for the BP and palpitations. I recently stopped taking Telma 20 for a few days to keep an eye on my BP, and it settled at a constant 130 over 76. Do you think I should stop taking the BP meds altogether, or is it better to keep going with them? I've also made some lifestyle and diet changes. What do you suggest?
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View allI'm really worried about my father. He's been diagnosed with severe coronary ectasia and previously, doctors mentioned that a bypass surgery isn't an option for him. I'm wondering if treatments like Ace Inhibitors or the drug Entresto could be effective in his situation? Lately, he's been having more frequent chest pains and feeling a lot of unease. Could you provide some guidance on this?
For the treatment of coronary ectasia, Ace Inhibitors such as Lisinopril can be beneficial in managing symptoms and improving heart function. The recommended dosage of Lisinopril is usually starting at 2.5-5 mg once a day, which can be adjusted by the doctor based on individual response. Entresto, which is a combination of Sacubitril and Valsartan, can also be considered for the treatment of heart failure in patients with reduced ejection fraction. The usual starting dose of Entresto is 4951 mg twice daily, which can be increased to the target maintenance dose of 97103 mg twice daily as tolerated. However, it is important to consult with your father's healthcare provider before starting any new medication or making changes to his current treatment plan. Regular monitoring and follow-up with a healthcare professional are essential in managing coronary ectasia and associated symptoms.
Answered by 1 Apollo Doctors
I'm 24 and had open heart surgery back in 2009. Lately, I've been dealing with some vascular issues and have this pain in my left hand that gets worse at night. Should I be worried about this?
With vascular issues and history of open heart surgery, worsening night pain in hand may suggest circulatory problem—vascular surgeon consult is advised.
Answered by 1 Apollo Doctors
I've been having this back pain that shoots down to my hands and chest. I had a TMT done on 20th February 2022, and it came out negative. But I'm worried because I'm feeling the pain again today, and my doctor advised an ECG. If my TMT was normal, do I really need to get an ECG every single time this pain hits?
If you have already undergone a TMT which was normal, and you are experiencing chest pain again, it is still important to have an ECG done to check for any acute changes in your heart's electrical activity. It is not necessary to have an ECG done every time you have pain, but if the pain is severe or persistent, it is advisable to seek medical attention and follow your doctor's recommendations.
Answered by 1 Apollo Doctors
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