Question 1

Is coffee good for high BP?

Accepted Answer

No,Caffeine can cause a short, but dramatic increase in your blood pressure, even if you don't have high blood pressure,Regular coffee drinkers may build up a tolerance to the physiological effects of coffee, whereas those who drink it less often may experience an increase in their blood pressure.

Question 2

I'm really struggling to understand my heart issues. For someone who's been dealing with heart problems for 34 years, it's tough to know what's happening. I have diastolic relaxation abnormality, and my TMT was mildly positive, but that was dismissed with a normal CT angiography. I often feel my heart skip a beat with a thud during exercise and even at rest. My exercise tolerance seems to be getting worse, and my heart rate jumps past 130 after just a few minutes of daily activity, though it calms to 60s bpm in the morning. I often feel dizzy, weak, and fatigued. The ECGs say I have LVH, but the echo says normal LVM. Can diastolic relaxation abnormality indicate heart failure? Is the ECG more reliable than the echo for identifying LVH? And should I be comfortable trusting the CT angio results? Any insights would really help clarify things for me.

Accepted Answer

1. Diastolic relaxation abnormality does not necessarily mean you have heart failure, but it does indicate that your heart's ability to relax and fill with blood is impaired. It is a condition that can progress and should be monitored and managed carefully by your healthcare provider.
2. The echocardiogram (echo) is generally considered more accurate for assessing left ventricular mass (LVM) and structure, so you can trust the echo results over the ECG for diagnosing LVH.
3. A normal CT angiography report is generally reliable and indicates that your coronary arteries do not have significant blockages.

Given your symptoms of skipped heartbeats, exercise intolerance, dizziness, and fatigue, it's important to follow up with your cardiologist. They may need to reassess your condition and consider other diagnostic tests or treatment changes. Continuous monitoring and a thorough evaluation by your healthcare provider are essential to address your concerns and ensure proper management of your heart health.

Question 3

I was just told I have bradycardia, but my symptoms seem to be getting worse over time. I've been feeling really nauseous and light-headed, and I notice weakness, shortness of breath, painful headaches, and even high blood pressure. I'm curious about how serious my bradycardia is. My pulse usually sits around 45-58, but whenever my blood pressure spikes up to around 14599, my pulse jumps to 85 before it settles back down. Could there be something specific causing all of this? It's been three months, and instead of getting better, it seems to be getting worse. Should I be doing something right away about it?

Accepted Answer

It sounds like you are experiencing symptoms of bradycardia along with other concerning symptoms such as nausea, lightheadedness, weakness, shortness of breath, headaches, and high blood pressure. The fluctuation in your pulse rate from 45-58 to 85 is also concerning. Bradycardia can be serious, especially when accompanied by these symptoms. One possible cause of your symptoms could be a heart condition affecting the electrical signals that control your heart rate. It is important to seek medical attention immediately given the severity and duration of your symptoms. You should go to the emergency room or seek urgent medical care to have a thorough evaluation, including an ECG to assess your heart rhythm, blood tests, and possibly other cardiac tests. Based on your symptoms and the seriousness of the situation, the healthcare provider may prescribe medications such as Atropine or Epinephrine to increase your heart rate and stabilize your condition. In some cases, a pacemaker may be necessary to regulate your heart rate. It is crucial to address these symptoms promptly to prevent any potential complications. Please seek medical help without delay.

I've been keeping an eye on my blood pressure lately, and it's been around 140100. I've noticed I'm getting headaches more frequently. Should I be worried about these numbers or the headaches? Is this something I need to get checked out or change in my routine? Any advice would be really helpful.

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