- Female
- 18 Years
- 22/01/2025
I've been diagnosed with sinus arrhythmia; I didn't use to feel any skipping of heartbeats, but over the past few months, I've started experiencing it. Should I be worried that it's happening more often now, and is there something specific I should do or look out for?
Answered by 1 Apollo Doctors
Sinus arrhythmia is a condition where the heart's rhythm is irregular, usually due to changes in breathing. If you are experiencing palpitations or skipping heartbeats, it is important to consult your doctor for further evaluation. In some cases, medications like Metoprolol (25-50mg) can be prescribed to help regulate the heart rate and reduce symptoms.
Dr. Anshul Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI've been dealing with some concerns about my blood pressure. I'm a 17-year-old guy, in pretty good shape with a BMI of 24.7, and I've noticed my blood pressure readings are often around 14060 or 13060. When I'm calm, the systolic number goes down to about 125, but the diastolic stays below 70, which I find unsettling. I do experience a bounding pulse in different areas of my body which adds to the stress. I've had health anxiety since the lockdown began, and I've been using homeopathy which has helped, and I'm also trying to keep my diet in check and exercise regularly. What's bugging me is why my diastolic number doesn't return to a typical range even when I'm managing everything else pretty well? When people talk about high blood pressure, I usually hear both systolic and diastolic numbers rise together, but mine seems to have one high and the other low. Could this be more than just anxiety, or is there something unique about my situation?
1. Your diastolic blood pressure not returning to normal despite your efforts could be due to a combination of factors, including anxiety and possibly other underlying health conditions. It's great that you are managing your anxiety with homeopathy, but it's essential to monitor your blood pressure regularly and consult with a healthcare professional for further evaluation and management. In terms of medication, you can consider starting with a low dose of a calcium channel blocker like Amlodipine 2.5mg to help lower your diastolic blood pressure. 2. The fluctuation in your blood pressure readings, with systolic going up and diastolic going down, can be attributed to various factors such as stress, anxiety, and even the time of day when you measure your blood pressure. It's not uncommon for individuals to experience variations in their blood pressure readings, especially in response to different stimuli. However, persistent high diastolic blood pressure warrants attention and monitoring. 3. While anxiety may be a significant contributing factor to your elevated blood pressure readings, it's essential to rule out any other underlying medical conditions that could be impacting your diastolic blood pressure. Considering your age and overall fitness level, it's crucial to continue with your healthy lifestyle habits, including regular exercise and a balanced diet. Additionally, incorporating stress-reducing activities such as mindfulness or yoga may further help in managing your anxiety and potentially improving your blood pressure levels. Regular follow-ups with a healthcare provider will be beneficial in monitoring your blood pressure and adjusting your treatment plan as needed.
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I'm a bit worried after reading my 2D echo report. It mentions mild tricuspid regurgitation and mild pulmonary hypertension with PASP by TR jet measuring 38 mmHg. Does this mean I definitely have pulmonary hypertension? And should I be concerned about it getting worse over time, like becoming moderate or even severe?
Mild pulmonary hypertension is indicated by a PASP (Pulmonary Artery Systolic Pressure) of 36-50 mmHg. This means that there is increased pressure in the pulmonary arteries. To manage mild pulmonary hypertension, your doctor may recommend lifestyle changes and medications such as sildenafil (Revatio) or tadalafil (Adcirca) to help lower the pressure in the pulmonary arteries and improve blood flow. It is possible for pulmonary hypertension to progress to moderate or severe levels in the future, but with proper management and regular follow-ups with your healthcare provider, the progression can be slowed down or even prevented. Regular monitoring and adherence to treatment plans are crucial in managing pulmonary hypertension.
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I'm a bit confused about my recent echo reports. The first one mentioned mild MR and MVP, but when I went to another hospital for a second opinion, they only found mild MR, no MVP. What should I do next? Should I be concerned about this discrepancy?
To confirm the presence of mitral valve prolapse (MVP), it is important to have a thorough evaluation by a cardiologist. In the meantime, for mild mitral regurgitation (MR), you can take medication like Losartan 50mg once daily to help manage the condition. It is also important to follow up with your cardiologist for further evaluation and management.
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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.





