- female
- 35 Years
- 29/01/2025
Ive been having trouble with my breathing, and my pulse rate is pretty high. My doctor mentioned something about sinus tachycardia and gave me propranolol to take. After using it for a couple of days, I've started to notice swelling in my fingers. What kind of tests or investigations do you think I should consider? And should I be worried about this swelling? Any advice would be really helpful.
Answered by 1 Apollo Doctors
Sinus tachycardia is a condition where the heart beats faster than normal. Since you are experiencing swelling on your fingers after taking propranolol, it is important to consult your doctor for a possible alternative medication. In terms of investigations, you may consider getting an ECG (Electrocardiogram) to monitor your heart's electrical activity and rule out any other underlying heart conditions. Additionally, a blood test to check electrolyte levels and thyroid function may be recommended. It is important to discuss these options with your healthcare provider for proper evaluation and management.
Dr. Chandra Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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Yes, you're on the right track. A positive TMT (Treadmill Test) suggests that there may be reduced blood flow to the heart, and an angiogram is a standard follow-up to check for any blockages. It is possible that an angiogram might show no significant blockages; sometimes TMT results are positive due to other factors. Angiograms are generally safe, but they do carry minimal risks, such as bleeding, infection, or, rarely, an allergic reaction to the dye used.
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I'm really concerned about my blood pressure shooting up to 14090 all of a sudden. I've had high BP since I was 33, and now I'm 38. My weight is around 110 kg and I'm 5 feet 7 inches tall, so I know I'm quite obese. I stress out easily and can get pretty angry. There's been times I've broken stuff at home when my family doesnt listen to me. I had my heart checked by a cardiologist 1.5 years ago with an Echo and a TMT, and everything seemed fine, but my BP still spikes. I was initially prescribed Telma 40 mg, and now Im on Stamlo 5 mg daily. My heart rate jumps to 130 if I walk fast for just a kilometer. Is this normal? I'm also an asthma patient, and I find myself taking deep breaths a lot. Why do these sudden BP spikes and high heart rates happen to me?
Based on your description, it seems like you are experiencing episodes of sudden high blood pressure due to various factors such as obesity, stress, and possibly uncontrolled anger. The combination of these factors can contribute to spikes in blood pressure. It's good that you have been evaluated by a Cardiologist and have undergone tests to rule out any underlying heart issues. To help manage your blood pressure, you are currently taking Stamlo 5mg, which is a brand name for Amlodipine. This medication helps to relax the blood vessels, allowing blood to flow more easily and lowering blood pressure. In addition to this, it is important to make lifestyle changes such as maintaining a healthy weight, reducing stress through relaxation techniques or counseling, and addressing anger management. Regarding your heart rate reaching 130 beats per minute during physical activity, it can be considered normal for some individuals, especially if you are not used to regular exercise. However, since you are also an Asthma patient, it is important to monitor your heart rate during physical activity and consult with your healthcare provider if you experience any concerning symptoms. Overall, it is essential to continue taking your medication as prescribed, make necessary lifestyle modifications, and keep track of your blood pressure regularly. If you have any further concerns or if your symptoms persist, please consult with your healthcare provider for a personalized treatment plan.
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I'm really concerned about my father's angiography report and was hoping you could take a look. It mentions a 60% lesion in the mid LAD, an 80% lesion in the proximal segment of the LCX, and a 90% lesion in the mid RCA. Does he need an angioplasty, and how many of these blockages should it address?
Whether angioplasty is required depends on a lot of factors. Of course the percentage of narrowing is an important factor. In case your cardiologist has suggested angioplasty it will most likely be necessary. But in case you want to be doubly sure, it will be worth considering a second opinion from another cardiologist.
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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.