Question 1

I'm trying to understand the results of my recent 2D echo and colour Doppler test. It mentioned things like LEFT VENTRICLE ASH, TRILEAFLETS, and an AORTIC VALVE that's thickened. It also noted some stuff about COLOUR DOPPLER and something called AV GRDT 5mmHg AR GRADE 1. They concluded I have HYPERTENSIVE HEART DISEASE and ASYMMETRICAL SEPTAL HYPERTROPHY among other things. They said I have a NORMAL LV SYSTOLIC FUNCTION with an EF of 64%, but I'm not quite sure what that means. Given this, is my condition something thats curable or can be managed? Would surgery or implants help at all? I don't have diabetes and my heart rate stays around 50-60 bpm consistently. I've been on Zabeta X for nine years, then LODOZ 2.5 for a year, and now CONCOR 2.5 for the last 15 days. Also, I've been taking Restyl 0.5 at bedtime for 9 years. What should I consider doing next?

Accepted Answer

1. Whether it is curablecontrolled? Based on the diagnosis of hypertensive heart disease, asymmetrical septal hypertrophy, sclerotic aortic valve with mild aortic regurgitation, and left ventricular diastolic dysfunction, these conditions can be managed and controlled with appropriate treatment and lifestyle modifications. While these conditions may not be completely curable, their progression can be slowed down and symptoms can be managed effectively with proper medical management. 2. Whether surgery or implants in any way will be of any help? In your case, since you have normal left ventricular systolic function and no regional wall motion abnormalities at rest, surgery or implants may not be necessary at this point. However, in some cases where there is severe aortic stenosis or regurgitation, surgical interventions such as aortic valve replacement may be considered. It is important to follow up with your cardiologist for further evaluation and to determine if any surgical interventions are needed in the future. 3. Your considered opinion, suggestion, solution? Considering your current medication regimen, it is important to continue taking Concor 2.5 as prescribed by your healthcare provider. Additionally, lifestyle modifications such as maintaining a healthy diet, regular exercise, managing stress, and avoiding smoking can help in managing your condition. Regular follow-up visits with your cardiologist are essential to monitor your heart health and adjust your treatment plan as needed. If you have any concerns or experience any new symptoms, please consult your healthcare provider for further evaluation and management.

Question 2

I'm really worried about my dad's blood pressure. It was high at 160110 before, but after he started taking Metocard XL 25 and Triolmesar 20 for about a month, it's dropped to 8772, measured with a digital Omron monitor. Do you think he should keep taking his current medication or adjust the dose? Also, he's diabetic and taking Glyciphage SR 500 and Tenlimac 20. Plus, he's being treated for prostate issues with Maxvoid 8. Could all these medications be affecting his blood pressure too much? What would be the best course of action?

Accepted Answer

Given the significant drop in blood pressure from 160110 to 8772, it is important to reassess the medication regimen. In this case, it is advisable to consult with your father's healthcare provider to adjust the dosage or possibly consider discontinuing one of the antihypertensive medications. Lowering the dose of Metocard XL 25 or Triolmesar 20 may be necessary to prevent hypotension, especially considering his current blood pressure readings. Regular monitoring and coordination with his healthcare provider are essential to ensure optimal management of his hypertension while taking into account his diabetes and prostate issues.

Question 3

I'm dealing with high blood pressure around 155105 and have been taking inzit 4 mg once daily as advised by my doctor for the past 10 days, but Im not seeing any improvement. Both of my parents have high BP too, and I work in a software job which means I sit a lot. Does this mean Ill have to be on medication forever, or are there lifestyle changes I can try that might help lower my BP without relying on meds?

Accepted Answer

Despite taking Inzit 4mg for 10 days, your BP remains high; consider lifestyle modifications to complement medication: regular aerobic exercise (30 minutesday), stress reduction techniques (meditation, yoga), weight management, dietary changes (low sodium, high potassium, DASH diet), increased water intake, and adequate sleep (7-8 hoursnight); also, discuss with your doctor potential adjustments to your medication regimen, such as dosage or additional medications, to achieve better BP control; with consistent lifestyle efforts and medication adherence, it's possible to reduce BP and potentially decrease medication dependence over time.

quit smoking and do regular breathing exercises

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